**TABLE OF CONTENTS**

# 

[Director's Highlights 2](#directors-highlights)

[FY 2006 -- FY 2008 2](#fy-2006-fy-2008)

[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___Toc161194036)

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

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

[Disaster Readiness and Response 3](#__RefHeading___Toc161194039)

[Older Adults 3](#__RefHeading___Toc161194040)

#  

# Director's Highlights

***Number range CHAPTERStatus of FY 2006 Budget.*** Execution of the FY
2006 discretionary budget was completed on September 30, 2006, with CSAT
successfully obligating 99.99% of its available funding in support of
Programs of Regional and National Significance (PRNS). In FY 2006,
approximately \$54 million was awarded to 109 new Targeted Capacity
Expansion (TCE) grantees, distributed across various treatment services
programs. In addition, CSAT awarded approximately \$275 million in FY
2006 continuation funding to 398 current grantees, including 39 grantees
that were jointly-funded with CMHS/CSAP.

***Status of FY 2007 Budget.*** SAMHSA/CSAT began FY 2007 operations
under a series of Continuing Resolutions ("CRs"), culminating in a final
year-long CR (H.J.Res.20, which became Public Law 110-5), and which was
signed by the President on February 15, 2007. The levels for both
discretionary and mandatory funding in the year-long CR are based on the
post-rescission funding levels from the FY 2006 Enacted Appropriation. A
key provision of the FY 2007 budget is inclusion of \$98 million for a
new round of Access to Recovery (ATR) grants, with \$25 million of this
total to focus on Methamphetamine. Another provision of the CR is that
all recommended Congressional Earmarks that had been included in the
appropriations committees' reports (of the 109^th^ Congress) have been
disallowed.

***Status of FY 2008 Budget.*** SAMHSA's FY 2008 Budget, Justification
of Estimates for Appropriations Committees, supporting the FY 2008
President's Budget, was submitted to Congress on February 5, 2007. It
reflects a reduction of almost \$47 million from the FY 2007 CSAT CR
funding levels. The following table compares the FY 2006, FY 2007, and
FY 2008 funding levels.

**CSAT Budget**

## FY 2006 -- FY 2008 

(dollars in millions)

+------------------+---------+---------+---------+---------+---------+
| **Budget Line**  | **FY    | **FY    | **FY    | **FY    | **Inc / |
|                  | 2006**  | 2007**  | 2007**  | 2008**  | Dec**   |
|                  |         |         |         |         |         |
|                  | **A     | *       | **CR    | *       | **2008  |
|                  | ctual** | *Presid | Level** | *Presid | PB vs   |
|                  |         | ent's** |         | ent's** | 2007 CR |
|                  |         |         |         |         | Level   |
|                  |         | **B     |         | **B     | A       |
|                  |         | udget** |         | udget** | ctual** |
+------------------+---------+---------+---------+---------+---------+
| **Programs of    | \$398.7 | \$375.4 | \$398.9 | \$352.1 | \- \$   |
| Regional and     |         |         |         |         | 46.8    |
| National         |         |         |         |         |         |
| Significance**   |         |         |         |         |         |
+------------------+---------+---------+---------+---------+---------+
| ###              | \$      | \$      | \$      | \$      | \$ 0.0  |
| SAPT Block Grant | 1,757.4 | 1,758.6 | 1,758.6 | 1,758.6 |         |
+------------------+---------+---------+---------+---------+---------+
| **Total CSAT**   | **\$2,  | **\$2,  | **\$2,  | **\$2,  | **- \$  |
|                  | 156.1** | 134.0** | 157.5** | 110.7** | 46.8**  |
+------------------+---------+---------+---------+---------+---------+

A complete copy of the SAMHSA/CSAT FY 2008 Congressional Justification
can be downloaded from the following link on the SAMHSA website:
[http://www.samhsa.gov/Budget/FY2008/index.aspx](../%20http://www.samhsa.gov/Budget/FY2008/index.aspx)

***Impact of the FY 2008 Budget.*** The FY 2008 President's Budget will
provide for treatment services expansion in the following CSAT Capacity
programs:

-   Screening, Brief Intervention, Referral and Treatment: + \$11.5
    million (39% [increase]{.underline} over 07)

-   Criminal Justice (Drug Courts): + \$21.7 million (214%
    [increase]{.underline} over 07)

However, in order to support the above program funding increases, and to
absorb the overall reduction in FY 2008 funding, a number of CSAT's
Science to Service programs will face adjustments, as follows:

[Eliminations]{.underline}

-   Strengthening Treatment Access and Retention: to be
    [eliminated]{.underline} in 08.

-   Knowledge Application Program (TIPs, Quick Guides, Treatment
    Manuals; Fact Sheets; Advisories; Marketing Campaigns): to be
    [eliminated]{.underline} in 08

-   Partners for Recovery (Workforce Development; Know Your Rights
    (anti-stigma); Leadership Institutes; Recovery Summits): to be
    [eliminated]{.underline} in 08

-   Historically Black Colleges & Universities (HBCU) National Resource
    Center: to be [eliminated]{.underline} in 08

-   Consumer Affairs (Recovery Month; public education): to be
    [eliminated]{.underline} in 08

-   Community/Faith-Based Technical Assistance/Activities: to be
    [eliminated]{.underline} in 08

```{=html}
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-   Others activities [to be cut]{.underline} in FY 2008: HIV/AIDS Cross
    Training; CSAT Logistics Contracts; Confidentiality Training; All
    Printing; ATTC Evaluation Contract; Minority Fellowship program;
    Collaborations with AHRQ, NIDA, and OJJDP; various Division of
    Services Improvement (DSI) analysis activities, studies, and
    evaluations.

[Reductions]{.underline}

-   Recovery Community Services Program: 42% [reduction]{.underline} in
    08

-   Children and Adolescent programs: 34% [reduction]{.underline} in 08

-   Clinical Technical Assistance to grantees: to be [significantly
    curtailed]{.underline} in 08

***Methamphetamine Initiative.*** CSAT participated in the Governor's
Methamphetamine Summit in Phoenix, AZ, where Dr. Clark delivered the
keynote presentation on January 9. CSAT continues to collaborate with
the Office of National Drug Control Policy (ONDCP) and the Department of
Justice (DOJ), in conducting Regional Methamphetamine Legislative and
Policy Planning Meetings. Regional summits were held October 5-6, in
Salt Lake City, UT and February 1-2, in Des Moines, IA.

*\
**Recovery Support Services Meeting.*** Upon request of SAMHSA's Office
of the Administrator, CSAT planned and conducted a 1.5 day meeting on
January 21-22, in Ft. Lauderdale, FL, to establish consensus on a
definition of recovery support services and to determine strategies for
how they may access federal resources. Approximately 40 representatives
from state agencies, ATR providers, recovery support providers, and
faith-based organizations participated. Input from the meeting will be
used to create a "guidance document" issued by SAMHSA.

***Community and Faith-Based Initiatives.*** SAMHSA/CSAT has conducted
capacity building sustainability meetings in six ATR States to assist
grassroots providers with fund development activities, that will sustain
services over time. These meetings have been overwhelmingly successful,
and follow-up technical assistance (TA) has been planned for the
organizations participating in these events. SAMHSA will be convening
similar meetings in the remaining ATR states and a few non ATR states.

In FY07, SAMHSA/CSAT will develop two guidance publications with
accompanying tool kits for grassroots organizations; (1) Effective
Strategies to Sustain Grassroots Treatment and Recovery Support
Services; and (2) Bridging the Gap-Recovery Support Services.

Twenty-three transition coordinators were assigned to ATR grantees, to
assist with transition and care coordination across service delivery
systems, including medical, substance abuse, recovery services, and
transportation, among other tasks as designated by ATR grantees.

In FY 07, CSAT will convene 18 capacity building meetings nationally,
focusing on charitable choice, ATR and sustainability. These meetings
will take place in the following states: Arizona, Nevada, Kentucky, New
York, Alabama, Georgia, South Carolina, Maine, New Hampshire, Nebraska,
Virgin Islands, Virginia, West Virginia, Ohio, Indiana, Minnesota,
Washington DC, and Iowa.

[]{.mark}

***National Hispanic Employment Initiative.*** Ms. Ivette Torres,
Associate Director of Consumer Affairs in the Office of the Director,
continues to co-chair HHS' Hispanic Employment Initiative, where
elements of the National Hispanic Employment Initiative document are
being incorporated as part of the HHS Presidential Management Agenda and
a new HHS-wide Diversity Management Advisory Committee has been
established.

[]{.mark}

***Mexico City Conference.*** From December 6-9, 2006, Dr. Clark, along
with Ivette Torres, Associate Director of Consumer Affairs, participated
in a multinational conference in Mexico City. Dr. Clark spoke of
SAMHSA's national studies on drug consumption and health. Additionally,
he shared information with other leaders on the need for intervention
and provided key elements of effective adolescent substance abuse
treatment programs.

***United Nations Office on Drugs and Crimes (UNODC) Meeting.*** From
March 12-16, 2007, Dr. Clark attended the UNODC meeting in Costa Rica,
on behalf of SAMHSA's Administrator Terry Cline. The significance of the
meeting was to solidify an agreement with leaders of the Central America
academic institutions, to form a Central American Academic Consortium,
which will serve as the accrediting body of the addiction treatment
technical training replication efforts in Belize, Costa Rica, El
Salvador, Guatemala, Honduras, Nicaragua, and Panama.

# 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.***

**[Discretionary Program Activities]{.underline}**

***Access to Recovery (ATR).*** The 15 ATR grantees are in the third and
final year of their grant awards from SAMHSA to continue their efforts
to provide clinical and recovery support services to eligible clients
who seek treatment. As of December 31, 2006, over 137,579 clients have
been served by ATR, exceeding the target of 87,500, for the same period.
Recovery support services continue to play a large role in the
program---over 64% of clients for whom status and discharge data are
available have received such services; accounting for approximately 49%
of dollars redeemed. Faith and community-based organizations also
continue to play a significant role in providing either clinical
treatment or recovery support services, accounting for about 30% of
services.

***ATR Winter Grantee Conference.*** The conference was held in Ft
Lauderdale, FL, on January 23-26, and attended by nearly 200
participants. The meeting's theme was, "Achieving Outcomes through
Sharing Knowledge," and focused on improving client outcomes data, GPRA
reporting, financial management issues related to "burn" rate (the rate
at which grantees spend their grant funds) and close-out activities.
SAMHSA Administrator, Dr. Terry Cline, provided welcoming remarks
followed by a keynote presentation by Dr. Clark.

***Addiction Technology Transfer Centers (ATTC).*** Two new "blending"
products developed by the ATTC's have been approved by NIDA:
*Motivational Interviewing for Supervisors* and *Promoting Motivational
Incentives*. All five blending products were presented at the NIDA
Blending Science and Service Conference held October 16-17, in Seattle,
Washington. ATTC Directors met with CSAT contractors tasked with
designing an independent evaluation of the ATTC program, planned for
implementation in FY '08. The RFA for the next round of ATTC awards was
published on March 12. Awards will be made by the end of the current
fiscal year (September 30).

***American Indian/Alaskan Native Activities.*** CSAT, in collaboration
with the Department of Justice, Office of Juvenile Justice and
Delinquency Programs (OJJDP), conducted a Town Hall meeting, in
conjunction with the 18^th^ Annual Multi-Jurisdictional Law Enforcement
Conference, "Working Together to Serve Better: Many Faces, One
Community," held in Green Bay, WI, October 30. The goal of the Town
Meeting was to seek input from tribes, tribal organizations and
consortia on a Tribal Policy Academy to improve programs for youth
offenders with co-occurring disorders.

***Financing.*** CSAT staff participated in a presentation on substance
abuse spending trends (1986-2003) at the Addiction Health Services
Research Conference on October 24, in Little Rock, AR. *The National
Expenditures Report for Mental Health and Substance Abuse, 1993-2003,*
is complete and a press release is being planned to announce its
availability.

***Knowledge Application Program (KAP).*** TAP 21-A: *Competencies for
Substance Abuse Treatment Clinical Supervisors* was completed and is
scheduled for public dissemination via the national clearinghouse.

***National Health Information Infrastructure.*** A white paper was
developed describing existing technologies that enable the protection of
electronic health records. The information can be used to design
electronic health record standards that protect the confidentiality of
substance abuse patient records. This paper will be submitted to the
American Health Information Community, the Secretary's federal advisory
committee on implementation of the National Health Information
Infrastructure initiative.

***National Registry of Evidence-based Practices and Programs.*** CSAT's
Science to Service Team continued to coordinate NREPP program submission
and review activities to ensure CSAT-established annual review
priorities are accomplished for the launching of the NREPP Web site,
March 1. The open submission process for NREPP program review began
October 2006 and continued through February 2007. Following the official
NREPP roll out, additional programs will be added to the NREPP Web site
as the program review process is completed.

***Performance Measurement.*** A Consumer Perception of Care Survey has
been validated for use with adults in substance abuse treatment and
mental health treatment settings. Developed by the Washington Circle and
the Forum on Performance Measurement, additional pilot testing is
underway to validate use of the survey with adolescents. The NOMS
technical consultation workgroup encouraged the integration of some of
these survey questions into NOMS reporting requirements for consumer
perceptions of care.

***Recovery Community Support Program.*** The new grantee meeting and
annual TA workshop was held in Washington, DC, on December 11-14. The
RCSP RFA for awards in FY 2007 was posted on www.grants.gov December 19
and closed February 29. A total of \$2.9 million in grant awards are
planned to provide peer-to-peer recovery support services that help
prevent relapse and promote sustained recovery from alcohol and drug use
disorders. Successful applicants will provide peer-to-peer recovery
support services that are responsive to community needs and strengths,
and will carry out a performance assessment of these services.

***Screening, Brief Intervention, and Referral to Treatment (SBIRT)**.*
CSAT participated in revising an application for a Category 1 Current
Procedural Terminology (CPT) code for SBIRT which was submitted to the
AMA on November 30. This was undertaken after consultation with AMA's
CPT committee staff. The revised application was reviewed and approved
at their February 2007 meeting.

***Strengthening Treatment Access and Retention-State Initiative
(STAR-SI).*** Representatives from each of the grantee states met on
November 8-9 in Bethesda, MD, for a program management meeting. The
participants had the opportunity to learn more about the STAR-SI
program, discuss the state's role as the convener of change, and review
the role of the state and provider partnership in process improvement.
Oklahoma and New York have joined the STAR-SI initiative
through funding from the Robert Wood Johnson Foundation. 

***Treatment Capacity Expansion (TCE) Program*.** A joint meeting of
three TCE programs: Methamphetamine; American Indian, Alaskan Native,
and Pacific Islanders; and the Young Offender Reentry Program was held
in Washington, DC, October 30-November 1. This meeting brought together
the three grant portfolios. Topics addressed at the meeting included:
GPRA, Global Appraisal of Individual Needs (GAIN), grants management,
evidence-based practices regarding re-entry populations, methamphetamine
treatment strategies, co-occurring disorders, effective approaches to
treatment for specific populations, evaluation and management issues.

**[Substance Abuse Prevention and Treatment Block Grant (SAPTBG)
Activities]{.underline}**

***Confidentiality and Ethics Project.***  CSAT conducted training in
the following States:  Alabama, Colorado, Michigan, New York, North
Carolina, Rhode Island, Pennsylvania, and Washington.  An in-service
training to CSAT staff on confidentiality and ethics was also provided.

***State Alcohol and Other Drug Systems Technical Review Project*.** 
CSAT conducted systems reviews in the States of Arizona, Indiana,
Minnesota, New Hampshire, New Mexico, North Carolina, Oregon, Texas, and
Mississippi.  The systems reviews are required by section 1945(g) of the
Public Health Service Act in order for CSAT to determine States'
compliance with Title XIX, Part B, Subpart II and Subpart III of the PHS
Act and the Substance Abuse Prevention and Treatment Block Grant;
Interim Final Rule (45 CFR Part 96). The systems reviews are conducted
by a Federal contractor, JBS International, in collaboration with the
program staff assigned to monitor the States' compliance with the
authorizing legislation and implementing regulations governing the
Substance Abuse Prevention and Treatment Block Grant. A written report
of the systems review is generated and the report includes
recommendations for targeted TA.

***State Systems TA Project.  ***CSAT targeted and developed
comprehensive TA plans for the following States and US Territory: 
Alabama, Arkansas, Colorado, Indiana, Iowa, Kansas, Louisiana,
Minnesota, Texas, Virgin Islands and Washington.  Approximately 90 TA
activities were managed September 2006 -- January 2007.

***Web Block Grant Application System.***  The States and jurisdictions
submitted their respective FY 2007 Uniform Application for Substance
Abuse Prevention and Treatment Block Grant on or before October 1, 2006,
in accordance with section 1932(a) of the Public Health Service Act. 
Program staff has completed the review of the treatment sections of the
FY 2004 Annual Reports, FY 2006 Progress Reports, and the FY 2007
Intended Use Plans in compliance with section 1942 and 1932 of the PHS
Act and the Substance Abuse Prevention and Treatment Block Grant;
Interim Final Rule (45 CFR 96.122(f)(g)).  In addition to the submission
of the FY 2007 Uniform Application, all States and jurisdictions
submitted their respective Annual Synar Reports in compliance with
section 1926 of the PHS Act and the Tobacco Regulation for the Substance
Abuse Prevention and Treatment Block Grant; Final Rule (45 CFR 96.130). 
During the first and second quarter of FY 2007, SAMHSA's Division of
Grants Management has generated FY 2007 Notices of Block Grant Award for
the following States and jurisdictions:  Alabama; Arizona; California;
Florida; Missouri; Nevada; New York; Ohio; South Dakota; Tennessee; and
Texas.  As a result of the continuing resolution, the FY 2007 Notices of
Block Grant Award are calculated on the FY 2006 authorized appropriation
for the Substance Abuse Prevention and Treatment Block Grant Program.

***Performance Management TA Coordinating Center (PMTACC).*** PMTACC
provided TA to support CSAT's performance management activities and its
Access to Recovery (ATR) initiative.  The following activities were
supported September -- January.

-   September -- Received report from PMTACC on Web BGAS and block grant
    usability testing, examining specific block grant forms and their
    instructions as contained in Web BGAS.  Concurrent review of block
    grant application requirements were also received.  These products
    were used in parallel with NASADAD block grant related products to
    draft the FY 2008 application, which is in the clearance process. 
    TA was provided to eight ATR grantees on eight separate TA
    activities. 

-   October - TA was provided to five ATR grantees on five separate TA
    activities.  PMTACC developed subcontract requirements and templates
    for faith and community based liaisons and community based
    transitional coordinators.

-   November -- Assistance was provided to NASADAD to prepare a report
    for the NASADAD IT Solutions conference assessing usability and
    portability of IT platforms. TA was provided to five ATR grantees on
    five separate TA activities. PMTACC provided support for finalizing
    statements of work for three faith and community based liaisons,
    distributed six letters of authorization to begin work and completed
    execution of six contracts for community based transitional
    coordinators.

-   December -- Transitioned "State Profiles" automation files to
    SAMHSA/CSAT for CSAT continuation of product development.  TA was
    provided to four ATR grantees on four separate TA activities. 
    PMTACC completed execution of 24 contracts and received six invoices
    and monthly reports for community based transitional coordinators.

-   January -- An ATR Grantee conference was convened January 24-26 in
    Fort Lauderdale, Florida with participation from the transitional
    coordinators.  TA was provided to four ATR grantees on four separate
    TA activities. Execution of one subcontract for a faith and
    community based liaison and one contract for a community based
    transitional coordinator were completed. 

***National Association of State Alcohol and Drug Abuse Directors
(NASADAD)*.** CSAT funded the third year of a NASADAD grant award and
approved the final extension of a NASADAD Cooperative Agreement. On
October 26-27, NASADAD convened the Performance Data workgroup.  A draft
report, "Performance Measurement and Management Reporting Requirements
and Associated TA Needs," was circulated to the workgroup for review and
comment.  On December 14-15, NASADAD convened a meeting to showcase
States' data systems in the public domain, e.g., State of Maryland
Automated Record Tracking (SMART), an on-line data collection and
clinical record system, Texas' Behavioral Health Integrated Provider
System (BHIPS), and Utah Web-Based Infrastructure for Treatment Services
(UWITS).  A draft report, "Strategic Planning and TA Discussion: Public
System Collaboration," was circulated to meeting participants for review
and discussion.  The following States attended: Arkansas; Idaho;
Kentucky; Maryland; Montana; New York; Tennessee; Utah; West Virginia;
Wisconsin; and Wyoming.

**[Partners for Recovery (PFR) Initiative]{.underline}**

The PFR initiative 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:

-   ***Know Your Rights Regional Training Sessions.*** PFR sponsored the
    final five in a series of eight regional *Know Your Rights* training
    sessions September \-- December 2006. On September 18, a session was
    held in Minneapolis, MN; September 25, in Chicago, IL; October 18,
    in Denver, CO; November 10, in Dallas, TX; and December 11, in San
    Francisco, CA. The session in Denver, CO, was video-recorded and
    will be posted on the PFR Web site and made available in limited
    distribution via DVD. The video recording will make this valuable
    information available nationally to individuals in recovery, as well
    as to their friends, families and other allies. Regional *Know Your
    Rights* sessions were facilitated by the Legal Action Center, New
    York, NY. The attendance of key stakeholders, 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 was requested at each regional
    session. In addition, individuals from the recovery community and
    other allies in the host State were invited. The purpose of the
    series was to train key stakeholders to sponsor and facilitate *Know
    Your Rights* sessions across their States, making widely available
    information on the rights and responsibilities of persons in
    recovery. At each training, key stakeholders took part in a
    post-session debriefing, during which the session was reviewed,
    trainer manuals distributed, and the availability of TA to support
    development of *Know Your Rights* sessions and related resources
    explained. TA has been provided to a number of State teams that are
    planning to offer *Know Your Rights* sessions.

-   ***National Summit on Recovery Report & Post Summit Activities.***
    Following the National Summit on Recovery, the Division of Services
    Improvement with PFR assistance, produced a draft Summit report,
    which is now available on the PFR Web site. Additionally, following
    a recommendation from the Summit report, an inventory of CSAT
    programs, initiatives, publications, products and websites from a
    recovery-oriented perspective was completed. The inventory serves as
    a tool to facilitate dialogue within CSAT on the topic of
    recovery-oriented programming. CSAT continues to explore how to
    implement recovery-oriented systems of care at the Federal and State
    levels. In addition, planning is under way for a pilot regional
    meeting with State teams to discuss models and strategies for the
    development of recovery-oriented systems of care. During the
    meeting, SAMHSA will share with States the draft Summit report.
    States developing promising approaches in the area of
    recovery-oriented services and systems will make presentations. In
    addition, there will be ample time for cross-State dialogue and
    State-level discussion and planning related to the development of
    recovery-oriented systems of care. The goal of the meeting is to
    facilitate dialogue and planning for the development and
    implementation of recovery-oriented systems of care in each
    participating State.

-   ***State Legislature Briefings: The Outcomes of Addictions Treatment
    and Approaches to Measuring Performance Measurement.*** On December
    5, the final in a series of seven briefings was held in San Antonio,
    TX, at a meeting of the National Conference of State Legislatures'
    (NCSL) Critical Health Areas Project. This series of briefings for
    State legislators and legislative staff is sponsored by the State
    Associations of Addictions Services, in partnership with NCSL and
    Treatment Research Institute (TRI). Dr. A. Thomas McLellan, noted
    researcher in the area of addictions treatment, Kenneth Stark,
    former SSA of the State of Washington, and Rebecca Crowell, Director
    of Nexus Recovery Center in Dallas, TX, presented. The session was
    video-recorded and will be made available on the PFR, NCSL and TRI
    websites. It will also be circulated to legislators on DVD. The
    broad dissemination of this information through targeted Web
    postings and DVD distribution will help inform State legislation and
    policy related to addictions services nationally.

-   ***PFR Steering Committee Meeting*.** On December 11, the PFR
    Steering Committee met in Bethesda, Maryland. This
    multi-disciplinary committee focused on systems change initiatives
    to support recovery. CMHS presented the definition and components of
    mental health recovery developed at the National Consensus
    Conference. CSAT presented the definitions of recovery and
    recovery-oriented systems of care, principles of recovery and
    recovery-oriented systems of care elements from the National Summit
    on Recovery. The discussion focused on barriers to recovery,
    creative ways to finance recovery, and the integration between the
    addictions treatment field and the criminal justice field, as well
    as the integration between the addictions treatment field and the
    primary health care field. The Steering Committee also received two
    interesting presentations on State implementation of systems change
    and transformation efforts in Connecticut and Oklahoma.

-   ***PFR/ATTC Leadership Institutes*.** Between August -- October
    2006, the Great Lakes ATTC, Central East ATTC, Prairielands ATTC,
    and Gulf Coast ATTC began the six-month leadership development
    program. All of the ATTCs have now begun the 2006 series.
    Approximately 246 protégés are participating in this intensive
    program. On January 22, the 2007 Leadership Institute series has
    already resumed in the Southern Coast ATTC.

-   ***Environmental Scan: Addressing Suicide in the Substance Use
    Disorders Field*.** Building on recommendations from the Institute
    of Medicine's, *Preventing Suicide,* the Partners for Recovery
    Initiative conducted an informal environmental scan to gather
    information regarding resources and activities addressing suicide
    within the addictions treatment field. Contact occurred with
    numerous national, State, and local agencies, including: National
    Association of State Alcohol and Drug Abuse Directors (NASADAD),
    State Associations of Addiction Services (SAAS), American Society
    for Addiction Medicine (ASAM), International Certification &
    Reciprocity Consortium (IC & RC), the Association for Addiction
    Professionals (NAADAC), Addiction Technology Transfer Centers
    (ATTCs), Commission on Accreditation of Rehabilitation Facilities
    (CARF), Joint Commission on Accreditation of Healthcare
    Organizations (JCAHO), QPR Institute, Alaska, California,
    Connecticut, Michigan, Florida and community-based treatment
    providers. The scan looked at the following areas: screening,
    assessment, patient placement criteria, certification, prevention,
    intervention, treatment and referral, education and training,
    accreditation, State activities, performance measurement and general
    resources.

-   ***Workforce Development*:** PFR assisted with the creation of two
    important workforce development reports for the addictions treatment
    workforce. The first report, *Report to* *Congress: Addictions
    Treatment Workforce Development* was mandated by the House and
    Senate Appropriations Committees, out of concern that people who are
    seeking substance use disorder treatment are unable to access it due
    to an insufficient clinical treatment workforce. This report was
    filed with the House Appropriations Committee on October 23, 2006.
    In addition, PFR and the Division of Services Improvement assisted
    with the development of a field report entitled, *Strengthening
    Professional Identity: Challenge of the Addictions Treatment
    Workforce\-- A Framework for Discussion*. This report is now posted
    on the SAMHSA Web site. The information and actions outlined in
    these two reports serve as a basis for CSAT's workforce development
    programming.

-   ***ATTC Evaluation Design Project***: PFR, through Abt Associates
    and RMC Research Corporation, has supported the development of the
    ATTC evaluation design. The ATTCs have been very involved in this
    participatory evaluation process, which builds upon a formative
    focus of learning from each other. Abt and RMC have held regular
    conference calls with the ATTC directors and evaluators. In
    addition, the evaluation design team participated in the ATTC
    Directors' meeting on November 30, to present the activity inventory
    and the next steps in the evaluation design. The activity inventory,
    developed by Abt and RMC, collects information on major activities
    each ATTC has been involved in over the past five years, within
    seven activity domains: training, technical assistance, conferences
    and meetings, academic programming, research dissemination, product
    development and partnership development. The inventories were used
    at evaluation planning workshops, in February, to develop
    center-specific logic models, to provide critical information to
    classify the activities by technology transfer objective and to
    identify expected outcomes for the Network overall.

-   ***SAMHSA's Partners for Recovery* *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 are continually added to the website
    such as the following two articles: *Workforce Initiatives of The
    North Carolina Governor's Institute on Alcohol and Substance Abuse,
    Inc.,* and *Laura Garcia: A Life Transformed,* written by a graduate
    of the PFR/ATTC Leadership Institute. All of SAMHSA's Centers are
    now linked to all pages of the Web site and the site was updated to
    add Shannon Taitt as the new PFR Coordinator. From August --
    December, there were a total of 239,317 hits on the Web site, with
    an average of just under 2,000 hits per day (these statistics do not
    include the month of November).

-   ***PFR supported the following events:***

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

-   ***Illinois Alcoholism and Drug Dependence Association
    Conference.*** PFR presented on the "Know Your Rights" project and
    CSAT's efforts to support recovery-oriented systems of care on
    September18, in Oak Brook, IL. Approximately 250 attended the
    conference.

-   ***19^th^ Annual Oklahoma Substance Abuse and Prevention Conference:
    Creating Healthy Families and Communities**.* PFR presented on a
    range of activities at a plenary session on January 26, in Tulsa,
    OK. Approximately 1,200 individuals attended the conference.

**[Consumer Affairs]{.underline}**

***United Nations Office of Demand Control (UNODC Efforts).*** Consumer
Affairs continues to work with UNODC, SAMHSA staff and the Puerto Rican
ATTC on collaborative efforts.  In December, Dr. Clark and Ivette
Torres, Associate Director of Consumer Affairs, attended the 6^th^
Annual Addiction Summit in Mexico. In February, Consumer Affairs
participated in the Phase I, Module #2 training in Guatemala City,
Guatemala. Additional work accomplished at this meeting included the
development of a final draft of a strategic plan for the CAM-H-90
effort.

***National Alcohol and Drug Addiction Recovery Month (Recovery Month)
2006.*** The *Recovery Month* 2006 celebration began with a major press
event September 7, at the National Press Club in Washington, DC. The
press event highlighted the release of SAMHSA's 2005 *National Survey on
Drug Use and Health: National Findings.* Speakers included John Walters,
Director, ONDCP, Eric Broderick, SAMHSA Acting Deputy Administrator, Dr.
Clark, and two persons in recovery, Tonya Wheeler and Ashley Hadeed.

-   In 2006, SAMHSA sponsored a total of 59 community forums/events that
    reached a total of 64,590 people throughout the nation. As in past
    years, these events included an emphasis on multicultural
    populations. SAMHSA also sponsored the second state-wide recovery
    motorcycle ride in California, Ohio, and New England, that reached
    330 people.

-   The 49 States, the District of Columbia, and Puerto Rico held 665
    events in 388 cities, an increase of 31% over 2005 *Recovery Month*
    events, reaching almost 4 million (3,876,828) people -- this
    includes the SAMHSA-sponsored local community events.

-   ***National Proclamations.*** President George W. Bush issued a
    proclamation celebrating September 2006 as *National Alcohol and
    Drug Addiction Recovery Month.* In addition, another 138
    proclamations were issued throughout the country: 18 by Governors
    and State Legislators, 86 by Mayors and County and City Council
    members. There were also 24 proclamations from Native American
    tribes and affiliated centers issued to celebrate Native American
    Wellbriety Month. The remaining 10 proclamations were issued by
    various other organizations.

***Recovery Month Web Site.*** The 2006 *Recovery Month* Web site won
seven prestigious

awards: 2006 Mercury Bronze Award, 2006 Omni Interactive Award, 2006
Aesculapius

Award of Excellence, 2006 Silver Inkwell Award, 2006 Freddie Award, APEX
Award of

Excellence, 2006 National Association of Government Communicators, and
Gold Screen

Award of Excellence.

Web site marketing tools captured the following information:

-   Viral marketing "e-mail this page to a friend" tool rebounded to 89
    (up 345%)

-   The Ask the Expert feature delivered 39 questions each, 290% more
    than last year.

-   Listserv distribution registered nearly 5,000 subscribers, an
    increase of 42 percent from the prior year.

-   In 2006, there were 7,905 Web cast views (down 28%) and 3,114
    trailer views (down 55%). The most popular Web cast views were:
    Addiction and the Family, Youth and College Drinking and Addiction
    and the Justice System.

***Public Service Announcements (PSAs).*** Tracking for the 2006 PSAs
began on July 13, 2006.  The campaign has been in the top 6% (by number
of plays) of more than 461 campaigns Nielsen monitored from August --
December 2006. For the period of July -- December 2006, the PSAs
received the following plays:

-   Television --PSAs were shown on 234 stations in 112 markets,
    receiving 178,641,935 viewer impressions, estimated at \$1,544,983
    in free airtime and accounting for 112 broadcast hours.

-   Radio --PSAs were shown in 217 stations in 49 states, 188 cities,
    receiving 233,530,520 listener impressions, estimated at \$2,156,179
    in free airtime and accounting for 315.83 broadcast hours.

***2006 Road to Recovery Web Cast Series*.** The 2006 *Road to Recovery*
season is complete.  All materials produced in 2006 are archived and
available on the *Recovery Month* Web site and through SHIN. National
Cable and Telecommunications Association (NCTA) continue to promote the
*Road to Recovery* Web cast series. NAB is also reviewing five *Road to
Recovery* radio shows to determine appropriateness for distribution. If
approved, CSAT will then launch a new *Road to Recovery* radio series.

***National Alcohol and Drug Addiction Recovery Month (Recovery Month)
2007.*** The *Recovery Month* Planning Partners met January 19, March
21, and plan to hold a teleconference on June 13. The planning partners
will meet in Washington, DC and hold the annual *Recovery Month*
kick-off at the National Press Club on September 6, 2007.

The *Recovery Month* 2007 toolkit and PSAs were cleared by SAMHSA's
Office of Communications and sent to HHS on January 18 for clearance.
Shooting of the television spots began in February.

Efforts are also underway for the following *Recovery Month* 2007
activities: (1) development of 15 SAMHSA-sponsored 2007 statewide
community-based events; (2) development of five SAMHSA-sponsored 2007
statewide community-based events with special emphasis in each of the
following groups - Adolescents and Teens, African American, American
Indian, Asian Americans and Pacific Islanders, and Latino; (3) four
*Recovery Month* Rides for California, Arizona, Ohio and New England;
and (4) a minimum of 10 *Recovery Month/*Addiction Professional Day
Celebrations throughout the U.S.

***2007 Road to Recovery Web Cast Series.*** The *Road to Recovery*
season started on February 7 with the airing of the *Road to Recovery*
2007 show, highlighting 2006 events throughout the country and
encouraging others to get involved in 2007.

2007 Road to Recovery topics and airdates are as follows:  *The Road to
Recovery* (February 2007); *Treatment 101* (March 2007); *Alcohol en la
Comunidad Latina* (April 2007); *Helping Families Find Recovery* (May
2007); *The Financial and Medical Benefits of Treatment for Health Care
Providers and Insurers* (June 2007); *Treatment and Recovery: Reducing
the Burden on the Justice System and Society* (July 2007); *Improving
the Bottom Line: Supporting Treatment Profits Employers and Employees
(*August 2007); *Investing in Treatment: Policymakers' Positive Impact
on Their Community (*September 2007); *Saving Lives, Saving Dollars: A
National Showcase of Events (*November 2007)

***National Alcohol and Drug Addiction Recovery Month (Recovery Month)
2008.*** The concept and theme for the 2008 observance was selected at
the January 19 Planning Partner meeting. The concept for 2008 is to show
how recovery empowers, motivates, and gives everyone a renewed outlook
on life and the theme is, *Join the Voices for Recovery: Real People,
Real Recovery.*

Materials will also include the concept of the medical disease of
addiction, as well as the success of treatment and recovery in the
reintegration into society, community, family, and work. The materials
will highlight individual people who bring life to the kit by
interweaving vignettes and facts together. True stories, or vignettes,
will be the forefront of the materials and will bring a new face to the
kit, giving the tone a more human slant.

The related audiences selected are treatment providers, employers,
family, policy makers, the criminal justice system, and faith based
organizations. Each target audience will have a story from their
perspective; there will be different stories for the various targeted
audiences.

***What Anabolic Steroids Can Do to Your Health.*** CSAT is preparing
educational brochures and a short video on steroid abuse. Ten high
schools in selected cities will host an event on CSAT's anti-steroid
program in the fall of 2007.  This initiative will not be funded in FY
2008.

***National Inhalants Abuse Awareness Initiative 2007.*** On March 15,
SAMHSA CSAT sponsored a National Inhalants & Poisons Awareness Week
Kickoff news conference in partnership with the National Inhalant
Prevention Coalition, in Washington, DC.

***Faces and Voices for Recovery.*** Faces & Voices hosted its first
webinar session on February 3 covering, *Meeting with Editorial Boards
and Using Faces & Voices of Recovery's Messaging*.  The webinar is a
"how-to" session with information about how to develop localized
information to present to an editorial board; how to put together a
group of people to make an impact on editorial boards; and how to carry
out a meeting.

Faces and Voices of Recovery presented at the Planning Partners meeting
on the joint venture with Community Anti-Drug Coalitions of America and
Join Together through the Robert Wood Johnson Foundation on the upcoming
HBO multi-platform campaign to educate America about advancements in
understanding drug and alcohol addiction and its treatment as a brain
disease. Faces and Voices is working to include *Recovery Month* events
and activities as part of the campaign. The SAMHSA national helpline,
1-800-662-HELP is the "call to action" appearing in the HBO series. This
new HBO documentary ran from March 15-18, 2007.

***Pilot Program: Non-Denominational Individual and Family Recovery
Training.*** The FY 2006 activities have successfully been completed and
accomplishments far exceeded goals. Clergy training in five cities and
the production of new training materials are planned for 2007. This
initiative is conducted in conjunction with the National Association for
Children of Alcoholics (NACoA).

***Medication Assisted Treatment Consumer Ed.*** The development of
*Buprenorphine Nurses Guide* is currently under way. The Nurses Guide
will be similar in format to the Pharmacists Guide prepared by CSAT. A
pocket guide will also be produced as an abbreviated version of the
Nurses Guide.

***Patient Support and Community Education Program (PSCEP).*** On March
30, Consumer Affairs in collaboration with the Division of Pharmacologic
Therapies, will be hosting a meeting of the PSCEP cohort to discuss
recent methadone overdose deaths. Dialogue will include ways to mitigate
recent waves of negative coverage improperly targeting the use of
methadone as a medication for opioid dependence.

***SAMHSA's National Helpline, 1-800-662-HELP.*** The December call
numbers indicated that there were 26,020 answered calls -- these are
calls received by English and Spanish information specialists, as well
as calls directly to the states through the Helpline.  Total calls were:
November - 26,225; October - 30,883; and September - 28,409. 

***Talking to Parents and Teenagers About Medicine Abuse; A National
Multi-Media Outreach Campaign 2006 -- 2007.*** This initiative is
developing television public service announcements in English and
Spanish, articles for placement in papers throughout the country and two
brochures -- one targeting teens about the misuse of prescription
medications and the second for parents on how to talk to their teens
about the misuse of prescription medications.

***Talking to Teen Influencers About Medicine Abuse: A National
Multi-Media Outreach Campaign for Youth Influencers 2007 -- 2008.***
This new initiative will reach out to educators and physicians, as two
identified youth influencers to address the dangers of the misuse of
prescription medications. The campaign consists of print brochures for
the influencers, as well as outreach to organizations to spread the
message with materials and articles for placement in papers nationwide.
There will be a press event announcing the initiative.

**[Pharmacologic Therapies]{.underline}**

***Drug Addiction Treatment Act of 2000 (DATA) Physician Waivers.*** As
of February 29, 2007, SAMHSA has certified close to 10,000 physicians,
and 5,765 (58%), are listed on the Buprenorphine Physician Locator
System.

DPT has taken steps to implement the buprenorphine patient limit
provisions of the ONDCP Reauthorization Act of 2006. This new
legislation permits certain physicians to treat up to 100 patients each.
Prior to the new law, physicians were subject to a 30 patient limit. In
response to an extensive outreach effort, including a "Dear Colleague"
letter to the field, approximately 1,599 physicians have requested to
treat up to 100 patients.

***SAMHSA Determinations Report (based on the SAMHSA/CSAT Study of the
Impact of the DATA Waiver Program).*** The Secretary signed the DATA
Determinations report and sent it to Congress, October 30, 2006. The
report will be available at <http://buprenorphine.samhsa.gov/>.

The Determinations report presented findings and recommendations from
SAMHSA's three-year national study of the DATA Waiver program, which
concluded November 2005. Generally, results reflect positively on the
impact of the waiver program, and are consistent with findings of a more
recent literature review commissioned by SAMHSA. However, the full
potential of the waiver program to increase access has been dampened due
to high cost and limited insurance coverage. The report also found that
the statutory limit on the number of patients who were permitted to be
treated by a waived physician at any one time limited patient access
(The law was changed on December 29, 2006, by the Office of National
Drug Control Policy Reauthorization Act of 2006; see item above). The
Report offers recommendations toward further enhancing effectiveness of
the waiver program. Although the report found little evidence of
diversion, SAMHSA continues to monitor the use of these products and to
intervene as necessary.

DATA, Title XXXV, Section 3502 of the Children\'s Health Act of 2000,
established the physician waiver program. These waivers allow physicians
who meet certain qualifications to prescribe and dispense Schedule III,
IV or V medications approved by the Food and Drug Administration (FDA)
for the treatment of opioid dependence. Buprenorphine (a Schedule III
drug available in two formulations, Subutex® and Suboxone®), became the
first and only medication eligible for use under the physician waiver
program, upon approval by the FDA on October 8, 2002. DATA specified
that the Secretary may make certain determinations concerning the
continuation and/or modification of the waiver program, namely regarding
whether detoxification and maintenance treatment provided in clinical
settings under the waiver program have been effective; whether the
program has significantly increased the availability of maintenance
treatment and detoxification; and whether treatment under the waiver
program has had adverse consequences for the public health.

***Opioid Treatment Program (OTP) Certification.*** As of February 28,
there are 1,156 certified opioid treatment programs in the U.S. SAMHSA
has taken action to decertify OTPs that have failed to achieve or
sustain accreditation, or have not otherwise complied with federal
opioid treatment regulations. These decertification actions have been
challenged by OTPs, and are currently under review.

***Opioid Treatment Data Systems for Disaster Planning Project, also
known as the Digital Access to Medication (D-ATM) Project.** As* a
disaster preparedness project for OTPs, a field test of a limited,
internet-based electronic record system for enabling patients to access
care, in the event of an emergency, began as a pre-pilot test in
February at the Lower Eastside Services Center in New York City. This
was a critical milestone, marking the shift from development to
implementation of the pilot system. Patients and staff indicated
interest and enthusiasm. Staff will continue to test the system for a
few weeks, without on-site assistance and have been asked to provide
feedback on both technical and operational aspects involved in
incorporating D-ATM into the day-to-day routine. Plans are to expand the
system to Louisiana, California, and the Baltimore-Washington area.

***Prescription Drug Activities---National All-schedules Prescription
Electronic Reporting Act (NASPER) Implementation Report:***  The report
titled *"A Review of Implementation of Existing State Controlled
Substance Monitoring Programs"* is currently undergoing Departmental
clearance.  

***Medical Education.*** Through the Treatment Strategies for
Prescription Drug Misuse and Abuse contract, work continues on the
following medical education projects:

-   Physicians National Addictions Education Project\--Dr. Nicolas Pace
    (Medical students)

-   Tufts University (Emergency medicine and trauma surgery residents)

-   Columbia University (Primary care residents)

-   CME Program on Proper Prescribing of Controlled Substances

-   CME on Methadone Prescribing

-   ASAM Annual Conference Symposium on Prescription Drug Abuse and
    Misuse (April 28, 2007)

-   7^th^ International Conference on Pain and Chemical Dependency
    (NYC - June 21-24, 2007)

-   ASAM State of the Art Course

***NIDA Centers of Excellence for Physician Information.*** DPT staff
presented information at the NIDA kickoff meeting for their Centers of
Excellence on February 23, 2007. In January 2007, NIDA established its
first Centers of Excellence for Physician Information. The fours
centers, located at academic medical institutions across the country,
will serve as national models to support the advancement of addiction
awareness, prevention, and treatment in primary care practices.

***Fentanyl Overdose Deaths.*** As of the end of November, there have
been over 1000 documented fentanyl-related deaths from approximately 10
medical examiner jurisdictions. The stakeholders' conference calls,
which began in June 2006, under the leadership of the CDC and since
taken over by CSAT, have begun to focus on summarizing the impact of
this outbreak, and have begun to discuss the discovery of other
clandestine substances, such as clenbuterol, also entering the heroin
and cocaine supply. A planning group has been identified for a follow-up
SAMHSA conference that is being planned for this summer or fall.

## 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.***

***CSAT's Co-Occurring Dialogues Electronic Discussion List.**
Co-Occurring Dialogues
(*<http://www.tie.samhsa.gov/Topics/DualDialogues.html>) is an
electronic discussion list that represents an expansion of the services
offered by the CSAT Treatment Improvement Exchange (TIE) on the Web
([http://www.treatment.org](http://www.treatment.org/)). The list was
developed and established by the Division of State and Community
Assistance (DSCA), and specifically focuses on issues related to dual
diagnosis (defined for the purposes of this activity as *a mental
disorder and substance abuse*). In addition, a special topics page on
the TIE forum is devoted to resources and information on these issues.

CSAT believes that the electronic discussion list should belong to the
field. Membership, therefore, is open to anyone interested in the topic,
although CSAT reserves the right to remove persons who do not interact
in a professional manner. Individuals already participating in list
discussions include members of the research community, educators,
treatment agencies and providers, members of the recovery community, and
individuals at every level of government.

CSAT/ DSCA, makes the *Co-Occurring Dialogues* list available as a forum
for communication, idea exchange, brainstorming, and the sharing of
exciting and current publications and opportunities. Some recent topics
of in-depth exchange include medications, assessment tools, readiness
for treatment, and the interaction between substance use and mental
health issues.

[]{#__RefHeading___Toc161194036 .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*.**

***Federal Consortium Addressing the Substance Abusing Offender
(FCSAO)***. On November 14, CSAT staff participated in the quarterly
meeting at the Justice Department. The primary topic to be addressed by
FCSAO this fiscal year will be offender reentry issues with a specific
focus on rural issues. Planning is underway for a SAMHSA-sponsored
satellite session, prior to the College on Problems of Drug Dependence
(CPDD) conference to be held in Quebec City, Canada, June 16-21. The
focus of the session will be on criminal justice issues and will involve
collaboration with NIDA.

***Joint Conference.*** CSAT staff has been working with the Office of
the Administrator, DOJ Bureau of Justice Assistance and NIDA on planning
for a possible joint conference with the America Society of Correctional
Administrators (ASCA), the National Association of State Alcohol and
Drug Abuse Directors (NASADAD), and the National Association of State
Mental Health Program Directors (NASMPHD). A planning meeting with
federal partners and the three organizations was held February 22, to
determine if a joint conference to discuss a "common vision" is
feasible. This effort is part of SAMHSA/CSAT's goal of increasing and
maximizing partnership with other federal agencies and with the national
associations dealing with substance-abusing offenders.

## 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.***

***Women and Children's Treatment Program.*** The annual grantee meeting
of the Women and Children's Treatment grant program was held on
September 18-20, in Washington, DC. Participants included project
directors, women and children coordinators, and evaluators for each
grant project.

***Adolescent Program.*** The number of requests by states, which are
not currently State Adolescent Coordination (SAC) grantees, for
information related to adolescent treatment topics has increased in the
last 6 months. To foster more communication and peer learning among
state agencies, the SAC listserv was opened to all states with a
designated lead for adolescent treatment. The opening of the SAC
listserv was announced through the TIE Communiqué and NASADAD. The
number of states now linked through the listserv has more than doubled
with over 30 states participating.

***Pregnant and Postpartum Women Program.*** The new grantee orientation
meeting was held October 30-31. The purpose of the meeting was to
provide basic information required for the successful implementation of
the grantee projects and the cross-site evaluation. A sustainability
meeting was held October 16-18, to provide information on how to plan
for sustainability, implement sustainability activities, and monitor
sustainability efforts by using appropriate theories and applications.

***Child Welfare Conference.*** SAMHSA co-sponsored, "Putting the Pieces
Together for Children and Families: The National Conference on Substance
Abuse, Child Welfare and the Courts," sponsored by the Center for
Children and Family Futures, in Anaheim, CA, January 31- February 2. The
conference brought together approximately 700 child welfare, substance
abuse treatment, and family court professionals to address the needs of
families involved in the child welfare system as a result of parental
substance abuse. Two SAMHSA/CSAT staff presented: Sharon Amatetti
discussed family centered treatment for parents with substance use
disorders, and Randy Muck discussed adolescent and family treatment. The
work of SAMHSA/CSAT's National Center on Substance Abuse and Child
Welfare was featured, and CSAT sponsored the attendance of 34 State
Women's Treatment Coordinators at the conference.

***Temporary Assistance to Needy Families (TANF) Conference.*** In
collaboration with the Administration for Children and Families (ACF),
SAMHSA is co-sponsoring a conference to provide a forum for policy
makers and administrators, to strengthen the collaboration and
partnership of TANF and substance abuse treatment and mental health
directors, to better meet the needs of TANF participants with substance
use barriers to employment. This 1 ½ day conference will be held, June
14-15, at the Doubletree Hotel Crystal City in Arlington, Virginia. The
conference will provide a forum to share promising practices, successes,
and challenges that have been experienced by different States in
responding to the needs of TANF families impacted by substance abuse and
mental illness while trying to find and succeed at work. State TANF
Administrators, Tribal TANF Administrators, State Alcohol and Drug
Directors, and State Mental Health Directors are being invited to the
conference.

## 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.***

***TCE/HIV Grants.*** Eight new TCE/HIV grants were awarded in September
and commenced their funding cycle in October. An orientation Web cast
was held November 1-2 and included presentations on the TA request
process, grants management, GPRA, bi-annual reports, payment management
systems, confidentiality and participant protection and HIPAA.

***TCE/HIV RFA.*** The RFA was issued on December 27 and closed February
28. The purpose of the RFA is to solicit grant applications to enhance
and expand substance abuse treatment and/or outreach and pretreatment
services 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. CSAT
anticipates awarding 65 grants, totaling \$32.1 million.

***Rapid HIV Testing Initiative.*** The second phase of SAMHSA's Rapid
HIV Testing Initiative is underway with over 25,000 test kits
distributed thus far to eligible service providers. Each provider is
required to participate in data collection that is being gathered and
analyzed by SAMHSA. In October, CSAT coordinated with the CDC's Training
Division to finalize the Training of Trainers HIV Rapid Testing
refresher course held in Atlanta, GA. State-wide training sessions
subsequently have been conducted in Charleston, SC; Raleigh, NC; and
Atlanta, GA.

***Substance Abuse and Infectious Disease: Cross-Training for
Collaborative Systems of Prevention, Treatment, and Care.*** This
initiative provides training and TA to State and local public health,
mental health, criminal justice, and substance abuse health care
delivery systems, so that they can collaborate more effectively to serve
individuals with concurrent substance abuse problems and/or infectious
diseases such as HIV/AIDS, other sexually transmitted diseases (STDs,
e.g., gonorrhea or Chlamydia), viral hepatitis, and tuberculosis (TB).
The goal is to create synergy among providers that will result in
improved care for individuals who have or are at risk for concurrent
conditions.

This initiative presented an in-service training to SAMHSA program staff
regarding the latest evidence-based treatment for HIV/AIDS. Additional
information on the initiative is available at

<http://www.tie.samhsa.gov/Topics/infectious.html>. TA and
marketing/outreach was provided September 2006 -- January 2007 to the
States of California, Kansas, Mississippi, New Mexico, Nevada, North
Carolina, Rhode Island, and Washington DC.

[]{#__RefHeading___Toc161194039 .anchor}**Disaster Readiness and
Response**

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

***Disaster Recovery Resources.*** CSAT disseminated copies of *Disaster
Recovery Resources for Substance Abuse Treatment Providers*
(<http://www.samhsa.gov/csatdisasterrecovery/>) on December 7-8, at the
NIDA meeting, "Disasters and Substance Abuse: Current Knowledge,
Research Gaps, and Future Directions." The meeting focused on reviewing
current research that addresses human response to disaster,
preparedness, and strategies for service delivery; identifying relevant
research findings that are not utilized in service delivery systems; and
identifying gaps in existing research findings.

***SAMHSA Action Plan.*** CSAT and SAMHSA staff are working on the
SAMHSA action plan for disaster readiness and response.  The purpose of
the plan is to integrate behavioral health into the public health
emergency response, promote population resilience and prevent adverse
substance abuse and mental health consequences through pre-event, event,
and post-event services and activities.  A SAMHSA meeting will be held
in February to plan for Disaster TA Center (DTAC) action priorities.
Carol Coley is the CSAT disaster preparedness coordinator and leads the
Center in disaster readiness and response.

***Pandemic Influenza.*** Planning for a Pandemic Influenza event is a
high priority for the federal government. The Department of Health and
Human Services (HHS), along with the Department of Homeland Security
(DHS), plays the most visible role in coordinating and preparing the
nation for this potential emergency.  That said, in accordance with the
national pandemic influenza strategy that was released by the
Administration in May 2006, each operating division (OpDiv) within HHS
is responsible for developing a continuity of operations plan that would
allow for seamless essential operations under a pandemic scenario. 

The Homeland Security Council (HSC), released the *National Strategy for
Pandemic Influenza* which includes numerous recommendations that the
federal government is expected to respond to.  This *Strategy* builds
upon current pandemic influenza planning efforts across public and
private sectors with the intent of coordinating activity in the most
reasonable and efficient ways possible. Although SAMHSA's role in
responding to the national recommendations is minimal, every OpDiv is
required to develop a detailed operational plan based on the HSC plan,
as specifically requested in *Chapter 9: Institutions: Protecting
Personnel and Ensuring Continuity of Operations.*

Development of these plans began as a result of the original HHS
National Pandemic Influenza Plan (released in November 2005) and more
recently through the development of the HHS-specific Pandemic Influenza
Operational Plan, which was submitted to the President for certification
on December 15, 2006.

A section of the current HHS Plan deals specifically with how each HHS
OpDiv will continue operations during a pandemic crisis that demands
public and private sectors to practice under a social distancing model
\-- the assumption being that manpower may be down 40 percent as a
result of employees becoming ill and/or caring for relatives who are
ill; death; retirement or resignation; and that all emergency essential
employees would be working at home**.** 

SAMHSA, with the Office of Policy, Planning and Budget (OPPB) as the
lead, has convened a senior-level workgroup which is supported by all
three Centers and relevant OpDivs to complete all of these planning
efforts.

[]{#__RefHeading___Toc161194040 .anchor}**Older Adults**

***SAMHSA's Action Plan Long Term Goals: Promote awareness of mental
health and substance abuse needs of older adults, and promote adoption
of evidence-based mental health and substance abuse programs for older
adults.***

CSAT staff provided comments for a presentation to Dr. Cline on older
adults. The presentation focused on the following items:

-   Description of the Problem/Issue;

-   SAMHSA's Older Adults Initiatives including the Primary Care
    Research in Substance Abuse and Mental Health Services for the
    Elderly (PRISM-E) which was partially funded by CSAT.  This
    initiative is currently generating journal articles;

-   Federal Interagency Forum on Aging-Related Statistics;

-   SAMHSA and the Administration on Aging (AoA) Intraagency Plan for
    supporting State and local efforts; SAMHSA and AoA continue to
    identify ongoing efforts to leverage Older Adult Initiatives;

-   Support for the adoption of evidence based programs for older
    adults;

-   Integration of issues related to older adults into other Matrix
    Priorities;

-   National Outcome Measures, including the refinement of  NOMs as they
    relate to Older Adults;

-   Development of a literature review on older adults; and

-   Organization of a Technical Consultation Group for data standards
    for older adults.