The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2021

Dollars in Millions

Activities

FY 2020 FY 2021

Final Final

Mental Health

Programs of Regional and National Significance...................................................................................

Seclusion and Restraint and Trauma........................................................................................................ 1.101 1.147

Project AWARE.......................................................................................................................................... -- --

State Grants...................................................................................................................................... 92.295 94.501

Civil Unrest........................................................................................................................................ 10.000 12.500

Subtotal, Project AWARE...................................................................................................... 102.295 107.001

Mental Health First Aid............................................................................................................................. 22.953 23.963

Healthy Transitions................................................................................................................................... 28.835 29.451

Infant and Early Childhood Mental Health............................................................................................... 6.732 8.000

Children and Family Programs.................................................................................................................. 7.247 7.229

Consumer and Family Network Grants..................................................................................................... 4.896 4.954

MH System Transformation and Health Reform...................................................................................... 3.779 3.779

Project LAUNCH......................................................................................................................................... 23.605 23.605

Primary and Behavioral Health Care Integration..................................................................................... 49.973 52.877

National Strategy on Suicide Prevention.................................................................................................. -- --

Zero Suicide ...................................................................................................................................... -- --

Zero Suicide ............................................................................................................................. 14.122 18.800

American Indian Alaska Native................................................................................................ 2.200 2.400

Subtotal, Zero Suicide................................................................................................... 16.322 21.200

National Strategy on Suicide Prevention......................................................................................... 2.000 2.000

Subtotal, National Strategy on Suicide Prevention................................................................ 18.322 23.200

Suicide Lifeline........................................................................................................................................... 19.004 24.000

GLS - Youth Suicide Prevention - States.................................................................................................... -- --

Discretionary Budget Authority........................................................................................................ 23.688 24.427

Prevention and Public Health Fund.................................................................................................. 12.000 12.000

Subtotal, GLS - Youth Suicide Prevention - States.................................................................. 35.688 36.427

GLS - Youth Suicide Prevention - Campus................................................................................................. 6.452 6.488

AI/AN Suicide Prevention Initiative.......................................................................................................... 2.671 2.931

Homelessness Prevention Programs......................................................................................................... 30.696 30.696

Tribal Behavioral Health Grants................................................................................................................ 19.952 20.750

Minority AIDS............................................................................................................................................ 9.148 9.224

Criminal and Juvenile Justice Programs.................................................................................................... 6.349 6.269

Assisted Outpatient Treatment................................................................................................................. 19.000 21.000

Comprehensive Opioid Recovery Centers................................................................................................ 2.000 --

Assertive Community Treatment for Individual with SMI........................................................................ 7.087 9.000

GLS - Suicide Prevention Resource Center............................................................................................... 7.988 9.000

Practice Improvement & Training............................................................................................................. 7.862 7.828

Primary and Behavioral Health Care Integration TTA.............................................................................. 1.989 1.991

Consumer and Consumer Support TA Centers......................................................................................... 1.902 1.918

Minority Fellowship Program.................................................................................................................... 9.059 10.059

Disaster Response..................................................................................................................................... 1.858 1.953

Homelessness............................................................................................................................................ 2.331 2.296

Total,ProgramsofRegionalandNationalSignificance............................................................................. 460.774 487.036

Community Mental Health Services Block Grant ..................................................................................... -- --

Discretionary Budget Authority............................................................................................................ 701.532 736.532

Evidence Based Crisis Systems (Non add)........................................................................................ -- 35.000

PHS Evaluation Funds........................................................................................................................... 21.039 21.039

Subtotal, Mental Health Block Grant........................................................................................ 722.571 757.571

Certified Community Behavioral Health Clinics........................................................................................ 200.000 250.000

National Child Traumatic Stress Initiative................................................................................................. 68.887 71.887

Expand support for universities, hospitals, and community-based programs (Non add)............. -- 13.000

Mental Health Services for Unaccompanied Alien Children (Non add).............................. 4.000 --

Mental Health Service for children in Puerto Rico (Non add)............................................. 3.000 --

Expand access to tribal populations (Non add)................................................................... 1.000 --

Activities authorized under section 582 (d.) & (e). of the PHS Act (Non add)............................. 2.000 --

Children's Mental Health Services............................................................................................................ 112.500 112.500

Children's Mental Health Services 10% set-aside for youth in prodrome phase of psychosis................ 12.500 12.500

Projects for Assistance in Transition from Homelessness........................................................................ 64.635 64.635

Protection and Advocacy for Individuals with Mental Illness.................................................................. 36.146 36.146

Mental Health Totals -- --

Discretionary Budget Authority................................................................................................................ 1,644.974 1,759.236

PHS Evaluation Funds................................................................................................................................ 21.039 21.039

Prevention and Public Health Fund.......................................................................................................... 12.000 12.000

Total, Mental Health Program Level......................................................................................................... 1,678.013 1,792.275
Activities

FY 2020 FY 2021

Final Final

Substance Abuse Treatment -- --

Programs of Regional and National Significance................................................................................... -- --

Opioid Treatment Programs/Regulatory Activities.................................................................................. 8.724 8.724

Screening, Brief Intervention and Referral to Treatment........................................................................ -- --

Discretionary Budget Authority........................................................................................................ 27.500 28.000

PHS Evaluation Funds....................................................................................................................... 2.000 2.000

Subtotal, Screening, Brief Intervention and Referral to Treatment........................................ 29.500 30.000

Targeted Capacity Expansion - General.................................................................................................... -- --

Other Targeted Capacity Expansion................................................................................................. 11.368 11.192

Medication-Assisted Treatment for Prescription Drug and Opioid Addiction................................ 78.916 80.000

AI/AN Medication-Assisted Treatment for Prescription Drug and Opioid Addiction...................... 10.000 11.000

Subtotal, Medication-Assisted Treatment for Prescription Drug and Opioid Addiction......... 88.916 91.000

Subtotal, Targeted Capacity Expansion................................................................................. 100.284 102.192

Grants to Prevent Prescription Drug/Opioid Overdose............................................................................ 11.553 12.000

First Responder Training .......................................................................................................................... -- --

First Responder Training .................................................................................................................. 18.000 18.000

Rural Set Aside.................................................................................................................................. 23.396 24.000

Rural Public and Non-Profit Fire and EMS agencies (Non add) .................................................. -- 5.500

Subtotal, First Responder Training (CARA)............................................................................ 41.396 42.000

Improving Access to Overdose Treatment............................................................................................... 1.071 1.000

Pregnant & Postpartum Women.............................................................................................................. 32.094 32.931

Building Communities of Recovery (CARA)............................................................................................... 8.000 10.000

Recovery Community Services Program................................................................................................... 2.434 2.434

Children and Families................................................................................................................................ 29.605 29.605

Treatment Systems for Homeless............................................................................................................. 36.386 36.386

Minority AIDS ........................................................................................................................................... 65.496 65.570

Criminal Justice Activities.......................................................................................................................... -- --

Other Criminal Justice Activities....................................................................................................... 19.000 19.000

Drug Court Activities......................................................................................................................... 70.000 70.000

Subtotal, Criminal Justice Activities...................................................................................... 89.000 89.000

Addiction Technology Transfer Centers ................................................................................................... 9.369 9.046

Minority Fellowship Program.................................................................................................................... 4.789 5.789

Peer Support TA Center............................................................................................................................ 0.976 1.000

Treatment, Recovery, and Workforce Support........................................................................................ 4.054 6.000

Comprehensive Opioid Recovery Centers................................................................................................ -- 4.000

Emergency Department Alternatives to Opioids...................................................................................... 4.946 6.000

Opioid Response Grants............................................................................................................................ -- 3.000

Total,ProgramsofRegionalandNationalSignificance............................................................................. 479.677 496.677

Substance Abuse Prevention and Treatment Block Grant....................................................................... -- --

Discretionary Budget Authority............................................................................................................ 1,778.879 1,778.879

PHS Evaluation Funds........................................................................................................................... 79.200 79.200

Subtotal, Substance Abuse Block Grant.................................................................................... 1,858.079 1,858.079

State Opioid Response Grants.................................................................................................................. -- --

State Opioid Response Grants.......................................................................................................... 1,500.000 1,500.000

Federal Administrative Expenses, Training, Technical Assistance, and Evaluation (non-add)....... 30.000 30.000

Set Aside for States with Highest Opioid Mortality Rates (Non add).......................................... 217.500 217.500

AI/AN Opioid Response Grants (Non add)................................................................................... 50.000 50.000

Subtotal, State Opioid Response Grants............................................................................... 1,500.000 1,500.000

Opioid State Targeted Response.............................................................................................................. -- --

Substance Abuse Treatment Totals -- --

Discretionary Budget Authority................................................................................................................ 3,756.556 3,773.556

PHS Evaluation Funds................................................................................................................................ 81.200 81.200

Total,SubstanceAbuseTreatmentProgramLevel.................................................................................... 3,837.756 3,854.756
Activities

FY 2020 FY 2021

Final Final

Substance Abuse Prevention -- --

Programs of Regional and National Significance................................................................................... -- --

Strategic Prevention Framework (SPF)..................................................................................................... -- --

SPF Partnerships for Success............................................................................................................ 109.497 109.484

SPF Rx................................................................................................................................................ 10.000 10.000

Subtotal, Strategic Prevention Framework............................................................................ 119.497 119.484

Grants to Prevent Prescription Drug/Opioid Overdose............................................................................ -- --

Improving Access to Overdose Treatment............................................................................................... -- --

Mandatory Drug Testing........................................................................................................................... 4.894 4.894

Minority AIDS............................................................................................................................................ 41.192 41.205

Sober Truth on Preventing Underage Drinking (STOP Act)...................................................................... -- --

National Adult-Oriented Media Public Service Campaign............................................................... 1.037 2.000

Community-based Coalition Enhancement Grants.......................................................................... 6.930 7.000

Intergovernmental Coordinating Committee on the Prevention of Underage Drinking ............... 1.033 1.000

Subtotal, Sober Truth on Prevention Underage Drinking (STOP Act)..................................... 9.000 10.000

Tribal Behavioral Health Grants................................................................................................................ 20.000 20.750

Center for the Application of Prevention Technologies........................................................................... 7.493 7.493

Science and Service Program Coordination.............................................................................................. 4.072 4.072

Minority Fellowship Program.................................................................................................................... 0.321 0.321

Substance Abuse Prevention Totals -- --

Discretionary Budget Authority................................................................................................................ 206.469 208.219

Total,SubstanceAbusePreventionProgramLevel................................................................................... 206.469 208.219

-- --

Health Surveillance and Program Support -- --

Health Surveillance................................................................................................................................... -- --

Discretionary Budget Authority ........................................................................................................... 16.830 16.830

PHS Evaluation Funds ........................................................................................................................... 30.428 30.428

Subtotal, Health Surveillance.................................................................................................... 47.258 47.258

Program Support....................................................................................................................................... 79.000 79.000

Performance and Quality Information Systems....................................................................................... 10.000 10.000

Drug Abuse Warning Network.................................................................................................................. 10.000 10.000

Public Awareness and Support................................................................................................................. 13.000 13.000

Behavioral Health Workforce Data........................................................................................................... -- --

PHS Evaluation Funds ........................................................................................................................... 1.000 1.000

Subtotal, Behavioral Health Workforce Data............................................................................ 1.000 1.000

Data Request and Publications User Fees................................................................................................ 1.500 1.500

Health Surveillance and Program Support Totals -- --

Discretionary Budget Authority................................................................................................................ 128.830 128.830

User Fees................................................................................................................................................... 1.500 1.500

PHS Evaluation Funds................................................................................................................................ 31.428 31.428

Total,HealthSurveillanceandProgramSupportProgramLevel............................................................... 161.758 161.758

-- --

Totals, SAMHSA -- --

Discretionary Budget Authority................................................................................................................ 5,736.829 5,869.841

User Fees................................................................................................................................................... 1.500 1.500

PHS Evaluation Funds................................................................................................................................ 133.667 133.667

Prevention and Public Health Fund.......................................................................................................... 12.000 12.000

Total, SAMHSA Program Level.................................................................................................................. 5,883.996 6,017.008