DEPARTMENT 

of HEALTH

and HUMAN

SERVICES

Fiscal Year 

2011

Justification of

Estimates for

Appropriations Committees

Substance Abuse and Mental Health

Services Administration
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Letter from the Administrator 

I am pleased to present the Substance Abuse and Mental Health Services 

Administration’s (SAMHSA) FY 2011 Congressional Justification. SAMHSA’s FY 

2011 budget totals $3.7 billion, a 3.1 percent increase above the FY 2010 Enacted level. 

This budget request continues support for the President’s and Secretary’s priority 

initiatives and reflects the goals and objectives of the Department. 

Behavioral health is essential to the physical, social, and fiscal health of all Americans. 

Yet, people with mental and substance use disorders, because of their illnesses, have been 

excluded from mainstream health care and often rely on public "safety net" programs. 

Last year alone, approximately 20 million people who needed substance abuse treatment 

did not receive it and an estimated 10.6 million adults reported an unmet need for mental 

health care. As a result, unnecessary costs to society ripple across families, schools, 

businesses, shelters, jails, and hospitals. SAMHSA’s work focuses on reducing the 

impact of substance abuse and mental illness on America’s communities. 

Over the years, SAMHSA has demonstrated that prevention works, treatment is effective, 

and people recover from mental and substance use disorders. This FY 2011 budget 

request includes investments in prevention, investments in health systems reform, 

investments in support services like housing that can affect behavioral health outcomes, 

and investments in applied services research to help implement integrated care models. 

This justification and accompanying Online Performance Appendix include a direct link 

between the budget discussion and program performance. Performance measurement and 

reporting at SAMHSA present a comprehensive set of outcomes in 31 major areas 

enabling SAMHSA to share with stakeholders its progress: 

 In making a measurable difference in people’s lives 

 In increasing service availability in America’s communities 

 In improving service quality for individuals and families 

SAMHSA, with its partners, has a shared vision for what needs to be accomplished. We 

have a performance framework for linking agency-wide goals with program priorities and 

targeting resources to meet documented needs. Through ongoing performance 

management, SAMHSA monitors its progress and strives for continued improvement. 

Our FY 2011 budget request represents an effort to sustain the agency’s valuable 

programs, capitalize on recent improvements, and chart a course for the future. 

Pamela S. Hyde, J.D. 

Administrator 
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SAMHSA/ES-1 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 

Table of Contents 

Fiscal Year 2011 Budget Page 

A. Executive Summary 

1. Introduction and Mission .................................................................SAMHSA/ES-1 

2. FY 2011 Budget Overview ......................................................................................2 

3. All Purpose Table ................................................................................................. - 5 

B. Budget Exhibits 

1. Appropriations Language................................................................ SAMHSA/BE-1 

2. Language Analysis................................................................................................ - 2 

3. Amounts Available for Obligation........................................................................ - 3 

4. Summary of Changes............................................................................................ - 4 

5. Budget Authority by Activity ............................................................................... - 5 

6. Authorizing Legislation ........................................................................................ - 6 

7. Appropriations History Table ............................................................................... - 9 

8. Appropriations Not Authorized by Law .............................................................. -11 

C. Center for Mental Health Services (CMHS) 

1. Mechanism Table ..................................................................... SAMHSA/CMHS-1 

2. Programs of Regional & National Significance..................................................... -3 

3. Children’s Mental Health Services Program ....................................................... -45 

4. Protection and Advocacy for Individuals with Mental Illness............................. -49 

5. Projects for Assistance in Transition from Homelessness................................... -55 

6. Community Mental Health Services Block Grant .............................................. - 61 

D. Center for Substance Abuse Prevention (CSAP) 

1. Mechanism Table....................................................................... SAMHSA/CSAP-1 

2. Programs of Regional & National Significance.................................................... -3 

3. 20% Prevention SAPT Block Grant Set-aside Activities ................................... -39 

E. Center for Substance Abuse Treatment (CSAT) 

1. Mechanism Table....................................................................... SAMHSA/CSAT-1 

2. Programs of Regional & National Significance.................................................... -3 

3. National All Schedules Prescription Electronic Reporting.................................. -45 

4. Substance Abuse Treatment Block Grant Activities .......................................... -51 

F. Substance Abuse Block Grant Set-aside Activities..................SAMHSA/Set-aside-1
 

G. Program Management .......................................................................SAMHSA/PM-1 

H. St. Elizabeths Hospital Building & Facilities ..................................SAMHSA/PM -5 
SAMHSA/ES-2 

I. Data Evaluation ....................................................................................SAMHSA/PM-7 

J. Drug Control Budget ...........................................................................SAMHSA/DB-1
 

K. Supplementary Tables 

1. Budget Authority by Object Class ...................................................SAMHSA/ST-1 

2. Salaries and Expense.............................................................................................. -2 

3. Detail of Full-Time Equivalent Employment (FTE) ............................................ -3 

4. Detail of Positions.................................................................................................. -4 

5. Programs Proposed for Elimination....................................................................... -5 

6. Government-wide E-Gov Initiatives...................................................................... -6 

L. Significant Items in Appropriation Committee Reports 

1. Significant Items ...............................................................................SAMHSA/SI-1 
Department of Health and Human Services 

Substance Abuse and Mental Health Services Administration 

 Organizational Chart 
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SAMHSA/ES-1 

Agency Overview 

The Substance Abuse and Mental Health Services Administration (SAMHSA), an Agency of the 

U.S. Department of Health and Human Services, is the principal Federal Agency charged with 

increasing access to substance abuse and mental health services. SAMHSA was established in 

1992 and reauthorized in 2000. SAMHSA administers a combination of competitive, formula, 

and block grant programs and data collection activities. Programs are carried out through the 

Center for Mental Health Services (CMHS); the Center for Substance Abuse Prevention (CSAP); 

the Center for Substance Abuse Treatment (CSAT); and the Office of Applied Studies (OAS). 

Behavioral health plays a crucial role in the health and well-being of individuals and their 

communities. Treatment, prevention, and recovery work. SAMHSA is committed to making 

sure that those who need these services get them through our programs as well as through the 

health care delivery system and other social, economic and support systems that are run and 

financed by the Federal, state, and local governments and the private sector. 

SAMHSA’s resources enable service capacity expansion and the implementation of evidencebased practices. The agency seeks to engage and prepare all communities to provide effective 

services by facilitating access to the latest information on prevention, evidence-based practices 

and accountability standards.

Vision 

The Substance Abuse and Mental Health Services Administration (SAMHSA) established a clear 

vision for its work—a life in the community for everyone. To realize this vision, the Agency has 

sharply focused its mission on building resilience and facilitating recovery for people with or at 

risk for mental or substance use disorders and supporting the communities where they live. 

SAMHSA gears all of its resources—programs, policies, and grants—toward that outcome. 

Mission 

SAMHSA works to achieve the Agency vision by preventing and reducing the impact of 

substance abuse and mental illness in America’s communities. We do so through an actionoriented, measurable mission of "Building Resilience and Facilitating Recovery." 

The 2008 National Survey on Drug Use and Health revealed that in the past year approximately 

21 million Americans aged 12 and older were classified with substance abuse as dependence 

with approximately 10 percent reporting that they received specialty treatment in the past year. 

Just over 23 million adults, aged 18 or older, in the United States met the criteria for serious 

psychological distress. A little over 5 million also suffered from a co-occurring substance use 

disorder. Only 13.4 percent of Americans 18 years or older report receiving some form of 

mental health services in the past year. The costs of untreated and under-treated substance use 

and mental illness are staggering. The National Mental Health Association estimates the costs to 

the U.S. economy to be more than $113 billion in 2001. 
SAMHSA/ES-2 

FY 2011 Budget Overview 

The FY 2011 President’s Budget request for SAMHSA is $3.7 billion, an increase of $110 

million or 3.1 percent above the FY 2010 Appropriation. With the recent passage of the Paul 

Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, millions 

of Americans with mental illness and substance abuse disorders will get the care they need. 

SAMHSA’s investments in prevention, health care delivery reform, support services like housing 

that can affect behavioral health outcomes, and treatment and service system research help to 

implement parity. 

The budget continues support for the Community Mental Health Services Block Grant, the 

Substance Abuse Prevention and Treatment Block Grant, and the Protection and Advocacy 

Program. The budget includes funding increases for the homeless programs; Screening, Brief 

Intervention and Referral to Treatment (SBIRT); and a new program named “Prevention 

Prepared Communities”. All of these programs are funded across the Agency’s Centers. 

FY 2011 SAMHSA Initiatives Funding Summary 

(Dollars in Thousands) 

Program Activities

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget +/- FY 2010

Homeless:

Mental Health PRNS.................................................... $34,556 $34,556 $42,002 +$7,446

Substance Abuse Treatment PRNS.............................. 42,879 42,750 47,360 +4,610

PATH Homeless Formula Grant.................................. 59,687 65,047 70,000 +4,953

Total, Homeless........................................................... 137,122 142,353 159,362 +17,009

SBIRT:

Mental Health PRNS.................................................... 0 0 4,000 +4,000

Substance Abuse Treatment PRNS.............................. 28,972 29,106 37,106 +8,000

Total, SBIRT............................................................... 28,972 29,106 41,106 +12,000

Prevention Prepared Communities:

Substance Abuse Prevention PRNS............................. 0 0 22,600 +22,600

Total, Prevention Prepared Communities................ 0 0 22,600 +22,600

Project LAUNCH:

Mental Health PRNS.................................................... 20,000 25,000 27,000 +2,000

Substance Abuse Prevention PRNS............................. 0 0 9,683 +9,683

Total, Project LAUNCH............................................ 20,000 25,000 36,683 +11,683

Data Collection:

Program Management.................................................. 0 0 32,600 +32,600

PHS Evaluation Funds.................................................. 0 0 649 +649

Total, Data Collection................................................ $0 $0 $33,249 +$33,249
SAMHSA/ES-3 

Homeless: $159.4 million, an increase of $17.0 million for all homeless service activities to be 

coordinated within SAMHSA and with the Department of Housing and Urban Development’s 

efforts, including $15.8 million for the new CMHS and CSAT Homeless Initiative Program, and 

a $4.9 million increase for PATH. 

SBIRT: $41.1 million, an increase of $12.0 million for the expansion of SBIRT to include 

mental health in addition to substance abuse, and SBIRT code adoption and implementation 

activities. 

Prevention Prepared Communities: $22.6 million to support the new Prevention Prepared 

Communities program, which includes $15 million for Prevention Prepared Community Grants 

for 9 to 25 years old, $5.6 million to enhance State capacity to support communities and $2 

million for evaluation activities. 

 

Project LAUNCH: $36.7 million for Project LAUNCH, including an $11.7 million expansion 

called Project LAUNCH Plus to include substance abuse prevention which encompasses 

behavioral health and wellness for ages 0 to 8. 

Data Collection: $33.2 million for increased data collection activities, including increases for 

DAWN and NSDUH, a new Community Early Warning and Monitoring System, and increases 

for the Restricted-Use Data Archive. 

Program Increases:

Mental Health Programs of Regional and National Significance: (+$12.663 million)

The net budget increase supports a new Homeless Initiative Program with CSAT, expansion of 

SBIRT to include mental health, Project LAUNCH expansion to include substance abuse 

prevention, and increase to the Co-occurring State Incentive Grant Program and the American 

Indian/Alaskan Native Suicide Prevention Initiative. Savings were created due to reductions in 

contract costs reflecting efficiencies and process improvements. 

Children’s Mental Health Services: (+$4.898 million):

The budget request is $126.2 million. This increase will serve a total of 13,578 clients. Fortynine grant continuations and 18 new grants will be funded. 

Programs for Assistance in Transition from Homelessness: (+$4.953 million):

The budget request is $70.0 million. This increase will serve a total of 195,850 clients. 

Substance Abuse Prevention Programs of Regional and National Significance: (+ $20.9 million)

The net budget increase includes increases for the new Prevention Prepared Communities, the 

Project LAUNCH expansion with CMHS, and STOP Act Community Coalition Grants. Savings 

were created due to reductions in contract costs reflecting efficiencies and process 

improvements. 
SAMHSA/ES-4 

Substance Abuse Treatment Programs of Regional and National Significance: (+ $34.1 million)

The net budget increase supports increases to SBIRT, Pregnant and Postpartum Women, a new 

joint Homeless Initiative with CMHS, Access to Recovery and a new Performance Contracting 

Program within the Targeted Capacity Expansion General program. Savings were created due to 

reductions in contract costs reflecting efficiencies and process improvements, and grants coming 

to a natural end. 

Program Management: (+ $33.749 million)

The budget increase provides $33.249 million for Office of Applied Studies data collection 

activities and $0.5 million for four additional FTEs. Of the increase, $19 million supports the 

national data systems, primarily the Drug Abuse Warning Network (DAWN), and $13.6 million 

supports a new Community Early Warning and Monitoring System (C-EMS) to design, develop 

and field test a community-level, early warning system to detect the emergence of new drug 

threats and to assist in the identification of public health and safety consequences of drug abuse. 

$0.649 million will support the Restricted-Use Data Archive. 

Program Decreases: 

St. Elizabeths Hospital Buildings & Facilities: (- $0.795 million)

GSA has indicated that additional funding will not be needed from SAMHSA in FY 2011. 
SAMHSA/ES-5 

Discretionary All-Purpose Table 

FY 2011 Budget Submission 

(Dollars in Thousands) 

Program Activities

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget +/- FY 2010

Mental Health:

Programs of Regional and National Significance......... $344,438 $361,521 $374,184 +$12,663

Children's Mental Health Services............................... 108,373 121,316 126,214 +4,898

Protection & Advocacy................................................ 35,880 36,380 36,380 0

PATH Homeless Formula Grant.................................. 59,687 65,047 70,000 +4,953

Mental Health Block Grant.......................................... 399,735 399,735 399,735 0

PHS Evaluation Funds.................................................. 21,039 21,039 21,039 0

Subtotal, Mental Health Block Grant........................... 420,774 420,774 420,774 0

Subtotal, Mental Health............................................. 969,152 1,005,038 1,027,552 +22,514

Substance Abuse Prevention:

Programs of Regional and National Significance......... 201,003 202,209 223,075 +20,866

Subtotal, Substance Abuse Prevention..................... 201,003 202,209 223,075 +20,866

Substance Abuse Treatment:

Programs of Regional and National Significance......... 403,746 444,033 478,086 +34,053

PHS Evaluation Funds.................................................. 8,596 8,596 8,596 0

Subtotal....................................................................... 412,342 452,629 486,682 +34,053

Prescription Drug Monitoring (NASPER)............... 2,000 2,000 2,000 0

Substance Abuse Block Grant...................................... 1,699,391 1,719,391 1,719,391 0

PHS Evaluation Funds.................................................. 79,200 79,200 79,200 0

Subtotal, Substance Abuse Block Grant....................... 1,778,591 1,798,591 1,798,591 0

Subtotal, Substance Abuse Treatment..................... 2,192,933 2,253,220 2,287,273 +34,053

TOTAL, SUBSTANCE ABUSE................................ 2,393,936 2,455,429 2,510,348 +54,919

Program Management............................................... 77,381 79,197 112,297 +33,100

PHS Evaluation Funds.................................................. 22,750 22,750 23,399 +649

Subtotal, Program Management................................... 100,131 101,947 135,696 +33,749

St. Elizabeths Hospital B&F...................................... 772 795 0 -795

Data Evaluation.......................................................... 2,500 0 0 0

TOTAL, SAMHSA Discretionary PL...................... 3,466,491 3,563,209 3,673,596 +110,387

Less PHS Evaluation Funds........................................ 131,585 131,585 132,234 +649

TOTAL, SAMHSA Budget Authority...................... $3,334,906 $3,431,624 $3,541,362 +$109,738

FTEs 528 549 553 +4
SAMHSA/ES-6 

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SAMHSA/BE - 1 

Appropriation Language 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 

ADMINISTRATION 

For carrying out titles III, V, and XIX of the Public Health Service Act (‘‘PHS Act’’) with

respect to substance abuse and mental health services and the Protection and Advocacy for 

Individuals with Mental Illness Act, [$3,431,624,000, of which $14,518,000 shall be used for the 

projects, and in the amounts, specified under the heading ‘‘Substance Abuse and Mental Health 

Services’’ in the statement of the managers on the conference report accompanying this Act]

$3,541,362,000: Provided, That notwithstanding section 520A(f)(2) of the PHS Act, no funds 

appropriated for carrying out section 520A are available for carrying out section 1971 of the PHS 

Act: [Provided further, That $795,000 shall be available until expended for reimbursing the 

General Services Administration for environmental testing and remediation on the federally 

owned facilities at St. Elizabeths Hospital, including but not limited to testing and remediation 

conducted prior to fiscal year 2010:] Provided further, That in addition to amounts provided 

herein, the following amounts shall be available under section 241 of the PHS Act: (1) 

$79,200,000 to carry out subpart II of part B of title XIX of the PHS Act to fund section 1935(b) 

technical assistance, national data, data collection and evaluation activities, and further that the 

total available under this Act for section 1935(b) activities shall not exceed 5 percent of the 

amounts appropriated for subpart II of part B of title XIX; (2) $21,039,000 to carry out subpart I 

of part B of title XIX of the PHS Act to fund section 1920(b) technical assistance, national data, 

data collection and evaluation activities, and further that the total available under this Act for 

section 1920(b) activities shall not exceed 5 percent of the amounts appropriated for subpart I of 

part B of title XIX; (3) [$22,750,000] $23,399,000 to carry out national surveys on drug abuse 

and mental health; and (4) $8,596,000 to collect and analyze data and evaluate substance abuse 

treatment programs: Provided further, That section 520E(b)(2) of the PHS Act shall not apply to 

funds appropriated under this Act for fiscal year [2010] 2011. 
 

SAMHSA/BE - 2 

Appropriation Language Analysis 

Language Provision Explanation 

Provided, That notwithstanding section 520A(f)(2) 

of the PHS Act, no funds appropriated for carrying 

out section 520A are available for carrying out 

section 1971 of the PHS Act: Provided further) 

No funds from the CMHS PRNS can be used to 

fund data infrastructure support. 

Provided further, That section 520E(b)(2) of the 

PHS Act shall not apply to funds appropriated 

under this Act for fiscal year [2010] 2011. 

Allows States to receive more than one grant under 

the Garrett Lee Smith Youth Suicide Statesponsored statewide program. 
 

SAMHSA/BE - 3 

Amounts Available for Obligation 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget

Appropriation:

Labor/HHS/Ed-Annual Appropriation................... $3,334,906,000 $3,431,624,000 $3,541,362,000

Subtotal, adjusted appropriation............................. 3,334,906,000 3,431,624,000 3,541,362,000

Subtotal, adjusted budget authority....................... 3,334,906,000 3,431,624,000 3,541,362,000

Offsetting Collections from:

 Federal Sources....................................................... 131,585,000 131,585,000 131,585,000

 ARRA....................................................................... 44,731 0 0

Unobligated balance start of year........................... 227,580 424,000 234,180

Unobligated balance end of year............................ -424,000 -234,180 -241,669

Unobligated balance expiring.................................. -1,321,855 0 0

Total obligations........................................................ $3,465,017,456 $3,563,398,820 $3,672,939,511
 

SAMHSA/BE - 4 

Summary of Changes

2010

Total estimated budget authority $ 3,431,624,000 

(Obligation) 3,431,624,000

2011

Total estimated budget authority 3,541,362,000

(Obligation) 3,541,362,000

Net Change +$109,738,000

FY 2010 Enacted Change from base

FTE Budget Authority FTE Budget Authority

Increases:

 A. Built-in:

1. Annualization of 2009 civilian pay costs 2.0%........................ --- $ 66,963,000 --- +$305,000

2. Annualization of 2009 Commissioned Corps pay costs 3.4%... --- 66,963,000 --- +55,000

3. Increase for January 2011 pay raise 1.4%............................ --- 66,963,000 --- +709,000

4. Increase in rental payments to GSA.................................. --- 6,865,000 --- +150,000

5. Additional FTE (4)....................................................... --- --- +4 +533,000

 Subtotal, Built-in Increases.................................... --- --- +4 +1,752,000

 B. Program:

1. Mental Health Programs:

 a. Children's Mental Health Services.................................. --- 121,316,000 --- +4,898,000

 b. Projects for Assistance in Transition from Homelessness... --- 65,047,000 --- +4,953,000

 c. Programs of Regional and National Significance............. --- 361,521,000 --- +12,663,000

2. Substance Abuse Prevention:

 a. Programs of Regional and National Significance............. --- 202,209,000 --- +20,866,000

3. Substance Abuse Treatment:

 a. Programs of Regional and National Significance............. --- 444,033,000 --- +34,053,000

4. Program Management:

 a. OAS Data Evaluation Activities..................................... --- 79,197,000 --- +32,600,000

 b. Service and Supply Fund Activities................................. --- 79,197,000 --- +614,000

 c. Joint Funding Arrangement............................................ --- 79,197,000 --- +300,000

 d. Overseas Rightsizing..................................................... --- 79,197,000 --- +30,000

 e. SAMHSA Restricted-Use Data Archive........................ --- 79,197,000 --- +649,000

 Subtotal, Program Increases................................. --- --- --- +110,977,000

 Total Increases................................................ --- --- +4 +112,729,000

Decreases:

 A. Built-in:

 Subtotal, Built-in Decreases................................. --- --- --- ---

 B. Program:

1. Program Management:

 a. Cost Shift of Operating costs......................................... --- 79,197,000 --- -2,196,000

2. St. Elizabeths Hospital: --- 795,000 --- -795,000

 Subtotal, Program Decreases.............................. --- --- --- -2,991,000

 Total Decreases............................................. --- --- --- -2,991,000

 Net Change, Discretionary Budget Authority......... --- --- +4 +$109,738,000
 

SAMHSA/BE - 5 

Budget Authority by Activity 

(Dollars in Thousands) 

Program Activities

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's Budget

Mental Health:

Programs of Regional and National Significance.................................... $344,438 $361,521 $374,184

Children's Mental Health Services............................................................ 108,373 121,316 126,214

Protection & Advocacy.......................................................................... 35,880 36,380 36,380

PATH Homeless Formula Grant............................................................ 59,687 65,047 70,000

Mental Health Block Grant....................................................................... 420,774 420,774 420,774

PHS Evaluation Funds (non-add)............................................................. (21,039) (21,039) (21,039)

Subtotal, Mental Health....................................................................... 969,152 1,005,038 1,027,552

Substance Abuse Prevention:...................................................................

Programs of Regional and National Significance.............................. 201,003 202,209 223,075

Subtotal, Substance Abuse Prevention................................................... 201,003 202,209 223,075

Substance Abuse Treatment:....................................................................

Programs of Regional and National Significance.............................. 412,342 452,629 486,682

PHS Evaluation Funds (non-add)............................................................. (8,596) (8,596) (8,596)

Prescription Drug Monitoring (NASPER).......................................... 2,000 2,000 2,000

Substance Abuse Block Grant................................................................... 1,778,591 1,798,591 1,798,591

PHS Evaluation Funds (non-add)............................................................. (79,200) (79,200) (79,200)

Subtotal, Substance Abuse Treatment............................................... 2,192,933 2,253,220 2,287,273

TOTAL, SUBSTANCE ABUSE................................................. 2,393,936 2,455,429 2,510,348

Program Management ............................................................................. 100,131 101,947 135,696

PHS Evaluation Funds (non-add)............................................................. (22,750) (22,750) (23,399)

St. Elizabeths Hospital B&F..................................................... 772 795 0

Data Evaluation....................................................................... 2,500 0 0

TOTAL, SAMHSA Discretionary PL..................................................... 3,466,491 3,563,209 3,673,596

Less PHS Evaluation Funds..................................................................... 131,585 131,585 132,234

TOTAL, SAMHSA Budget Authority..................................................... $3,334,906 $3,431,624 $3,541,362

 Total, FTE................................................................................. 549 549 553
 

SAMHSA/BE - 6 

Authorizing Legislation 

Program Description/PHS Act:

FY 2010 

Amount 

Authorized

FY 2010

Appropriations 

FY 2011 

Amount 

Authorized

FY 2011 

President's 

Budget

NASPER

Sec. 399O.......................................... $10,000,000 $2,000,000 Expired $2,000,000

Emergency Response

Sec. 501........................................... 0 0 0 0

Grants for the Benefit of Homeless

 Individuals

Sec. 506........................................... Expired $42,750,000 Expired $39,000,000

Alcohol and Drug Prevention or 

 Treatment Services for Indians and 

 Native Alaskans

Sec. 506A*......................................... 0 0 0 0

Grants for Ecstasy and Other Club

 Drugs Abuse Prevention

Sec. 506B*....................................... 0 0 0 0

Residential Treatment Programs for

 Pregnant and Postpartum Women

Sec. 508............................................ Expired $16,000,000 Expired $17,350,000

Priority Substance Abuse Treatment Needs

 of Regional and National Significance

Sec. 509*.......................................... Expired $354,605,000 Expired $391,248,000

Substance Abuse Treatment Services 

 for Children and Adolescents

Sec. 514*.......................................... Expired $30,678,000 Expired $30,488,000

Early Intervention Services for Children

 and Adolescents

Sec. 514A*....................................... 0 0 0 0

Methamphetamine and Amphetamine

 Treatment Initiative 

Sec. 514(d)*....................................... 0 0 0 0

Priority Substance Abuse Prevention

 Needs of Regional and National

 Significance

Sec. 516*.......................................... Expired $185,388,000 Expired $205,254,000

Prevention, Treatment and Rehabilitation

 Model Projects for High Risk Youth

Sec. 517.......................................... 0 0 0 0

Services for Children of Substance Abusers

Sec. 519*......................................... 0 0 0 0

Grants for Strengthening Families

Sec. 519A*........................................ 0 0 0 0

Programs to Reduce Underage Drinking

Sec. 519B*....................................... $ 8,000,000 $7,000,000 Expired $ 8,000,000

SSAN = Such Sums as Necessary
 

SAMHSA/BE - 7 

Authorizing Legislation

Program Description/PHS Act:

FY 2010 

Amount 

Authorized

FY 2010

Appropriations 

FY 2011 

Amount 

Authorized

FY 2011 

President's 

Budget

Services for Individuals with Fetal Alcohol

 Syndrome (FAS)

Sec. 519C*.................................... 0 0 0 0

Centers of Excellence on Services for

 Individuals with FAS and Alcohol-related

 Birth Defects and Treatment for

 Individuals with Such Conditions and

 Their Families

Sec. 519D*.................................... Expired $9,821,000 Expired $9,821,000

Prevention of Methamphetamine and

 Inhalant Abuse and Addiction

Sec. 519E*.................................... Expired 0 Expired 0

Priority Mental Health Needs of Regional and

 National Significance

Sec. 520A*.................................... Expired $179,865,000 Expired $191,403,000

Youth Interagency Research, Training,

 and Technical Assistance Centers

Sec. 520C*.................................... Expired $4,957,000 Expired $4,957,000

Services for Youth Offenders

Sec. 520D*.................................... 0 0 0 0

Suicide Prevention for Children and Youth

Sec. 520E1*.................................... Expired $29,738,000 Expired $30,438,000

Sec. 520E2*.................................... Expired $4,975,000 Expired $5,400,000

Grants for Emergency Mental Health Centers

Sec. 520F*.................................... 0 0 0 0

Grants for Jail Diversion Programs

Sec. 520G*.................................... Expired $6,684,000 Expired $6,684,000

Improving Outcomes for Children and

 Adolescents through Services Integration

 between Child Welfare and MH Services

Sec. 520H*.................................... 0 0 0 0

Grants for Integrated Treatment of Serious Mental

 Illness and Co-occurring Substance Abuse

Sec. 520I*.................................... 0 0 0 0

Mental Health Training Grants

Sec. 520J*.................................... 0 0 0 0

PATH Grants to States

Sec. 535(a).................................... Expired $65,047,000 Expired $70,000,000

SSAN = Such Sums as Necessary
SAMHSA/BE - 8 

Authorizing Legislation 

Program Description/PHS Act:

FY 2010 

Amount 

Authorized

FY 2010

Appropriations 

FY 2011 

Amount 

Authorized

FY 2011 

President's Budget

Community Mental Health Services for

 Children with Serious Emotional Disturbances

Sec. 565 (f)....................................... Expired $121,316,000 Expired $126,214,000

Children and Violence Program

Sec. 581*.......................................... Expired $94,502,000 Expired $94,502,000

Grants for Persons who Experience Violence

 Related Stress

Sec. 582 **....................................... Expired $40,800,000 Expired $40,800,000

Community Mental Health Services

 Block Grants

Sec. 1920(a)....................................... Expired $399,735,000 Expired $399,735,000

Substance Abuse Prevention and Treatment

 Block Grants

Sec. 1935(a)....................................... Expired $1,719,391,000 Expired $1,719,391,000

Data Infrastructure Development

Sec. 1971*.......................................... Expired 0 Expired 0

Other Legislation/Program Description

Protection and Advocacy for Individuals

 with Mental Illness Act

P.L. 99-319, Sec. 117........................... Expired $36,380,000 Expired $36,380,000

Program Management:

 Program Management, Sec. 501.................. Indefinite $77,842,000 Indefinite $110,942,000

 SEH Workers' Compensation Fund

P.L. 98-621....................................... Indefinite $1,355,000 Indefinite $1,355,000

Total, Program Management..................... 0 $79,197,000 0 $112,297,000

St. Elizabeths Hospital Building & Facilities

Sec. 501...................................... 0 $795,000 0 0

Data Evaluation

Sec. 505...................................... 0 0 0 0

TOTAL, SAMHSA Budget Authority............. $18,000,000 $3,431,624,000 0 $3,541,362,000

* Denotes programs that were authorized in the Children's Health Act of 2000. We have the authority to carryout

these programs in our general authorities in Section 507, 516 and 520A.
 

SAMHSA/BE - 9 

Appropriation History Table 

Budget Estimate to 

Congress House Allowance Senate Allowance Appropriation

2001 $2,823,016,000 $2,727,626,000 $2,730,757,000 $2,958,001,000

2001 P.L. 106-554 0 0 0 -$645,000 1/

2001 P.L. 107-20 0 0 0 $6,500,000 2/

2002 $3,058,456,000 $3,131,558,000 $3,073,456,000 $3,138,279,000 3/

2002 Res. H.R. 3061 0 0 0 -$589,000 4/

2002 Res. P.L. 107-216 0 0 0 -$1,681,000

5/

2003 P.L. 108-5 $3,193,086,000 $3,167,897,000 $3,129,717,000 $3,158,068,000

2003 P.L. 108-7 0 0 0 -$20,521,235 6/

2004 P.L. 108-84 $3,393,315,000 $3,329,000,000 $3,157,540,000 $3,253,763,000

2004 P.L. 108-199 0 0 0 -$19,856,290 7/

2005 P.L. 108-447 & P.L.

108-309 as mended $3,428,939,000 $3,270,360,000 $3,361,426,000 $3,295,361,000 8/

2005 H.R. 4818 0 0 0 -$26,895,592

2006 P.L. 109-149 $3,336,023,000 $3,352,047,000 $3,398,086,000 $3,237,813,000

2006 Res. P.L. 109-359 0 0 0 -$1,681,000 9/

2006 Section 202 0 0 0 -$2,201,000

2007 P.L. 109-383 $3,260,001,000 $3,326,341,772 $3,326,341,772 $1,211,654,381 10/

2007 Continuing Resolution 0 0 0 $3,326,341,772 11/

2008 H.R. 2764/P.L. 110-161 $3,167,589,000 $3,393,841,000 $3,404,798,000 $3,291,543,000

2008 Res. P.L. 110-161 0 0 0 -$57,503,000 12/

2009 H.R. 1105/P.L. 111-8 $3,024,967,000 $3,303,265,000 $3,257,647,000 $3,334,906,000

2010 H.R. 3288/P.L. 111-117 $ 3,393,882,000 $ 3,429,782,000 $3,419,438,000 $3,431,624,000

2011 $ 3,541,362,000 
 

SAMHSA/BE - 10 

1/ Reflects a Rescission mandated by Section 520 of P.L. 106-554.

2/ Reflects a Supplemental appropriation for Building and Facilities (SEH) P.L. 107-20.

3/ Reflects Administrative reduction in Section 516 of the Appropriations Bill (H.R. 3061).

4/ Reflects Administrative reduction in P.L. 107-216.

5/ Reflects a Rescission mandated by P.L.108-7.

6/ Reflects SAMHSA's share of the Division E, section 515 reduction on administrative and related expenses and the Division H, section 

168(b) rescission of P.L. 108-199.

7/ Reflects SAMHSA's share of the Division F, section 519(a) reduction on administrative and related expenses and the Division J, section 

122(a) rescission of H.R. 4818.

8/ Reflects SAMHSA's share of the rescission mandated by P.L. 109-359.

9/ Reflects Section 202 transfer to CMS.

10/ Reflects Continuing Resolution through February 15, 2007.

11/ Reflects the whole year appropriation

12/ Reflects a 1.7 percent across-the-board Rescission from the H.R. 2764/P.L. 110-161. 
SAMHSA/BE - 11 

 

Appropriations Not Authorized by Law 

Program

Last Year of 

Authorization

Authorization 

Level

Appropriations in 

Last Year of 

Authorization

Appropriations 

in FY 2010

Emergency Response

Sec. 501O................................................ 2003 $ 25,000,000 2.5% all disc grants $0

Grants for the Benefit of Homeless

 Individuals

Sec. 506................................................ 2003 $ 50,000,000 $ 16,700,000 $ 42,750,000

Alcohol and Drug Prevention or 

 Treatment Services for Indians and 

 Native Alaskans

Sec. 506A*........................................... 2003 $ 15,000,000 $0 $0

Grants for Ecstasy and Other Club

 Drugs Abuse Prevention

Sec. 506B*............................................ 2001 $ 10,000,000 $0 $0

Residential Treatment Programs for

 Pregnant and Postpartum Women

Sec. 508................................................ 2003 SSAN $0 $ 16,000,000

Priority Substance Abuse Treatment Needs

 of Regional and National Significance

Sec. 509*.............................................. 2003 $ 300,000,000 $ 322,994,000 $ 354,605,000

Substance Abuse Treatment Services 

 for Children and Adolescents

Sec. 514*................................................... 2003 $ 40,000,000 $ 20,000,000 $ 30,678,000

Early Intervention Services for Children

 and Adolescents

Sec. 514A*................................................ 2003 $ 20,000,000 $0 $0

Methamphetamine and Amphetamine

 Treatment Initiative 

Sec. 514**.............................................. 2003 $ 10,000,000 $0 $0

Priority Substance Abuse Prevention

 Needs of Regional and National

 Significance

Sec. 516*................................................... 2003 $ 300,000,000 $ 138,399,000 $ 185,388,000

Prevention, Treatment and Rehabilitation

 Model Projects for High Risk Youth

Sec. 517................................................... 2003 SSAN $ 7,000,000 $0

Services for Children of Substance Abusers

Sec. 519*.................................................. 2003 $ 50,000,000 $0 $0

Grants for Strengthening Families

Sec. 519A*............................................... 2003 $ 3,000,000 $0 $0

Services for Individuals with Fetal Alcohol

 Syndrome (FAS)

Sec. 519C*................................................ 2003 $ 25,000,000 $0 $0

Centers of Excellence on Services for

 Individuals with FAS and Alcohol-related

 Birth Defects and Treatment for

 Individuals with Such Conditions and

 Their Families

Sec. 519D*................................................ 2003 $ 5,000,000 $ 2,416,000 $ 9,821,000
 

SAMHSA/BE - 12 

Appropriations Not Authorized by Law 

Program

Last Year of 

Authorization

Authorization 

Level

Appropriations in 

Last Year of 

Authorization

Appropriations 

in FY 2010

Prevention of Methamphetamine and

 Inhalant Abuse and Addiction

Sec. 519E*.............................................. 2003 $ 10,000,000 $ 5,000,000 $0

Priority Mental Health Needs of Regional and

 National Significance

Sec. 520A*................................................ 2003 $ 300,000,000 $ 94,289,000 $ 179,865,000

Youth Interagency Research, Training,

 and Technical Assistance Centers

Sec. 520C*................................................ 2007 $ 5,000,000 $ 3,960,000 $ 4,957,000

Services for Youth Offenders

Sec. 520D*............................................. 2003 $ 40,000,000 $0 $0

Suicide Prevention for Children and Youth

Sec. 520E (GLS - State Grants)........................ 2007 $ 30,000,000 $ 17,829,000 $ 29,738,000

Sec. 520E1 (Suicide Prevention for Youth)............ 2003 $ 75,000,000 $0 $0

Sec. 520E2 (GLS-Campus Grants)..................... 2007 $ 5,000,000 $ 4,950,000 $ 4,975,000

Grants for Emergency Mental Health Centers

Sec. 520F*.......................................... 2003 $ 25,000,000 $0 $0

Grants for Jail Diversion Programs

Sec. 520G*.......................................... 2003 $ 10,000,000 $ 6,043,000 $ 6,684,000

Improving Outcomes for Children and Adolescents through Services 

Integration between Child Welfare and MH Services

Sec. 520H*................................................ 2003 $ 10,000,000 $0 $0

Grants for Integrated Treatment of Serious Mental

 Illness and Co-occurring Substance Abuse

Sec. 520I*............................................... 2003 $ 40,000,000 $0 $0

Mental Health Training Grants

Sec. 520J*............................................. 2003 $ 25,000,000 $0 $0

PATH Grants to States

Sec. 535(a)............................................. 2003 $ 75,000,000 $ 46,855,000 $ 65,047,000

Community Mental Health Services for

 Children with Serious Emotional Disturbances

Sec. 565 (f).......................................... 2003 $ 100,000,000 $ 96,694,000 $ 121,316,000

Children and Violence Program

Sec. 581*.................................................. 2003 $ 100,000,000 $ 83,035,000 $ 94,502,000

Grants for Persons who Experience Violence

 Related Stress

Sec. 582 *........................................... 2003 $ 50,000,000 $ 20,000,000 $ 40,800,000

Community Mental Health Services

 Block Grants

Sec. 1920(a)......................................... 2003 $ 450,000,000 $ 433,000,000 $ 399,735,000

Substance Abuse Prevention and Treatment

 Block Grants

Sec. 1935(a)................................................ 2003 $ 2,000,000,000 $ 1,785,000,000 $ 1,719,391,000

Data Infrastructure Development

Sec. 1971*................................................ 2003 SSAN $ 6,000,000 $0

Other Legislation/Program Description

Protection and Advocacy for Individuals

 with Mental Illness Act

P.L. 99-319, Sec. 117.................................... 2003 $ 19,500,000 $ 32,500,000 $ 36,380,000

TOTAL, SAMHSA Budget Authority.................................. $ 4,222,500,000 $ 3,142,664,000 $ 3,342,632,000

*Denotes programs that were authorized in the Children's Health Act of 2000. We have the authority to carryout these 

programs in our general authorities in Section 507, 516 and 520A. 

**Congress authorized two provisions as section 514.
Table of Contents 

 

SAMHSA/Center for Mental Health Services (CMHS) Page

1. Mechanism Table................................................................................................................ 1 

2. Programs of Regional and National Significance............................................................... 3 

3. Summary of Activities ........................................................................................................ 5 

4. Mechanism Table by Summary of Activities ..................................................................... 7 

5. Suicide Prevention ............................................................................................................ 13 

6. Youth Violence Prevention............................................................................................... 17 

7. National Child Traumatic Stress Network........................................................................ 21 

8. Homelessness Prevention Programs ................................................................................. 25 

9. Other Capacity Activities.................................................................................................. 29 

10. Science and Service Activities.......................................................................................... 41 

11. Children’s Mental Health Services Program .................................................................... 45 

12. Protection and Advocacy for Individuals with Mental Illness (PAIMI)........................... 49 

13. Projects for Assistance in Transition from Homelessness................................................ 55 

14. Community Mental Health Services Block Grant ............................................................ 61 
Page intentionally left blank
SAMHSA/CMHS - 1 

SAMHSA/Center for Mental Health Services 

Mechanism Table 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

CAPACITY: 

Grants/Cooperative Agreements:

Continuations 236 $102,242 314 $140,242 325 $138,606 +11 -$1,636

New/Competing 205 76,969 145 45,806 127 54,933 -18 +9,127

Supplements 0 0 (1) 1,478 0 0 (-1) -1,478

Subtotal 441 179,211 459 187,526 452 193,539 -7 +6,013

Contracts:

Continuations 18 117,438 23 128,176 29 138,132 +6 +9,956

New/Competing 6 21,336 13 18,104 13 15,500 0 -2,604

Supplements 0 0 0 0 0 0 0 0

Subtotal 24 138,774 36 146,280 42 153,632 +6 +7,352

Technical Assistance 0 0 0 0 0 0 0 0

Review Cost 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Subtotal, Capacity 465 317,985 495 333,806 494 347,171 -1 +13,365

Science and Service: 

Grants/Cooperative Agreements:

Continuations 17 9,355 6 3,697 7 6,498 +1 +2,801

New/Competing 0 0 11 6,498 10 3,705 -1 -2,793

Supplements (1) 972 0 0 0 0 0 0

Subtotal 17 10,327 17 10,195 17 10,203 0 +8

Contracts:

Continuations 7 8,901 19 14,893 16 12,368 -3 -2,525

New/Competing 9 7,225 0 1,874 2 4,442 +2 +2,568

Supplements 0 0 0 753 0 0 0 -753

Subtotal 16 16,126 19 17,520 18 16,810 -1 -710

Technical Assistance 0 0 0 0 0 0 0 0

Review Cost 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Subtotal, Science and Service 33 26,453 36 27,715 35 27,013 -1 -702

Total, PRNS 498 $344,438 531 $361,521 529 $374,184 -2 +$12,663
SAMHSA/CMHS - 2 

SAMHSA/Center for Mental Health Services 

Mechanism Table 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

No. Amount No. Amount No. Amount No. Amount 

CHILDREN'S MENTAL HEALTH 

Grants/Cooperative Agreements:

Continuations 51 $65,211 67 $89,942 49 $82,223 -18 -$7,719

New/Competing 20 19,019 6 6,000 18 18,000 +12 +12,000

Supplements 0 0 0 0 0 0 0 0

Subtotal 71 84,230 73 95,942 67 100,223 -6 +4,281

Contracts:

Continuations 2 12,651 1 8,895 3 11,118 +2 +2,223

New/Competing 0 220 1 3,920 1 2,260 0 -1,660

Supplements 0 0 0 0 0 0 0 0

Subtotal 2 12,871 2 12,815 4 13,378 +2 +563

Technical Assistance 0 10,836 4 12,131 2 12,177 -2 +46

Report to Congress 0 436 0 428 0 436 0 +8

Subtotal 0 11,272 4 12,559 2 12,613 -2 +54

Total, Children's Mental Health 73 108,373 79 121,316 73 126,214 -6 +4,898

PROTECTION AND ADVOCACY 57 35,880 57 36,380 57 36,380 0 0

PATH 57 59,687 57 65,047 57 70,000 0 +4,953

MENTAL HEALTH BLOCK GRANT 120 420,774 125 420,774 121 420,774 -4 0

(PHS Evaluation Funds: Non-Add) 21,039 21,039 21,039 0 0

TOTAL, CMHS 805 $969,152 849 $1,005,038 837 $1,027,552 -12 +$22,514
SAMHSA/CMHS - 3 

SAMHSA/Center for Mental Health Services 

Programs of Regional and National Significance 

Summary of Programs 

The Mental Health Programs of Regional and National Significance (PRNS) support States and 

communities in carrying out an array of activities to improve the quality and availability of 

services in priority areas. 

There are two program categories within PRNS, Capacity and Science and Service. Programs in 

the Capacity category provide funding to implement service improvements using evidence-based 

approaches and to identify and implement needed systems changes. Programs within the Science 

and Service category promote the identification and increase the availability of practices thought 

to have potential for broad service improvement. 

The FY 2011 President’s Budget request for SAMHSA Mental Health PRNS is $374.2 million, 

an increase of $12.7 million from the FY 2010 Appropriation. The request includes: 

 $54.2 million for Suicide Prevention to improve public and professional awareness of 

suicide and promote prevention through Garrett Lee Smith Suicide Prevention Activities 

in States/Tribes and Colleges, along with supporting the National Suicide Prevention 

Lifeline and Crisis Center Network, AI/AN Suicide Prevention Initiative, and the Garrett 

Lee Smith Suicide Prevention Resource Center; 

 $94.5 million for Youth Violence Prevention activities including the Safe 

Schools/Healthy Students collaborative program with U.S. Departments of Education and 

Justice, and the College Emergency Preparedness initiative that provides students, 

schools, and communities with funds to implement an enhanced, coordinated, 

comprehensive plan of activities and services focused on promoting healthy childhood 

development and preventing violence and alcohol and other drug abuse; 

 $40.8 million for National Traumatic Stress Network to improve treatment and services 

intervention for children and adolescents exposed to traumatic events; 

 $42.0 million for Homelessness Prevention to reduce the prevalence of mental disorders 

in the homeless and improve the transition from homelessness including a new joint 

initiative with the Center for Substance Abuse Treatment and the Department of Housing 

and Urban Development; 

 $122.9 million for remaining Capacity activities including Co-Occurring State Incentive 

Grants ($3.6 million), Seclusion & Restraint ($2.4 million), Children and Family 

Programs ($9.2 million), Performance Management and Coordination Activities ($3.5 

million), Consumer and Family Network Grants ($6.4 million), Mental Health System 

Transformation and Health Reform, including $4.0 million for the Mental 

Health/Substance Abuse SBIRT Initiative ($30.9 million), Project LAUNCH ($27.0 
SAMHSA/CMHS - 4 

million), Primary and Behavioral Health Care Integration ($14.0 million), Community 

Resilience and Recovery Initiative ($5.0 million), Minority AIDS ($9.3 million), 

Criminal Justice ($6.7 million), and Older Adult Programs ($4.8 million); 

 $19.8 million for Science and Service activities, including the SAMHSA Health 

Information Network ($2.6 million), National Registry of Evidence-based Programs and 

Practices ($0.5 million), and HIV/AIDS Education ($0.9 million). 

The Mental Health PRNS underwent a performance assessment in 2005. The assessment cited 

clear purpose, strong financial management, and effective targeting as strong attributes. The 

assessment also reported the program lacked a clear design linking all projects to performance 

goals and did not collect performance data from all grantees or use performance data to hold 

grantees accountable for improving outcomes. As a result of the performance assessment, the 

program has implemented an automated web-based performance system, the Transformation 

Accountability System, for all of its services programs and is working to expand use of the 

system to the remaining PRNS programs. SAMHSA is also working on the development and 

implementation of common performance measures for its technical assistance, infrastructure 

development, and prevention programs. 

Changes to Summary Listing of Activities Table 

SAMHSA proposes to change three Mental Health PRNS Summary Listing of Activities names 

to better reflect the program activity goals and objectives: 1) Mental Health Transformation 

Activities (Capacity) is renamed Performance Management and Coordination Activities; 2) 

Mental Health Transformation State Incentive Grants (MHT SIGs) is renamed Mental Health 

System Transformation and Health Reform (includes the MHT SIGs as well as other activities); 

and 3) Mental Health Systems Transformation Activities (Science and Service) is renamed 

Information Dissemination and Training. 

Additionally, SAMHSA proposes to realign two Mental Health PRNS programs to better reflect 

the activity of the programs: 1) Transformation Transfer Initiative from Performance 

Management and Coordination Activities to Mental Health System Transformation and Health 

Reform as the Transfer Initiative provides funding to States, DC, and the Territories not 

participating in the MHT SIG and identifies and adopts transformation initiatives and activities 

that can be implemented in the States that do not receive MHT SIG funding; and 2) Peer Review 

from Information Dissemination and Training to Performance Management and Coordination 

Activities as Peer Review provides grant review support to Capacity programs, therefore it is 

better aligned in Performance Management and Coordination Activities. 
SAMHSA/CMHS - 5 

SAMHSA/Center for Mental Health Services 

Summary of Activities 

(Dollars in Thousands)

Programs of Regional & National Significance 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

CAPACITY: 

Co-Occurring State Incentive Grant $3,069 $2,168 $3,611 +$1,443

Seclusion & Restraint 2,449 2,449 2,449 0

Youth Violence Prevention 94,502 94,502 94,502 0

Safe Schools/Healthy Students (non-add) 84,320 84,320 84,320 0

College Emergency Preparedness (non-add) 2,237 2,237 2,237 0

National Traumatic Stress Network 38,000 40,800 40,800 0

Children and Family Programs 9,194 9,194 9,194 0

Performance Management and Coordination 

Activities 1/ 3,692 3,166 3,530 +364

Consumer and Family Network Grants 6,236 6,236 6,436 +200

Statewide Consumer Network (non-add) 2,531 2,531 2,731 +200

MH System Transformation and Health Reform 

2/ 29,001 29,106 30,924 +1,818

MHT SIG (non-add) 25,912 26,012 23,821 -2,191

Mental Health/Substance Abuse SBIRT (nonadd) 0 0 4,000 +4,000

Project LAUNCH 20,000 25,000 27,000 +2,000

Primary and Behavioral Health Care Integration 6,998 14,000 14,000 0

Community Resilience and Recovery Initiative 0 5,000 5,000 0

Suicide Lifeline 5,522 5,522 7,522 +2,000

GLS - Youth Suicide Prevention - States 29,738 29,738 30,438 +700

GLS - Youth Suicide Prevention - Campus 4,975 4,975 5,400 +425

AI/AN Suicide Prevention Initiative 2,944 2,944 5,888 +2,944

Homelessness Prevention Programs 32,250 32,250 39,696 +7,446

Older Adult Programs 4,814 4,814 4,814 0

Minority AIDS 9,282 9,283 9,283 0

Criminal and Juvenile Justice Programs 6,683 6,684 6,684 0

Congressional Projects 8,636 5,975 0 -5,975

Subtotal, Capacity 317,985 333,806 347,171 +13,365

SCIENCE AND SERVICE: 

GLS - Suicide Prevention Resource Center 4,957 4,957 4,957 0

Information Dissemination and Training 3/ 8,689 9,001 8,528 -473

National Registry of Evidence-based 

□Programs and Practices 544 544 544 0

SAMHSA Health Information Network 1,920 2,673 2,644 -29

Consumer and Consumer Support 

□Technical Assistance Centers 1,927 1,927 1,927 0

Minority Fellowship Program 4,083 4,279 4,279 0

Disaster Response 1,054 1,054 1,054 0

Homelessness 2,306 2,306 2,306 0

HIV/AIDS Education 973 974 774 -200

Subtotal, Science and Service 26,453 27,715 27,013 -702

TOTAL, PRNS $344,438 $361,521 $374,184 +$12,663

1/ Formerly Mental Health Transformation Activities; comparability adjustment made for Peer Review in FY 2009 & FY 2010 

2/ Formerly Mental Health Transformation State Incentive Grants; comparability adjustment made for Transformation Transfer 

Initiative in FY 2009 & FY 2010 

3/ Formerly Mental Health Systems Transformation 

Activities 
SAMHSA/CMHS - 6 

Page intentionally left blank
SAMHSA/CMHS - 7 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount 

CAPACITY: 

Co-Occurring SIG 

Grants 

Continuations 4 $392 0 $0 0 $0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 4 392 0 0 0 0 0 0

Contracts 

Continuations 0 6 1 1,947 1 2,190 0 +243

New/Competing 1 2,671 0 221 0 1,421 0 +1,200

Subtotal 1 2,677 1 2,168 1 3,611 0 +1,443

Total, Co-Occurring SIG 5 3,069 1 2,168 1 3,611 0 +1,443

Seclusion & Restraint 

Grants 

Continuations 8 1,669 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 8 1,669 0 0 0 0 0 0

Contracts 

Continuations 1 353 0 0 1 2,449 +1 +2,449

New/Competing 0 427 1 2,449 0 0 -1 -2,449

Subtotal 1 780 1 2,449 1 2,449 0 0

Total, Seclusion & Restraint 9 2,449 1 2,449 1 2,449 0 0

Youth Violence Prevention 

Grants 

Continuations 1 6,000 1 6,000 1 6,000 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 1 6,000 1 6,000 1 6,000 0 0

Contracts 

Continuations 6 88,502 4 83,246 5 88,502 +1 +5,256

New/Competing 0 0 1 5,256 0 0 -1 -5,256

Subtotal 6 88,502 5 88,502 5 88,502 0 0

Total, Youth Violence Prevention 7 94,502 6 94,502 6 94,502 0 0

National Traumatic Stress Network 

Grants 

Continuations 23 10,050 59 30,749 47 26,595 -12 -4,154

New/Competing 36 20,623 3 2,800 15 7,000 +12 +4,200

Subtotal 59 30,673 62 33,549 62 33,595 0 +46

Contracts 

Continuations 3 2,676 3 6,914 1 5,403 -2 -1,511

New/Competing 0 4,651 0 337 1 1,802 +1 +1,465

Subtotal 3 7,327 3 7,251 2 7,205 -1 -46

Total, National Traumatic Stress Network 62 38,000 65 40,800 64 40,800 -1 0

Children and Family Programs 

Grants 

Continuations 15 6,806 15 5,538 8 4,107 -7 -1,431

New/Competing 0 0 1 747 8 2,178 +7 +1,431

Subtotal 15 6,806 16 6,285 16 6,285 0 0

Contracts 

Continuations 2 2,388 0 670 2 2,215 +2 +1,545

New/Competing 0 0 2 2,239 1 694 -1 -1,545

Subtotal 2 2,388 2 2,909 3 2,909 +1 0

Total, Children and Family Programs 17 $9,194 18 $9,194 19 $9,194 +1 0
SAMHSA/CMHS - 8 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

Performance Management and Coordination 

Activities 

Grants 

Continuations 0 $0 0 $0 0 $0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 2 3,677 2 3,166 2 3,530 0 +364

New/Competing 0 15 0 0 0 0 0 0

Subtotal 2 3,692 2 3,166 2 3,530 0 +364

Total, Perf. Mgmt and Coordination Activities 2 3,692 2 3,166 2 3,530 0 +364

Consumer and Family Network Grants 

Grants 

Continuations 61 4,025 18 1,260 79 5,260 +61 +4,000

New/Competing 18 1,250 61 4,000 3 210 -58 -3,790

Subtotal 79 5,275 79 5,260 82 5,470 +3 +210

Contracts 

Continuations 0 442 1 976 1 966 0 -10

New/Competing 1 519 0 0 0 0 0 0

Subtotal 1 961 1 976 1 966 0 -10

Total, Consumer and Family Network Grants 80 6,236 80 6,236 83 6,436 +3 +200

MH System Transformation and Health Reform

Grants 

Continuations 9 22,950 2 4,381 22 16,500 +20 +12,119

New/Competing 0 0 22 16,500 7 5,350 -15 -11,150

Subtotal 9 22,950 24 20,881 29 21,850 +5 +969

Contracts 

Continuations 1 6,051 2 6,175 2 7,025 0 +850

New/Competing 0 0 3 2,050 3 2,049 0 -1

Subtotal 1 6,051 5 8,225 5 9,074 0 +849

Total, MH Sys. Trans. and Health Reform 10 29,001 29 29,106 34 30,924 +5 +1,818

Project LAUNCH Wellness Initiative 

Grants 

Continuations 6 6,079 18 16,780 26 21,180 +8 +4,400

New/Competing 12 10,700 7 4,550 3 1,500 -4 -3,050

Subtotal 18 16,779 25 21,330 29 22,680 +4 +1,350

Contracts 

Continuations 0 1,220 1 3,220 1 3,820 0 +600

New/Competing 0 2,001 1 450 1 500 0 +50

Subtotal 0 3,221 2 3,670 2 4,320 0 +650

Total, Project LAUNCH Wellness Initiative 18 20,000 27 25,000 31 27,000 +4 +2,000

Primary and Behavioral Health Care Integration

Grants 

Continuations 0 $0 13 $6,449 23 $12,370 +10 +$5,921

New/Competing 13 6,496 10 5,900 0 0 -10 -5,900

Subtotal 13 6,496 23 12,349 23 12,370 0 +21

Contracts 

Continuations 0 0 0 486 1 1,630 +1 +1,144

New/Competing 0 502 1 1,165 0 0 -1 -1,165

Subtotal 0 502 1 1,651 1 1,630 0 -21

Total, PBHCI 13 $6,998 24 $14,000 24 $14,000 0 0
SAMHSA/CMHS - 9 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

Community Resilience and Recovery Initiative

Grants 

Continuations 0 0 0 0 5 4,000 +5 +4,000

New/Competing 0 0 5 4,000 0 0 -5 -4,000

Subtotal 0 0 5 4,000 5 4,000 0 0

Contracts 

Continuations 0 0 0 0 2 1,000 +2 +1,000

New/Competing 0 0 2 1,000 0 0 -2 -1,000

Subtotal 0 0 2 1,000 2 1,000 0 0

Total, CRRI 0 0 7 5,000 7 5,000 0 0

Suicide Lifeline 

Grants 

Continuations 7 4,285 7 3,247 1 3,358 -6 +111

New/Competing 0 0 6 838 1 2,425 -5 +1,587

Subtotal 7 4,285 13 4,085 2 5,783 -11 +1,698

Contracts 

Continuations 0 742 1 1,437 1 1,235 0 -202

New/Competing 0 495 0 0 1 504 +1 +504

Subtotal 0 1,237 1 1,437 2 1,739 +1 +302

Total, Suicide Lifeline 7 5,522 14 5,522 4 7,522 -10 +2,000

GLS - Youth Suicide Prevention - States 

Grants 

Continuations 32 15,115 48 23,328 18 8,896 -30 -14,432

New/Competing 18 8,761 0 0 32 15,368 +32 +15,368

Subtotal 50 23,876 48 23,328 50 24,264 +2 +936

Contracts 

Continuations 0 3,032 1 5,950 2 3,755 +1 -2,195

New/Competing 1 2,830 1 460 1 2,419 0 +1,959

Subtotal 1 5,862 2 6,410 3 6,174 +1 -236

Total, GLS-Youth Suicide Prevention- 51 29,738 50 29,738 53 30,438 +3 +700

GLS - Youth Suicide Prevention - Campus 

Grants 

Continuations 16 1,492 38 3,648 22 2,162 -16 -1,486

New/Competing 22 2,166 0 0 18 1,837 +18 +1,837

Subtotal 38 3,658 38 3,648 40 3,999 +2 +351

Contracts 

Continuations 0 768 1 1,327 1 959 0 -368

New/Competing 1 549 0 0 1 442 +1 +442

Subtotal 1 1,317 1 1,327 2 1,401 +1 +74

Total, GLS-Youth Suicide PreventionCampus 39 4,975 39 4,975 42 5,400 +3 +425

AI/AN Suicide Prevention Initiative 

Grants 

Continuations 0 $0 0 $0 0 $0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 1 2,944 1 2,944 1 2,944 0 0

New/Competing 0 0 0 0 1 2,944 +1 +2,944

Subtotal 1 2,944 1 2,944 2 5,888 +1 +2,944

Total, AI/AN Suicide Prevention Initiative 1 $2,944 1 $2,944 2 $5,888 +1 +$2,944
SAMHSA/CMHS - 10 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount 

Homelessness Prevention Programs 

Grants 

Continuations 20 7,846 57 21,723 60 22,959 +3 +1,236

New/Competing 43 16,271 4 1,580 14 6,650 +10 +5,070

Subtotal 63 24,117 61 23,303 74 29,609 +13 +6,306

Contracts 

Continuations 0 1,495 2 6,928 3 8,325 +1 +1,397

New/Competing 2 6,638 1 2,019 2 1,762 +1 -257

Subtotal 2 8,133 3 8,947 5 10,087 +2 +1,140

Total, Homelessness Prevention Programs 65 32,250 64 32,250 79 39,696 +15 +7,446

Older Adult Programs 

Grants 

Continuations 10 4,095 10 4,095 0 0 -10 -$4,095

New/Competing 0 0 0 0 10 4,095 +10 +4,095

Subtotal 10 4,095 10 4,095 10 4,095 0 0

Contracts 

Continuations 1 719 1 719 1 719 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 1 719 1 719 1 719 0 0

Total, Older Adult Programs 11 4,814 11 4,814 11 4,814 0 0

Minority AIDS 

Grants 

Continuations 16 8,293 16 8,297 0 0 -16 -8,297

New/Competing 0 0 0 0 16 8,320 +16 +8,320

Subtotal 16 8,293 16 8,297 16 8,320 0 +23

Contracts 

Continuations 1 989 1 986 0 0 -1 -986

New/Competing 0 0 0 0 1 963 +1 +963

Subtotal 1 989 1 986 1 963 0 -23

Total, Minority AIDS 17 9,282 17 9,283 17 9,283 0 0

Criminal/Juvenile Justice Programs 

Grants 

Continuations 8 3,145 12 4,747 13 5,219 +1 +472

New/Competing 6 2,066 1 394 0 0 -1 -394

Subtotal 14 5,211 13 5,141 13 5,219 0 +78

Contracts 

Continuations 0 1,434 1 1,085 1 1,465 0 +380

New/Competing 0 38 0 458 0 0 0 -458

Subtotal 0 1,472 1 1,543 1 1,465 0 -78

Total, Criminal/Juvenile Justice Programs 14 6,683 14 6,684 14 6,684 0 0

Total, Congressional Projects 37 8,636 25 5,975 0 0 -25 -5,975

Subtotal, Capacity 465 $317,985 495 $333,806 494 $347,171 -1 +$13,365
SAMHSA/CMHS - 11 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. AmountNo.Amount

SCIENCE AND SERVICE:

GLS - Suicide Prevention Resource Center

Grants 

Continuations 1 $3,596 0 $0 1 $4,471 +1 +$4,471

New/Competing 0 972 1 4,471 0 0 -1 -4,471

Subtotal 1 4,568 1 4,471 1 4,471 0 0

Contracts 

Continuations 0 389 0 0 0 486 0 +486

New/Competing 0 0 0 486 0 0 0 -486

Subtotal 0 389 0 486 0 486 0 0

Total, GLS - Suicide Prev. Resource Center 1 4,957 1 4,957 1 4,957 0 0

Information Dissemination and Training 

Grants 

Continuations 7 513 1 243 1 250 0 +7

New/Competing 0 0 5 250 5 250 0 0

Subtotal 7 513 6 493 6 500 0 +7

Contracts 

Continuations 3 2,492 11 7,466 10 8,028 -1 +562

New/Competing 5 5,684 0 1,042 0 0 0 -1,042

Subtotal 8 8,176 11 8,508 10 8,028 -1 -480

Total, Information Dissemination & Training 15 8,689 17 9,001 16 8,528 -1 -473

National Registry of Evidence-based Programs and 

Practices

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 0 544 0 544 0 544 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 544 0 544 0 544 0 0

Total, NREPP 0 544 0 544 0 544 0 0

SAMHSA Health Information Network 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 0 1,920 0 1,920 0 0 0 -1,920

New/Competing 0 0 0 753 0 2,644 0 +1,891

Subtotal 0 1,920 0 2,673 0 2,644 0 -29

Total, SAMHSA Health Information Network 0 1,920 0 2,673 0 2,644 0 -29

Consumer and Consumer Support Technical Assistance 

Centers

Grants 

Continuations 4 1,791 0 0 5 1,777 +5 +1,777

New/Competing 0 0 5 1,777 0 0 -5 -1,777

Subtotal 4 1,791 5 1,777 5 1,777 0 0

Contracts 

Continuations 0 136 0 0 0 150 0 +150

New/Competing 0 0 0 150 0 0 0 -150

Subtotal 0 136 0 150 0 150 0 0

Total, Consumer/Cons. Support TA Ctrs 4 $1,927 5 $1,927 5 $1,927 0 0
SAMHSA/CMHS - 12 

SAMHSA/Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount 

Minority Fellowship Program 

Grants 

Continuations 5 $3,455 5 $3,454 0 $0 -5 -$3,454

New/Competing 0 0 0 0 5 3,455 +5 +3,455

Subtotal 5 3,455 5 3,454 5 3,455 0 +1

Contracts 

Continuations 1 628 1 629 1 519 0 -110

New/Competing 0 0 0 196 0 305 0 +109

Subtotal 1 628 1 825 1 824 0 -1

Total, Minority Fellowship Program 6 4,083 6 4,279 6 4,279 0 0

Disaster Response 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 0 150 1 1,054 1 1,054 0 0

New/Competing 1 904 0 0 0 0 0 0

Subtotal 1 1,054 1 1,054 1 1,054 0 0

Total, Disaster Response 1 1,054 1 1,054 1 1,054 0 0

Homelessness 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 2 2,142 2 2,306 1 1,100 -1 -1,206

New/Competing 0 164 0 0 1 1,206 +1 +1,206

Subtotal 2 2,306 2 2,306 2 2,306 0 0

Total, Homelessness 2 2,306 2 2,306 2 2,306 0 0

HIV/AIDS Education 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 1 500 4 974 3 487 -1 -487

New/Competing 3 473 0 0 1 287 +1 +287

Subtotal 4 973 4 974 4 774 0 -200

Total, HIV/AIDS Education 4 973 4 974 4 774 0 -200

Subtotal, Science and Service 33 26,453 36 27,715 35 27,013 -1 -702

Total, PRNS 498 $344,438 531 $361,521 529 $374,184 -2 +$12,663
SAMHSA/CMHS - 13 

Suicide Prevention 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Suicide Lifeline $5,522 $5,522 $7,522 +$2,000

GLS-Youth Suicide Prevention-States 29,738 29,738 30,438 +700

GLS-Youth Suicide PreventionCampus 4,975 4,975 5,400 +425

AI/AN Suicide Prevention Initiative 2,944 2,944 5,888 +2,944

GLS-Suicide Prevention Resource 

Center 4,957 4,957 4,957 0

Budget Authority $48,136 $48,136 $54,205 +$6,069

Authorizing Legislation ............................Section 520A, 520C, 520E, and 520E-2 of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments

The Garrett Lee Smith (GLS) Memorial Act authorizes SAMHSA to manage two significant 

youth suicide prevention programs and a resource center. The GLS State/Tribal Youth Suicide 

Prevention and Early Intervention Grant Program supports 42 states, 18 tribes or tribal 

organizations, and one Territory in developing and implementing youth suicide prevention and 

early intervention strategies involving public-private collaborations among youth serving 

institutions. The GLS Campus Suicide Prevention program provides funding to institutions of 

higher education to prevent suicide and suicide attempts. The GLS Suicide Prevention Resource 

Center develops effective strategies and best practices to ensure the field has access to the most 

crucial information. Since October 2005, the Garrett Lee Smith Memorial Suicide Prevention 

programs have trained 423,680 teachers, mental health professionals, social service providers, 

police officers, advocates, coaches, and other individuals who frequently interact with youth in 

suicide prevention. The number of individuals trained is an important indicator of program 

penetration as well as evidence of increased suicidal awareness; since the baseline was set in 

2007, the target has been significantly exceeded each year. Additionally, SAMHSA supports an 

innovative training and technical assistance project that helps tribal communities mobilize 

existing social and educational resources by facilitating the development and implementation of 

comprehensive and collaborative community based prevention plans to reduce violence, 

bullying, and suicide among American Indian /Alaska Native youth. 

The importance of suicide prevention measures during this difficult economic time cannot be 

overstated. Researchers have shown a relationship between sustained high rates of 

unemployment and increased risk as well as incidence of suicide. In 2009, SAMHSA moved to 

provide urgent supplemental funding to suicide prevention centers around the nation which are 

responding to people in dire situations. Calls into suicide crisis centers have substantially 

increased during the past year – 54,054 calls in the last recorded month alone -- with between 20 
SAMHSA/CMHS - 14 

to 30 percent of calls being specifically linked to economic distress. At the same time these 

centers are threatened with significant cutbacks in funding from state and local governments and 

other sources of support. The National Suicide Prevention Lifeline: 1-800-273-TALK, funded 

by SAMHSA, coordinates the network of 140 crisis centers across the United States providing 

suicide prevention and crisis intervention services to individuals seeking help at any time, day or 

night. 

SAMHSA supports an array of initiatives designed to improve public and professional awareness 

of suicide as a preventable public health problem and to enhance the ability of systems that 

promote prevention, intervention, and recovery. Each of the five major grant programs in 

SAMHSA’s suicide prevention portfolio advances the National Strategy for Suicide Prevention. 

The National Suicide Prevention Lifeline routes calls from anywhere in the United States to a 

network of certified local crisis centers that can link callers to local emergency, mental health, 

and social services resources, averaging nearly 52,000 calls per month answered through the 

National Suicide Prevention Lifeline. In July 2007, SAMHSA partnered with the Department of 

Veterans Affairs to provide and ensure 24/7 access to a veterans suicide prevention hotline. This 

hotline has answered an average of 4,000 calls from veterans per month. In September 2008, 

SAMHSA awarded six grants to the National Suicide Prevention Lifeline crisis centers to 

provide follow up to suicidal callers. Evaluation and research findings indicate that the 

immediate aftermath of suicidal crises is a time of heightened risk for suicide but has great 

potential for suicide prevention. While quantitative data from this program is not yet available, 

SAMHSA has already received anecdotal reports of a number of instances where the program 

appears to have prevented suicide attempts. 

In addition to programs that build suicide prevention capacity, SAMHSA also supports the 

Suicide Prevention Resource Center. This initiative promotes the implementation of the 

National Strategy for Suicide Prevention and enhances the nation’s mental health infrastructure 

by providing states, government agencies, private organizations, colleges and universities, and 

suicide survivor and mental health consumer groups with access to the science and experience 

that can support their efforts to develop programs, implement interventions, and promote policies 

to prevent suicide. The Suicide Prevention Resource Center works with and supports prevention 

networks to reduce suicides, community by community. Prevention networks are coalitions of 

organizations and individuals working together to promote suicide prevention including 

statewide or tribal coalitions, community task forces, regional alliances, and professional groups. 

Funding History 

FY Amount 

2006 $31,675,000 

2007 $36,190,000 

2008 $49,228,000 

2009 $48,136,000 

2010 $48,136,000 
 

SAMHSA/CMHS - 15 

Budget Request 

The FY 2011 President’s Budget request is $54.2 million, an increase of $6.1 million from the 

FY 2010 Appropriation. The increase will improve the Suicide Prevention services to the States, 

Campuses and the Lifeline. Increased support to the Lifeline will provide additional support for 

Crisis Center follow up grants, technical assistance to the network of Crisis Centers, and added 

support for the Lifeline operational and technical needs. Additionally, the funding for the 

AI/AN Suicide Prevention Initiative will be doubled, increasing the level of service to Tribes. 

This additional funding will allow us to increase the number of Tribes served by 50%. In an 

effort to maximize resources and avoid risk of duplication of services, SAMHSA will be 

working with IHS to ensure a comprehensive and collaborative approach to suicide prevention 

services delivery to Tribal communities. 

Outcomes and Outputs 

Table 1: Key Performance Indicators for Suicide Prevention 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 1

FY 2012 +/- 

FY 2011 

2.3.57: Reduce the number of 

suicide deaths (Outcome) N/A 30,684 30,684 30,584 -100 

2.3.58: Increase the number of 

students exposed to mental health 

and suicide awareness campaigns on 

college campuses (Outcome) 

FY 2009: 

1,037,974 

(Target 

Exceeded) 

681,425 681,425 739,615 +58,190 

2.3.59: Increase the total number 

individuals trained in youth suicide 

prevention2 (Outcome) 

FY 2009: 

83,724 

(Target 

Exceeded) 

35,371 35,371 36,202 +801 

2.3.60: Increase the total number of 

youth screened3 (Output) 

FY 2009: 

27,132 

(Target 

Exceeded) 

3,360 3,360 3,360 Maintain 

1 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

2

This measure has been revised for the FY 2011 President's Budget. Previously the measure was cumulative. It has been revised to report its data 

incrementally. As a result, targets for FY 2009 and FY 2010 were adjusted and data provided here may appear to differ from those previously 

published in the FY 2010 President's Budget. 

3

 This measure has been revised for the FY 2011 President's Budget. Previously the measure was cumulative. It has been revised to report its data 

incrementally. As a result, targets for FY 2009 and FY 2010 were adjusted and data provided here may appear to differ from those previously 

published in the FY 2010 President's Budget. 
SAMHSA/CMHS - 16 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target1

FY 2012 +/- 

FY 2011 

2.3.61: Increase the number of calls 

answered by the suicide hotline 

(Output) 

FY 2009: 

619,813 

(Target 

Exceeded) 

555,132 555,132 756,201 +201,069 

Grant Award Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 96 94 93

Average Award $379,031 $378,000 $414,161

Range of Awards $15,000-$3,546,000 $15,000-$3,546,000 $15,000-$3,546,000
SAMHSA/CMHS - 17 

Youth Violence Prevention 

(Dollars in thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011

President's 

Budget

FY 2011 +/-

FY 2010

Budget Authority............................................... $94,502 $94,502 $94,502 ---

Authorizing Legislation ............................Section 581 and 520A of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments

The Safe Schools/Healthy Students program supports the implementation and enhancement of 

integrated, comprehensive community-wide plans that create safe and drug-free schools and 

promote healthy childhood development. In 2009, SAMHSA reported school districts 

participating in the Safe Schools/Healthy Students Initiative reported a 15 percent decrease in 

violent incidents. Eighty-four percent of staff at grantee schools said the Initiative had improved 

school safety, 77 percent said it had reduced violence on campus, and 75 percent said it had 

reduced violence in the community. 

Since 1999, the U.S. Departments of Education, Health and Human Services, and Justice have 

collaborated on the Safe Schools/Healthy Students Initiative. The Safe Schools/Healthy Students 

Initiative is a discretionary grant program that provides students, schools, and communities with 

federal funding to implement an enhanced, coordinated, comprehensive plan of activities, 

programs, and services that focus on promoting healthy childhood development and preventing 

violence and alcohol and other drug abuse. Eligible local educational agencies or a consortium 

of local educational agencies, in partnership with their community's local public mental health 

authority, local law enforcement agency, and local juvenile justice entity, are able to submit a 

single application for federal funds to support a variety of activities, curriculums, programs, and 

services. This grant program supports 146 school districts across the country, spanning rural, 

tribal, suburban and urban areas as well as diverse racial, ethnic and economic sectors. Each 

local strategic plan addresses five required elements across the three sectors: 1) safe school 

environments and violence prevention activities; 2) alcohol, tobacco, and other drug prevention 

activities; 3) student behavioral, social, and emotional supports; 4) mental health services; and, 

5) early childhood social and emotional learning programs. Grantees have developed 

organizational, informational, and programmatic systems that bring together many diverse 

sectors of the community, creating the capacity for comprehensive system reform so that all 

agencies concerned with the welfare of children and families could collaborate on an ongoing 

basis. The national cross-site evaluation has found a 15% decrease in the number of students 

involved in violent incidents; a 12% decrease in the number of students reporting that they had 

experienced or witnessed violence from year one of the grant period to year three; and that most 

staff at grantee schools reported that the Initiative had made their schools safer. 
SAMHSA/CMHS - 18 

In FY 2009, 3,154,305 children were served by the Safe Schools/Healthy Students program. 

Since baseline was set in 2006, the number served has nearly tripled and the target has been 

exceeded each year. Seventy-four percent of students received services following a mental 

health referral, exceeding the target for the second year in a row. Additionally, the program 

instituted two new output measures in FY 2007 to monitor intra-agency collaboration and a 

measure to track the percentage of grantees training school personnel on mental health topics. In 

FY 2009, 73.9% of grantees provided screening and/or assessments that were coordinated among 

two or more agencies exceeding the target of 68.1% and 73.9% of grantees trained school 

personnel on mental health topics exceeding the target of 66.4%.

The Safe Schools/Healthy Students program is expected to serve 116 communities and over 2.3 

million children in FY 2011. SAMHSA anticipates the percentage of children showing 

improvement in substance abuse, violent incidents, and mental health referrals to remain constant 

in FY 2011. 

Following the tragic shooting events at Virginia Polytechnic Institute and State University, better 

known as, Virginia Tech, in 2007, SAMHSA and the Department of Education instituted a joint 

initiative called the College Emergency Preparedness program. These competitive grants 

provide funding to institutions of higher education to develop and implement emergency 

management plans and protocols for preventing campus violence that include mental health and 

other needs of individuals as well as developing written plans for assessing and addressing the 

mental health needs of students who may be at risk of causing campus violence. 

Funding History 

FY Amount 

2006 $93,156,000

2007 $93,156,000

2008 $93,002,000

2009 $94,502,000

2010 $94,502,000

Budget Request 

The FY 2011 President’s Budget request is $94.5 million, the same level of funding as the FY 

2010 Appropriation. Of this amount, $84.3 million will support the Safe Schools/Healthy 

Students program, the same level of funding as the FY 2010 Appropriation. The number of 

students served will be 2,328,500. The remainder supports a prevention communication 

contract, support contracts, and evaluation contracts that facilitate the Safe Schools/Healthy 

Students activities. 
 

SAMHSA/CMHS - 19 

Outcomes and Outputs 

Table 2: Key Performance Indicators for Safe School/Healthy Students 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 4

FY 2012 +/- 

FY 2011 

3.2.04: Increase the number of 

children served (Outcome) 

FY 2009: 

3,154,305 

(Target 

Exceeded) 

2,328,500 2,328,500 2,328,500 Maintain 

3.2.05: Decrease the percentage of 

middle school students who have 

been in a physical fight on school 

property5 (Outcome) 

FY 2009: 

23.8% 

(Target 

Exceeded) 

34% 34% 34% Maintain 

3.2.06: Decrease the percentage of 

high school students who have been 

in a physical fight on school 

property6 (Outcome) 

FY 2009: 

16.1% 

(Target 

Exceeded) 

23% 23% 23% Maintain 

3.2.07: Decrease the percentage of 

middle school students who report 

current substance use7 (Outcome) 

FY 2009: 

13.3% 

(Target 

Exceeded) 

13% 13% 13% Maintain 

3.2.08: Decrease the percentage of 

high school students who report 

current substance use8 (Outcome) 

FY 2009: 

31.1% 

(Target 

Exceeded) 

33% 33% 33% Maintain 

3.2.09: Increase the percentage of 

students attending school9

(Outcome) 

FY 2009: 

94.5% 

(Target 

Exceeded) 

N/A N/A N/A N/A 

4 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

5

Successful result is below target.

6

Successful result is below target.

7

Successful result is below target.

8

Successful result is below target.

9

Measure 3.2.09 will be retired from public reporting in FY 2010. 
SAMHSA/CMHS - 20 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target4

FY 2012 +/- 

FY 2011 

3.2.10: Increase the percentage of 

students who receive mental health 

services (Outcome) 

FY 2009: 

74.4% 

(Target 

Exceeded) 

66% 66% 66% Maintain 

3.2.21: Percentage of grantees that 

provided screening and/or 

assessments that is coordinated 

among two or more agencies or 

shared across agencies. (Output) 

FY 2009: 

73.9% 

(Target 

Exceeded) 

69% 69% 69% Maintain 

3.2.22: Percentage of grantees that 

provide training of school personnel 

on mental health topics (Output) 

FY 2009: 

73.9% 

(Target 

Exceeded) 

67% 67% 67% Maintain 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 1 1 1

Average Award $6,000,000 $6,000,000 $6,000,000

Range of Awards $6,000,000 $6,000,000 $6,000,000
SAMHSA/CMHS - 21 

National Child Traumatic Stress Network 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $38,000 $40,800 $40,800 ---

Authorizing Legislation .............................................Section 582 of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

In FY 2001, Congress authorized the National Child Traumatic Stress Initiative (NCTSI) which 

is designed to improve treatment, services and interventions for children and adolescents 

exposed to traumatic events. The NCTSI funds a national network of grantees that collaborate to 

develop and promote effective community practices for children and adolescents exposed to a 

wide array of traumatic events. Domestic public and private nonprofit entities are eligible to 

apply for grants. Since its inception, the National Child Traumatic Stress Network (NCTSN) has 

expanded its reach across the country, with current grantees in twenty-nine States. Centers are 

located in or associated with a diverse group of organizations, such as universities, community 

mental health centers, children’s hospitals, children’s advocacy centers, State government 

agencies, schools, and refugee programs. NCTSI experts provide training and technical support 

on intervention approaches to reduce the traumatic effects of disasters on children/adolescents 

and their families in the immediate and longer term phases of disaster response. Since its 

inception, the NCTSN has provided training or education on child trauma to over 900,000 

individuals; more than 95,000 people were trained in 2009 in nearly 3,000 annual 

training/education events. In FY 2009, 76 percent of children receiving services had improved 

outcomes (percent showing clinically significant improvement). 

This program provided direct service to 25,143 children in FY 2009. NCTSI continues to impact 

the care of thousands of children in systems such as child welfare, schools, and juvenile justice 

through the training and consultation provided to these systems. Data on these children is not 

included in the number served. The program has implemented new output measures to track 

numbers trained as well as number of screenings and assessments for better overall management. 
 

SAMHSA/CMHS - 22 

Funding History 

FY Amount 

2006 $29,418,000 

2007 $29,418,000 

2008 $33,092,000 

2009 $38,000,000 

2010 $40,800,000 

Budget Request 

The FY 2011 President’s Budget request is $40.8 million, the same level of funding as the 

FY 2010 Appropriation. The request will support 47 grant and one contract continuations and 15 

new grants. With this level of funding, the percentage of children showing clinically significant 

improvement is expected to be 69 percent. 

Outcomes and Outputs 

Table 3: Key Performance Indicators for National Child Traumatic Stress Initiative 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 10

FY 2012 +/- 

FY 2011 

3.2.01: Increase the estimated 

number of children and adolescents 

receiving trauma-informed 

services11 (Outcome) 

FY 2009: 

25,143 

(Target 

Exceeded) 

29,000 N/A N/A N/A 

3.2.02: Improve children's outcomes 

(percent showing clinically 

significant improvement) (Outcome) 

FY 2009: 76%

(Target 

Exceeded) 

69% 69% 69% Maintain 

10 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

11 Measure 3.2.01 will be retired from public reporting in FY 2010. 
 

SAMHSA/CMHS - 23 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target10

FY 2012 +/- 

FY 2011 

3.2.03: Dollars spent per person 

served12 13 (Efficiency) 

FY 2009: 

$1511 

(Target Not 

Met) 

$718 N/A N/A N/A 

3.2.23: Increase the unduplicated 

count of the number of children and 

adolescents receiving traumainformed services (Outcome) 

FY 2009: 

1,922 

(Target Not 

Met but 

Improved) 

3,217 3,217 3,217 Maintain 

3.2.24: Increase the number of childserving professionals trained in 

providing trauma-informed services. 

(Outcome) 

FY 2009: 

95,186 

(Target Not 

Met but 

Improved) 

100,800 100,800 100,800 Maintain 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 59 62 62 

Average Award $519,881 $541,113 $541,855 

Range of Awards 

$300,723-

$5,000,000

$300,723-

$5,000,000

$300,723-

$5,000,000 

12Successful result is below target.

13Measure 3.2.03 will be retired from public reporting in FY 2010. 
SAMHSA/CMHS - 24 

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SAMHSA/CMHS - 25 

Homelessness Prevention Programs

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Capacity 32,250 32,250 39,696 +7,446

Science And Service 2,306 2,306 2,306 0

Budget Authority $34,556 $34,556 $42,002 +$7,446

Authorizing Legislation .......................... Sections 506 and 520A of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

Nearly every homeless person with serious mental illness has been involved with local mental 

health care. By current estimates, as many as 700,000 Americans are homeless on any given 

night (National Law Center on Homelessness and Poverty, 1999). An estimated one-fourth of 

these people have serious mental illnesses, and more than one-half have an alcohol and/or drug 

problem (National Resource Center on Homelessness and Mental Illness, 2001). People who are 

homeless and have mental illnesses need a broad range of services. For many people in need of 

these services, the complexities of the "system," such as figuring out which agencies to contact, 

filling out numerous and complicated forms, making appointments, and arranging transportation, 

can prevent them from getting the help they need. 

SAMHSA’s Services in Supportive Housing program helps to prevent or reduce chronic 

homelessness by funding wrap-around services for individuals and families experiencing chronic 

homelessness in coordination with existing permanent supportive housing programs and 

resources. This innovative approach provides intensive individualized support services to people 

with serious psychiatric conditions and those with co-occurring mental and substance use 

disorders and linkages to housing resources. Research indicates that this combination of longterm housing and wrap-around services leads to improved residential stability and reductions in 

psychiatric symptoms (Shern, et al., 1994). This program provides individuals and families who 

experience chronic homelessness the appropriate services and treatment needed to stay housed in 

a permanent setting. 

As of December 2009, the Services in Supportive Housing grantees have provided over 1000 

persons with comprehensive and coordinated mental health and related services. More than half 

(54.8 percent) of the individuals served demonstrated improvement in behavioral functioning and 

represent an 65-85 percent reduction in the usage of high cost services such as hospitalizations 

and emergency room use. With the expansion of the Services in Supportive Housing Program in 

FY 2010, SAMHSA expects to triple the number of individuals provided supportive housing 

services and provide needed supports to their family members. Services in Supportive Housing 
 

SAMHSA/CMHS - 26 

are comprehensive, seamless and focus on outreach and engagement, intensive case 

management, mental health and substance abuse treatment, as well as assistance in obtaining 

benefits. 

Funding History 

FY Amount 

2006 $12,094,000 

2007 $11,097,000 

2008 $13,405,000 

2009 $34,556,000 

2010 $34,556,000 

Budget Request 

The FY 2011 President’s Budget request is $42.0 million, an increase of $7.4 million over the 

FY 2010 Appropriation. Additionally, SAMHSA will begin a new Homelessness Initiative 

program for a total of $15.8 million ($7.4 million in CMHS and $8.4 million in CSAT). These 

activities involve working with state and local jurisdictions and service providers to creatively 

direct appropriate services and supports to homeless individuals and families with the aim of 

preventing and reducing homelessness. Included in these activities is a robust collaboration with 

the Department of Housing and Urban Development. This collaboration will combine health, 

behavioral health and other support services to move and maintain chronically homeless 

individuals with mental and substance use disorders into permanent supportive housing. 

Outcomes and Outputs 

Table 4: Mental Health Services – Homelessness Programs14 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 15

FY 2012 +/- 

FY 2011 

3.4.01: Increase the number of 

clients served (Output) 

FY 2009: 878 

(Target Not 

Met) 

2,223 2,262 2,784 +522 

3.4.02: Increase the percentage of 

adults receiving services who report 

improved functioning (Outcome) 

FY 2009: 54.8

(Target Not 

Met) 

68.4 68.4 68.4 Maintain 

14Prior to FY 2010 President’s Budget, Homelessness data was reported in the CMHS Other Capacity table 15 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
SAMHSA/CMHS - 27 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target15

FY 2012 +/- 

FY 2011 

3.4.03: Increase the percentage of 

adults receiving services who were 

currently employed (Outcome) 

FY 2009: 9.1 

(Target Not 

Met) 

15.6 15.6 15.6 Maintain 

3.4.04: Increase the percentage of 

adults receiving services who had 

no/reduced involvement with the 

criminal justice system (Outcome) 

FY 2009: 97.5

(Target Not 

Met) 

98.2 98.2 98.2 Maintain 

3.4.05: Increase the percentage of 

adults receiving services who had a 

permanent place to live in the 

community (Outcome) 

FY 2009: 74.2

(Target 

Exceeded) 

60.6 60.6 60.6 Maintain 

3.4.06: Increase the percentage of 

adults receiving services who had 

improved social support (Outcome) 

FY 2009: 70 

(Target Not 

Met) 

78 78 78 Maintain 

3.4.07: Increase the percentage of 

adults receiving services who report 

positively about perception of care 

(Outcome) 

FY 2009: 94.5

(Target Not 

Met) 

96.1 96.1 96.1 Maintain 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 63 61 74

Average Award $382,810 $382,016 $400,122

Range of Awards $126,720-$434,200 $126,720-$434,200 $126,720-$434,200
SAMHSA/CMHS - 28 

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SAMHSA/CMHS - 29 

Other Capacity Activities

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Co-Occurring State Incentive Grant $3,069 $2,168 $3,611 +$1,443

Seclusion & Restraint 2,449 2,449 2,449 0

Children and Family Programs 9,194 9,194 9,194 0

Perf. Mgmt & Coordination Activities 3,692 3,166 3,530 +364

Consumer and Family Network Grants 6,236 6,236 6,436 +200

Statewide Consumer Network (nonadd) 2,531 2,531 2,731 +200

MH System Trans. & Health Reform 29,001 29,106 30,924 +1,818

Project LAUNCH 20,000 25,000 27,000 +2,000

PBHCI 6,998 14,000 14,000 0

CRRI 0 5,000 5,000 0

Older Adult Programs 4,814 4,814 4,814 0

Minority AIDS 9,282 9,283 9,283 0

Criminal and Juvenile Justice Programs 6,683 6,684 6,684 0

Congressional Projects 8,636 5,975 0 -5,975

Budget Authority $110,054 $123,075 $122,925 -$150

Authorizing Legislation ................Sections 516, 520A and 520G of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

SAMHSA’s Center for Mental Health Services provides national leadership to ensure the 

application of scientifically established findings and practice-based knowledge in the prevention 

and treatment of mental disorders; to improve access, reduce barriers, and promote high-quality 

effective programs and services for people with, or at risk for these disorders, as well as for their 

families and communities; and to promote an improved state of mental health within the Nation, 

as well as the recovery of people with mental disorders. SAMHSA pursues its mission by 

helping States and communities improve and increase the quality and range of their treatment, 

rehabilitation, and support services for people with mental illness, their families, and 

communities. 

The Mental Health Programs of Regional and National Significance (PRNS) Capacity activities 

discussed in this section include Primary Care and Behavioral Health Care Integration, Project 

LAUNCH, Consumer and Family Network Grants, Performance Management and Coordination, 

Minority AIDS, Mental Health System Transformation and Health Reform, and Criminal Justice. 

The new Mental Health and Substance Abuse SBIRT Initiative in FY 2011 are also discussed. 
SAMHSA/CMHS - 30 

Project LAUNCH Wellness Initiative 

According to the Institute of Medicine’s (IOM) 2009 Study, “Preventing Mental, Emotional, and 

Behavioral Disorders Among Young People: Program and Possibilities,” our nation’s approach 

to substance abuse and mental health disorders had largely been to “wait to act until a disorder is 

well-established and had already done considerable harm” in spite of the fact that there are many 

prevention strategies that have been shown to be effective. The result is a patchwork that does 

not perform as an integrated system and fails to serve the needs of many young people and their 

families. 

The Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH) Wellness 

Initiative promotes and enhances the wellness of young children by increasing grantees capacity 

to develop infrastructure and implement prevention/promotion strategies necessary to promote 

wellness for young children aged zero to eight. Project LAUNCH defines wellness as optimal 

functioning across all developmental domains, including physical, social, emotional, cognitive 

and behavioral health. For this program behavioral health includes mental health and positive 

development free from substance abuse and other negative behavior. The goal of Project 

LAUNCH is to create a shared vision for the wellness of young children that drives the 

development of Federal, State, Territorial, Tribal and locally-based networks for the coordination 

of key child-serving systems and the integration of behavioral and physical health services. The 

expected result is for children to be thriving in safe, supportive environments and entering school 

ready to learn and able to succeed. 

In FY 2011 SAMHSA proposes Project LAUNCH Plus, a new grant program to be jointly 

managed by the Center for Substance Abuse Prevention (CSAP) and the Center for Mental 

Health Services (CMHS). The purpose of this initiative is to assist communities in developing 

and implementing effective mental illness and substance abuse prevention and behavioral health 

promotion practices, strategies, and policies that will promote the wellness of individuals aged 0-

8 and the communities in which they live. The program builds on and expands SAMHSA’s 

original Project LAUNCH program by combining both mental illness and substance abuse 

prevention services into one program. Scientific evidence demonstrates that a common set of 

risk and protective factors contributes to a range of mental, physical, and behavioral problems, 

including substance abuse and other unhealthy behaviors. Thus, comprehensive individual and 

community based interventions targeting early risk factors and promoting protective factors can 

prevent substance abuse and some mental illnesses as well as other negative outcomes. The 

goals of the initiative are to improve community and individual level wellness, and health 

promotion outcomes. Performance measures will be collected at both the community and 

individual level. Measures will include population-based indicators of community wellness, and 

at an individual level will include measures of positive mental health, absence from substance 

abuse, and improved academic achievement. 

Under this program, grantee communities will utilize epidemiologically-based needs assessment 

approaches to identify their predominant substance abuse prevention and mental health issue(s), 

and will select and implement evidence-based strategies to target the identified risk and 

protective factors contributing to these issues. Evidence-based strategies may include individual- 
SAMHSA/CMHS - 31 

and family-focused prevention programs and practices, environmental strategies, communitywide public education campaigns, school-based curricula, and parenting, social, and life skills 

training. Grantees will collaborate with appropriate service providers for ages 0-8 to ensure the 

utilization of best practices for universal, selective, and indicated populations. 

This Initiative is creative in four significant ways. First, building on the SAMHSA Project 

LAUNCH model, it requires communities to address substance abuse and mental health issues 

concurrently rather than separately. Second, it is based on a public health model that focuses on 

health promotion for the general population, disease prevention, and the related delivery of 

evidence-based prevention services. Third, it actively addresses the needs of children and will 

support their involvement in evidence-based prevention. Finally, a rigorous evaluation will be 

conducted, in coordination with the National Institute of Drug Abuse. 

Primary and Behavioral Health Care Integration

In 2009 SAMHSA initiated the Primary and Behavioral Health Care Integration (PBHCI) 

Program and funded 13 Primary and Behavioral Health Care Integration grants. PBHCI grantees 

are expected to begin providing primary care services to their consumers with serious mental 

illness in February 2010, and are currently engaged in a variety of activities including hiring 

staff, developing electronic health record systems, developing data collection systems, and 

training staff on various issues related to PBHCI. Physical health problems among people with 

mental illnesses impacts quality of life and contributes to premature deaths – people with mental 

illnesses live 25 years less than average Americans. This grant program will provide people in 

need with better access to screening, and care management – including wellness programs 

encouraging more physical activity (exercise), better nutrition, smoking cessation, and help with 

medications. By building the necessary partnerships grantees will expand their offerings of 

primary healthcare services for people with mental illnesses, resulting in improved health status. 

The PBHCI program supports communities in coordinating and integrating primary care services 

into publicly-funded community mental health centers and other community-based behavioral 

health settings that provide mental health services. The expected outcome of improved health 

status for people with serious mental illness will be achieved by encouraging grantees to engage 

in necessary partnerships, expand infrastructure and increase the availability of primary health 

care services to individuals with mental illness. Partnerships between existing primary care and 

behavioral health organizations are deemed crucial to this program. The population of focus for 

this grant program is individuals with serious mental illness served in the public mental health 

system. 

SAMHSA expects that people with serious mental illnesses will show improvement in their 

physical health status through participation in this program which includes a focus on providing 

wellness education and support services. This grant program supports SAMHSA’s Pledge for 

Wellness 10 by 10 Campaign to prevent and reduce early mortality among people with mental 

illness by 10 years over the next 10 years. It is expected that better coordination and integration 

of primary and behavioral health care will lead to outcomes such as improved access to primary 

care services; improved prevention, early identification and intervention to avoid serious health 
SAMHSA/CMHS - 32 

issues including chronic diseases; enhanced capacity to holistically serve those with mental 

and/or substance use disorders; and better overall health status of clients. 

SAMHSA is collaborating with the Assistant Secretary for Planning and Evaluation (ASPE) at 

HHS on an evaluation for this program. The initial grantee meeting for Year 1 is expected to 

occur in late April 2010. All grant and contract continuations for the PBHCI program will be 

fully funded in FY 2011. 

Community Resilience and Recovery Initiative

In 2010 SAMHSA will initiate the Community Resilience and Recovery Initiative (CRRI) grant 

program and plans to award up to five grants (total of $5 million per year) over the next four 

years to support this initiative. This place-based initiative seeks to support evidence-based early 

interventions to address behavioral health problems, such as increased substance and alcohol use, 

family violence and increased incidence of mental health problems for individuals and 

communities experiencing heightened levels of stress, anxiety, and grief related to the economic 

downturn. This initiative will place a special focus on communities facing significant increases 

in unemployment. 

Consumer and Family Network Grants

The Consumer and Family Network grant program is an effort to promote consumer, family and 

youth participation in the development of policies, programs, and quality assurance activities 

related to the mental health systems reform. 

The Statewide Consumer Network program focuses on the needs of adult mental health 

consumers ages 18 and older by strengthening the capabilities of statewide consumer-run 

organizations to be catalysts for transforming the mental health and related systems in their State; 

thereby ensuring a focus on consumer recovery and resilience. It establishes sustainable 

mechanisms for integrating the consumer voice in state mental health and allied systems to 

expand service system capacity and support policy and program development. The program 

promotes skill development with an emphasis on leadership and business management, as well as 

coalition/ partnership building and economic empowerment as part of the recovery process for 

consumers. 

During FY 2004-2007, grantees improved community services, developed tele-health education 

and other on-line supports, conducted leadership academies for over 500 consumers and 

sustained involvement in policy, planning and service delivery decision-making roles. 

SAMHSA anticipates funding 19 additional Statewide Consumer Network grants in FY 2010. 

The new funding opportunity seeks to address the needs of underserved and under-represented 

consumers; of consumers with histories of trauma, veterans, or those who have been involved in 

the criminal justice system; and/or to promote activities related to partnership development, 

coalition building, legacy planning, and economic empowerment as part of the recovery process 

for consumers. 
SAMHSA/CMHS - 33 

The Statewide Family Network provides education and training to increase family organization 

capacity for policy and service development by: 1) strengthening organizational relationships; 2) 

fostering leadership and business management skills among families of children and adolescents 

with serious emotional disturbance; and 3) identifying and address the technical assistance needs 

of children and adolescents with serious emotional disturbances and their families. The 

Statewide Family Network focuses on families: parents, primary caregivers of children, youth 

and young adults. Young adults are eligible up to age 18, up to age 21 if they have an 

Individualized Education Plan, or up to age 26 if transitioning to the adult system. 

During FY 2004-2007 the Statewide Family Network served a total of 1,586,650 unduplicated 

youth and family members through training and support activities, educational forums and policy 

activities. This program reported that youth and family members held 17,542 seats on numerous 

policy, planning and service delivery decision-making groups, demonstrating that the grant is 

having a significant impact on the expansion of family voice in the development and 

implementation of services for America’s most vulnerable children. SAMHSA anticipates 

funding 42 additional Statewide Family Network grants in FY 2010. 

Co-Occurring State Incentive Grant

The Co-Occurring State Incentive Grant program, jointly administered with CSAT, develops and 

enhances the infrastructure and increases grantee capacity to provide comprehensive, 

coordinated/integrated, and evidence-based treatment services to persons with co-occurring 

mental health and substance abuse disorders. It is estimated that 5.4 million adults in the U.S. 

are affected by co-occurring mental and substance abuse disorders (2007 National Survey on 

Drug Use and Health). All contract continuations will be fully funded in FY 2011. 

Performance Management and Coordination Activities (formerly Mental Health System

Transformation) 

SAMHSA uses multiple systems for performance monitoring and measurement. Each Center 

uses a Web-based data entry and reporting system for its programs (except the Community 

Mental Health Services and Substance Abuse Prevention and Treatment Block Grant programs). 

The Transformation Accountability System (TRAC) is SAMHSA’s centralized web-based 

Government Performance and Results Act data collection system for behavioral health data. The 

data from this system is used to manage and monitor grantee performance. TRAC data includes 

the collection of SAMHSA’s National Outcome Measures for programs directly affecting client 

outcomes. These include SAMHSA’s mental health service programs that address services for 

older adults, jail diversion, HIV/AIDS, supportive housing, serious emotional disturbance, and 

child traumatic stress. SAMHSA is also expanding the use of TRAC for its remaining technical 

assistance, infrastructure development, and prevention PRNS programs.

Mental Health System Transformation and Health Reform (formerly Mental Health 

Transformation State Incentive Grants)

SAMHSA supports the President’s efforts to reform health care by engaging in activities that 

support the transformation of the mental health system. These include the Mental Health System 
SAMHSA/CMHS - 34 

Transformation Grants, the Transformation Transfer Initiative and the Mental Health/Substance 

Abuse Screening, Brief Intervention and Referral to Treatment program. 

The FY 2010 Mental Health System Transformation Grant (formerly Mental Health State 

Incentive Grants) awards will promote the adoption and implementation of permanent 

transformative changes in how communities manage and deliver mental health services. In an 

effort to reach a larger number of communities, the FY 2010 the Mental Health Systems 

Transformation grant awards will be smaller than the earlier grant awards and leverage existing 

infrastructures to accelerate capacities to address critical system and capacity reform needs in 

their respective communities. The new grants will allow counties and local communities 

flexibility to expand their treatment capacity and identify emerging treatment needs, especially 

those emerging in the context of the economic downturn. Necessary changes to policies and 

organizational structures to support improved mental health services will also be supported along 

with workforce training, implementation of evidence-based practices, and improving access to 

quality mental health services. 

The Transformation Transfer Initiative supports efforts to improve the capacity and effectiveness 

of mental health systems that foster recovery and meet the multiple needs of consumers. It 

explores new ways of getting mental health care services to everyone in need - a critical public 

health challenge. For example, according to the latest National Survey on Drug Use and Health, 

in 2008 there were 10.6 million adults aged 18 or older who reported an unmet need for mental 

health care in the past year. This included 5.1 million adults who did not receive any mental 

health services in the past year. The Transformation Transfer Initiative implements a number of 

innovative approaches to meeting these mental health challenges, including comprehensive peer 

support services for adults and youth, enhancing juvenile forensic mental health services and 

developing strategic plans to address the continuing needs of individuals with mental illnesses 

and co-occurring substance abuse disorders. 

Minority AIDS

The purpose of the Minority AIDS program is to enhance and expand the provision of effective, 

culturally competent HIV/AIDS-related mental health services in minority communities for 

persons living with HIV/AIDS and having a mental health need. The Centers for Disease 

Control and Prevention (CDC) reports significantly higher rates of HIV/AIDS among people of 

color. Blacks accounted for 51 percent and Hispanics accounted for 18 percent of all HIV/AIDS 

cases diagnosed in 2007 in the 34 states with name-based reporting (CDC, 2009). Psychiatric 

and psychosocial complications frequently are not diagnosed or addressed either at the time of 

diagnosis or through the course of the HIV/AIDS disease process. When untreated, these 

complications are associated with increased morbidity and mortality, impaired quality of life, and 

numerous medical and/or behavioral challenges, such as non-adherence with the treatment 

regimen. Eligible applicants are domestic public and private nonprofit entities. All grant and 

contract continuations will be fully funded in FY 2011. 
SAMHSA/CMHS - 35 

Criminal and Juvenile Justice Programs

Since 2002, SAMHSA has administered the Jail Diversion Program for Adults involved in the 

Criminal Justice System and has awarded grants to 40 States and communities. The purpose of 

this Initiative is to divert individuals with mental illness from the criminal justice system to more 

appropriate, community-based treatment and recovery support related services including primary 

health care, housing, and job counseling/placement. In 2008, the jail diversion program 

expanded focus to include individuals with trauma related mental disorders in an effort to reach 

the growing number of individuals with post-traumatic stress disorder in the criminal justice 

system, with a specific priority for veterans. The program also limited eligibility to states to pilot 

local diversion programs and replicate them statewide. 

Grantees have conducted over 79,000 screenings and diverted over 3,300 persons with mental 

illness from jail to community services. Data from the 2008 National Survey on Drug Use and 

Health show that there were 10.6 million adults aged 18 or older who reported an unmet need for 

mental health care in the past year. This included 5.1 million adults who did not receive any 

mental health services in the past year. In addition, 2008 NSDUH data show that of the 2.5 

million Americans with co-occurring Serious Mental Illness and substance abuse disorder, over 

one third (39.5%) of these adults received no treatment at all. Nineteen of the 24 earliest 

grantees continue their programs after SAMHSA funding ends. All grant and contract 

continuations for Criminal and Juvenile Justice Programs will be fully funded in FY 2011.

Funding History 

FY Amount 

2006 $75,765,000

2007 $72,992,000

2008 $90,157,000

2009 $110,054,000

2010 $123,075,000

Budget Request 

The FY 2011 President’s Budget request is $122.9 million, a decrease of $0.2 million from the 

FY 2010 Appropriation. The budget includes reductions in contract costs for efficiencies and 

process improvements as well as eliminates congressional projects. The request will support the 

expansion of the CSAT Screening, Brief Intervention and Referral to Treatment to include 

mental health in the amount of $4.0 million. The combined Mental Health/Substance Abuse 

SBIRT program with CSAT will serve approximately 58,456 clients. 

The proposed Mental Health/Substance Abuse SBIRT will reach individuals not likely to seek, 

but are in need of substance abuse and mental health services in communities. Data from the 

2008 National Survey on Drug Use and Health (NSDUH) show that the prevalence of past 30-

day serious psychological distress among adults aged 18 and older was 10.2 million, representing 

4.5 percent of all U.S. adults. In addition, the NSDUH found that there were 10.6 million adults 

aged 18 and older who reported an unmet need for mental health care in the past year. In 2008, 
 

SAMHSA/CMHS - 36 

approximately 40 percent of adults with co-occurring substance use and mental health disorders 

received no treatment at all. 

The 2011 President’s Budget request will also support $36.683 million for Project LAUNCH, an 

increase of $11.683 million above FY 2010 Appropriation (+$2 million in CMHS and +$9.683 

million in CSAP). The new joint initiative ($11.683 million) between CMHS and CSAP will 

support approximately 20 new Project LAUNCH Plus grants to communities, approximately 

$0.7 million contract for evaluation, and a $1.183 million contract for technical assistance. The 

Initiative will support cooperative agreements of approximately $500,000 per year. 

Outcomes and Outputs 

Table 5: Key Performance Indicators for Co-Occurring State incentive Grant 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 16

FY 2012 

+/- FY 

2011 

1.2.17: Increase the number of 

persons with co-occurring disorders 

served (Output) 

FY 2009: 

94,034 

(Target Not 

Met) 

103,679 103,679 124,524 +20,845 

1.2.18: Increase the percentage of 

treatment programs that screen for 

co-occurring disorders (Outcome) 

FY 2009: 29%

(Target Not 

Met) 

68% 68% 68% Maintain 

1.2.19: Increase the percentage of 

treatment programs that assess for 

co-occurring disorders (Outcome) 

FY 2009: 17%

(Target Not 

Met) 

32% 32% 32% Maintain 

1.2.20: Increase the percentage of 

treatment programs that treat cooccurring disorders through 

collaborative, consultative, and 

integrated models of care (Outcome) 

FY 2009: 6% 

(Target Not 

Met) 

53% 53% 53% Maintain 

16 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
 

SAMHSA/CMHS - 37 

Table 6: Mental Health System Transformation Grants (formerly MHT SIG)17

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 18

FY 2012 

+/- FY 

2011 

1.2.10: Increase the number of policy 

changes completed as a consequence 

of the Comprehensive Mental Health 

Plan (CMHP) (Output) 

FY 2009: 191 

(Target 

Exceeded) 

29 2 103 +101 

1.2.11: Number of persons in the 

mental health care and related 

workforce who have been trained in 

service improvements recommended 

by the CMHP (Outcome) 

FY 2009: 

52,748 

(Target 

Exceeded) 

16,557 746 4,095 +3,349 

1.2.12: Increase the number of 

financing policy changes completed 

as a consequence of the CMHP 

(Output) 

FY 2009: 47 

(Target 

Exceeded) 

19 0 54 +54 

1.2.13: Increase the number of 

organizational changes completed as 

a consequence of the CMHP 

(Output) 

FY 2009: 148 

(Target Not 

Met but 

Improved) 

64 0 159 +159 

1.2.14: Increase the number of 

organizations that regularly obtain 

and analyze data relevant to the goals 

of the CMHP (Output) 

FY 2009: 

6841 

(Target 

Exceeded) 

794 0 46 +46 

1.2.15: Increase the number of 

consumers and family members that 

are members of Statewide consumerand family-run networks (Outcome) 

FY 2009: 

82,113 

(Target 

Exceeded) 

3,510 0 5,784 +5,784 

1.2.16: Increase the number of 

programs implementing practices 

consistent with the CMHP 

(Outcome) 

FY 2009: 

1,256 

(Target 

Exceeded) 

1,227 0 219 +219 

17 FY 2011 targets drop off due to grants coming to a natural end.

18 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
 

SAMHSA/CMHS - 38 

Table 7: Performance Indicators for Mental Health Programs of Regional and National 

Significance - Other Mental Health Capacity Activities19 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 20

FY 2012 

+/- FY 

2011 

1.2.03: Rate of consumers reporting 

positively about perception of care 

(program participants) 21 (Outcome) 

FY 2009: 

95.2% 

(Target Not 

Met but 

Improved) 

98% 98% 98% Maintain 

1.2.05: Increase the percentage of 

clients receiving services who report 

improved functioning (Outcome) 

FY 2009: 

52.8% 

(Target Not 

Met but 

Improved) 

54% 54% 54% Maintain 

1.2.06: Number of evidence based 

practices (EBPs) implemented 

(Output) 

FY 2008: 4.2 

per State 

(Target 

Exceeded) 

4.1 per State 4.2 per State 4.2 per State Maintain 

1.2.08: Number of Adults: 

percentage of population coverage 

for each (reported as percentage of 

service population receiving any 

evidence based practice) (Output) 

FY 2008: 8% 

(Target Not 

Met) 

10.5% 10.5% 10.5% Maintain 

1.2.09: Number of Children: 

percentage of population coverage 

for each (reported as percentage of 

service population receiving any 

evidence based practice) (Output) 

FY 2008: 3% 

(Target Not 

Met) 

3.5% 3.5% 3.5% Maintain 

19Prior to 2008, includes Jail Diversion, Older Adults, HIV/AIDS, and Services in Supportive Housing programs. Beginning in 2009, data from 

Services in Supportive Housing will be reported under Homelessness Activities 20 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

21Measure has been changed with OMB approval from Rate of consumers/family members reporting positively about outcomes (program 

participants). CMHS dropped measure 1.2.04 and change measure 1.2.03 to “Rate of consumers reporting positively about perception of care.” 
 

SAMHSA/CMHS - 39 

Table 8: Mental Health/Substance Abuse Screening, Brief Intervention, and Referral to 

Treatment 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 22

FY 2012 

+/- FY 

2011 

Increase the number of individuals 

screened for mental disorders 

(including PTSD) and substance use 

disorders 

N/A N/A N/A 58,456 +58,456 

Increase the number of individuals 

receiving a brief intervention for MH 

and/or SUD 

N/A N/A N/A 9,998 +9,998 

Increase number of individuals 

assessed and referred for specialty 

MH and/or SA treatment 

N/A N/A N/A 2,449 +2,449 

Increase the percentage of 

individuals receiving mental health 

and/or substance abuse treatment 

services who report improved 

functioning 

N/A N/A N/A 47% +47% 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 223 236 223 

Average Award $388,350 $396,665 $404,883 

Range of Awards 

$60,000-

$2,730,000

$60,000-

$2,730,000

$60,000-

$2,730,000 

22 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
SAMHSA/CMHS - 40 

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SAMHSA/CMHS - 41 

Science and Service Activities 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- 

FY 2010 

Information Dissemination and Training $8,689 $9,001 $8,528 -$473

NREPP 544 544 544 0

SAMHSA Health Information Network 1,920 2,673 2,644 -29

Consumer & Cons. Support TA 

Centers........... 1,927 1,927 1,927 0

Minority Fellowship Program 4,083 4,279 4,279 0

Disaster Response 1,054 1,054 1,054 0

HIV/AIDS Education 973 974 774 -200

Budget Authority $19,190 $20,452 $19,750 -$702

Authorizing Legislation...................Sections 520A and 520C of the Public Health Service Act 

FY 2011 Authorization................................................................................Expired 

Allocation Method...........................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

SAMHSA’s Science and Service programs are complements to the Capacity programs. The 

mental health programs within Science and Service include HIV/AIDS Education, National 

Registry of Evidence-based Programs and Practices, and the SAMHSA Health Information 

Network. These programs disseminate best-practices information to grantees and the field, 

helping to ensure that SAMHSA’s Capacity programs build and improve services capacity in the 

most efficient, effective and sustainable way possible. The Science and Service programs are 

also an essential and cost-effective support to building effective capacity in communities that do 

not receive grant funds from SAMHSA. 

Information Dissemination and Training (formerly Mental Health System Transformation 

Activities)

SAMHSA addresses the need for disseminating key information such as best-practices and 

evidence base to the mental health delivery system and achieving health care reform by engaging 

in activities that support the mental health system transformation and reform. These activities 

include the new Health Information Technology program, Anti-Stigma Campaign, the 

Elimination of Mental Health Disparities Program, and the Mental Health System 

Transformation and Reform Web Portal. 

National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP) is a searchable 

online registry of mental health and substance abuse interventions that have been reviewed and 
SAMHSA/CMHS - 42 

rated by independent reviewers. The purpose of this registry is to assist the public in identifying 

approaches to preventing and treating mental and/or substance use disorders that have been 

scientifically tested and that can be readily disseminated to the field. NREPP is one way that 

SAMHSA is working to improve access to information on tested interventions and thereby 

reduce the lag time between the creation of scientific knowledge and its practical application in 

the field. SAMHSA has developed this resource to help people, agencies, and organizations 

implement programs and practices in their communities. 

After an extensive period of redesign, the new NREPP system and Web site was launched in 

March 2007. Information on over 150 interventions is currently available, and new intervention 

summaries (approximately three to five per month) are continually being added as reviews are 

completed. The registry is expected to grow to a large number of interventions over the coming 

months and years. Moreover, additional interventions to address service needs are submitted for 

review each year in response to an annual Federal Register notice. 

SAMHSA Health Information Network

SAMHSA’s Health Information Network (SHIN), initiated in 2005, combines the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC) to provide a one-stop, quick access point that connects the 

behavioral health workforce and the general public to the latest information on the prevention 

and treatment of mental and substance abuse disorders. SHIN leverages knowledge management 

technology to create an integrated, customer-centric health information network that provides a 

suite of information services to help SAMHSA discern and meet the needs of its customers. This 

knowledge management project has allowed SAMHSA to merge the NCADI and NMHIC backend infrastructures, contact centers, and warehouses; reengineer the Contact Center 

communications architecture to serve customers faster and with fewer staff; streamline and unify 

data collection; and establish dashboard reporting on inventory and customer inquiries. The 

current contract will end in FY 2010, and a new contract will begin in FY 2011. SAMHSA is 

currently reviewing options for that contract, including potential use of emerging technologies to 

gain efficiencies and redirect resources into product development and other priority 

programmatic needs. 

SHIN provides critical knowledge dissemination support for SAMHSA, including hard copy and 

electronic dissemination of materials on suicide prevention, stigma reduction and women’s 

mental health. In particular, information about SAMHSA’s Suicide Prevention Lifeline (such as 

the wallet card, magnet, and brochure) is disseminated in multiple languages through SHIN. 

SAMHSA’s evidence-based practice tool kits on mental health services are also disseminated 

through SHIN. The majority of mental health-related inquiries are received from individuals 

seeking help for themselves, a family member or a friend, or from treatment professionals or 

facilities. SHIN also supports exhibits at several major mental health conferences. 

SAMHSA has established two new performance measures for the SHIN to reflect the substantial 

and increasing role in knowledge product dissemination of the SHIN. SAMHSA will continue to 

refine and update its performance measures over the coming year, as it moves forward with 

developing the necessary taxonomy and IT infrastructure to support these measures. In 2009, the 
SAMHSA/CMHS - 43 

most recent year for which data are available, SHIN disseminated 16,360,389 knowledge 

products to the field. 

HIV/AIDS Education

The Mental Health Care Provider Education in HIV/AIDS Program disseminates knowledge and 

training on the treatment of the neuropsychiatric and psychological sequelae of HIV/AIDS. 

Untreated and unidentified neuropsychiatric and mental health complications related to 

HIV/AIDS lead to more serious problems, delayed care, non-adherence to care, impaired quality 

of life and increased morbidity and mortality. In FY 2009 approximately 3,322 front line 

providers were trained (face-to-face) with the Mental Health Care Provider Education in 

HIV/AIDS Program, including psychiatrists, psychologists, social workers, care managers, 

nurses, primary care practitioners, and medical students, as well as clergy, and other workers in 

the mental health arena. Over 17,000 Web-Ed trainings were accessed since July 2006 as 

internet applications expand the work. The evolution of treatment and prevention strategies 

requires the increasingly professionally informed participation of HIV-related mental health 

providers. 

Funding History 

FY Amount 

2006 $20,972,000 

2007 $19,410,000 

2008 $20,395,000 

2009 $19,190,000 

2010 $20,452,000 

Budget Request 

The FY 2011 President’s Budget request is $19.8 million, a decrease of $0.7 million from the 

FY 2010 Appropriation. The budget includes reductions in contract costs for efficiencies and 

process improvements. The request will fully support all grant and contract continuations. 
 

SAMHSA/CMHS - 44 

Outcomes and Outputs

Table 9: Key Performance Indicators for Mental Health Programs of Regional and 

National Significance - Science and Service Activities23 , 24

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 25

FY 2012 +/- 

FY 2011 

1.4.06: Number of people trained by 

CMHS Science and Service 

Programs (Output) 

FY 2009: 

3,534 

(Target Not 

Met) 

4,237 4,237 4,237 Maintain 

1.4.07: Percentage of those trained 

by the program who report they 

were very satisfied with training 

(Output) 

FY 2009: 

81.4% 

(Target 

Exceeded) 

80% 80% 80% Maintain 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 16 16 16 

Average Award $359,938 $357,750 $358,250 

Range of Awards $34,900-$659,334 $34,900-$659,334 $34,900-$659,334 

23Prior to 2008, includes HIV/AIDS education and Historically Black Colleges and Universities National Resource Center for Substance Abuse 

and Mental Health. Beginning in 2009, data from Services in Supportive Housing will be reported under Homelessness Activities.

24In the FY 2010 President's Budget it was erroneously noted that Statewide Family/Consumer TA Center contributed to the Science and 

Services measures. This is not the case and thus has been removed from the list of participating programs. 25 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
SAMHSA/CMHS - 45 

Children’s Mental Health Services Program 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $108,373 $121,316 $126,214 +$4,898

Authorizing Legislation ..................................Section 561 to 565 of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method .................................................... Competitive Grants/Cooperative Agreements 

Program Description and Accomplishments

The Children’s Mental Health Services Program was first authorized in 1992. The program 

supports the development of comprehensive, community-based systems of care for children and 

adolescents with serious emotional disorders and their families. Systems of Care is an approach 

to the delivery of services that recognizes the importance of family, school and community, and 

seeks to promote the full potential of every child and youth by addressing their physical, 

emotional, intellectual, cultural and social needs. Accordingly, a system of care is a coordinated 

network of community-based services and supports that are organized to meet the challenges of 

children and youth with serious mental health needs and their families. 

Since 1993, the program has funded 164 grantees across the country; serving 95,884 children, 

and adolescents and their families. Grants are funded for a total of six years, with an increasing 

non-Federal match requirement over the term of the award. The match requirement is intended 

to promote sustainability of the local systems of care beyond the grant period. Sixty-four percent 

of system of care communities sustained five years post-Federal funding. 

National program evaluation data collected for more than a decade indicate that systems of care 

are successful, resulting in many favorable outcomes for children, youth and their families, 

including: 

 Sustained mental health improvements, including improvements for participating 

children and youth in clinical outcomes after six months of program participation; 

 Improvements in school attendance and achievement; 

 Reductions in suicide-related behaviors; 

 Decreases in utilization of inpatient care and reduced costs due to fewer days in inpatient 

care; 

 Significant reductions in contacts with law enforcement agencies. 

A hallmark of this program is that youth and families partner with providers and policy makers 

in service delivery and system reform planning and decision-making. In addition to the 

substantial roles children, youth, and families play in the care they receive, services are delivered 
 

SAMHSA/CMHS - 46 

in the least restrictive environment with evidence-based treatments and interventions. Care 

management ensures that planned services and supports are delivered appropriately and 

effectively. 

Funding History 

FY Amount 

2006 $104,006,000 

2007 $104,078,000 

2008 $102,260,000 

2009 $108,373,000 

2010 $121,316,000 

Budget Request 

The FY 2011 President’s Budget request is $126.2 million, an increase of $4.9 million over the 

FY 2010 Appropriation. The budget will serve an additional 527 children, a four percent 

increase. In 2010, a new cohort of approximately six grants will be awarded. 

Outcomes and Outputs 

Table 10: Key Performance Indicators for Children's Mental Health Services 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 26

FY 2012 +/- 

FY 2011 

3.2.12: Increase percentage of 

children attending school 80% or 

more of time after 12 months 27

(Outcome) 

FY 2009: 

89.2% 

(Target 

Exceeded) 

86.3% 86.3% 86.3% Maintain 

3.2.13: Increase percentage with no 

law enforcement contacts at 6 

months (Outcome) 

FY 2009: 

68.9% 

(Target Not 

Met) 

71.7% 71.7% 71.7% Maintain 

26 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, adjustments to FY 2011 funding will 

be reflected in the targets set for FY 2012. 

27This measure has been slightly revised. It was previously reported as “75% or more of the time.” However, the measure has been calculated 

using an 80% threshold since 2004. Therefore, this revision brings the measure text in line with the calculation. 
 

SAMHSA/CMHS - 47 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target26

FY 2012 +/- 

FY 2011 

3.2.14: Decrease average days of 

inpatient facilities among children 

served in systems of care at 6 

months 28 (Outcome) 

FY 2009: -

0.12 

(Target Not 

Met) 

-2 -2 -2 Maintain 

3.2.16: Increase number of children 

receiving services (Output) 

FY 2009: 

10,762 

(Target Not 

Met) 

13,051 13,051 13,578 +527 

3.2.17: Increase total savings for inhospital patient care costs per 1,000 

children served 29 (Efficiency) 

FY 2009: 

$160,000 

(Target Not 

Met) 

$2,376,000 $2,376,000 $2,376,000 Maintain 

Grant Awards Table 

(Whole Dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 71 73 67

Average Award $1,186,338 $1,314,274 $1,495,866

Range of Awards $330,000-$2,000,000 $330,000-$2,000,000 $330,000-$2,000,000

28Successful result is below target. For example, FY 2007 the target was -2. To have achieved the target, the program would need a smaller 

number (i.e. -2.5 or -3). 

29Wording for this measure has changed slightly to make the measure more clear.
SAMHSA/CMHS - 48 

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SAMHSA/CMHS - 49 

Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $35,880 $36,380 $36,380 ---

Authorizing Legislation.....................................................Section 102 of the PAIMI Act 

FY 2011 Authorization................................................................................Expired 

Allocation Method.............................................................................Formula Grant 

Program Description and Accomplishments

The Protection and Advocacy for Individuals with Mental Illness Program (PAIMI) provides 

formula grant awards to support protection and advocacy systems designated by the governor of 

each State and the Territories, and the Mayor of the District of Columbia. State protection and 

advocacy systems monitor facility compliance with respect to the rights of individuals through 

activities that ensure the enforcement of the Constitution and Federal and State laws. State 

protection and advocacy systems monitor public and private residential care and treatment 

facilities and non-medical community-based facilities for children and youth. The President’s 

Budget will support 57 grants to States and Territories. An independent evaluation of the 

program was completed in FY 2009 which confirmed that PAIMI programs provide those with 

psychiatric disability a voice in the exercise of their rights and are highly successful in achieving 

client and system goals and objectives. 

In 2008, the PAIMI program: 

 Provided casework to 4,425 children and adolescents and 13,043 adults and elderly 

individuals with mental illness; 

 Closed 14,772 cases, of which 4,271 were related to abuse, 2,860 to neglect, and 7,641 to 

a violation of individual rights; 

 Resolved 87 percent of alleged abuse cases, 84 percent of alleged neglect cases, and 89 

percent of alleged rights violations cases that resulted in positive change for the client in 

her/his environment, community, or facility. 

The FY 2011 funding will serve over 22,000 persons in FY 2012, drawing upon a marginal cost 

analysis conducted for this program (which estimated an average cost per complaint resolved 

successfully in FY 2009 of $3,164). For complaints of alleged abuse that resulted in positive 

change for the client in her or his environment, community, or facility as a result of PAIMI 

involvement, the outcome has improved each year from 78% in FY 2005 to 87% in FY 2008. 

The PAIMI program underwent a performance assessment in 2005. The assessment cited the 

fact that the program serves a clear need and is reporting positive outcomes as strong attributes 
SAMHSA/CMHS - 50

of the program. As a result of the performance assessment, the program has provided grantees 

with guidelines as to how to calculate the number of PAIMI-eligible individuals impacted; has 

provided technical assistance on the right to access facilities, consumers, and information 

through the National Disability Rights Network; and is conducting an evaluation of the program. 

This program is one of eight protection and advocacy (P&A) programs housed in three Federal 

departments. The different reporting and evaluation requirements translate into a significant 

paperwork burden for recipients. To help remedy this problem, HHS, along with the Department 

of Education and the Social Security Administration, is committed to improving federal program 

coordination related to the monitoring and evaluating of these programs. 

Funding History 

FY Amount 

2006 $34,000,000 

2007 $34,000,000 

2008 $34,880,000 

2009 $35,880,000 

2010 $36,380,000 

Data Elements Used to Calculate FY 2011 Allotments

Population: July 1, 2008 Population Estimates (all ages combined) from U.S. Census Bureau. 

Income: 2008 Per Capita Income from Department of Commerce/Bureau of Economic 

Analysis. 

Budget Request 

The FY 2011 President’s Budget request is $36.4 million, the same level as the FY 2010 

Appropriation. The request will support 57 grants to States and Territories. State allotments 

reflect changes in the population estimates and per capita income over the prior year. 
 

SAMHSA/CMHS - 51 

Outcomes and Outputs 

Table 11: Key Performance Indicators for Protection and Advocacy 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 30

FY 2012 

+/- FY 

2011 

3.4.08: Increase percentage of 

complaints of alleged abuse not 

withdrawn by the client that resulted 

in positive change for the client in 

her/his environment, community, or 

facility, as result of PAIMI 

involvement (Outcome) 

FY 2008: 87%

(Target 

Exceeded) 

84% 84% 84% Maintain 

3.4.09: Increase percentage of 

complaints of alleged neglect 

substantiated not withdrawn by the 

client that resulted in positive change 

for the client in her/his environment, 

community, or facility, as a result of 

PAIMI involvement (Outcome) 

FY 2008: 84%

(Target Not 

Met) 

88% 88% 88% Maintain 

3.4.10: Increase percentage of 

complaints of alleged rights 

violations substantiated and not 

withdrawn by the client that resulted 

in positive change through the 

restoration of client rights, expansion 

or maintenance of personal decisionmaking, or elimination of other 

barriers to personal decision-making, 

as a result of PAIMI involvement 

(Outcome) 

FY 2008: 89%

(Target Not 

Met but 

Improved) 

90% 90% 90% Maintain 

3.4.11: Percent of interventions on 

behalf of groups of PAIMI-eligible 

individuals that were concluded 

successfully (Outcome) 

FY 2008: 97%

(Target 

Exceeded) 

97% 97% 97% Maintain 

3.4.12: Increase in the number of 

people served by the PAIMI program 

(Outcome) 

FY 2008: 

17,468 

(Target Not 

Met) 

22,325 22,325 22,325 Maintain 

30 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, adjustments to FY 2011 funding will 

be reflected in the targets set for FY 2012. 
 

SAMHSA/CMHS - 52 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target30

FY 2012 

+/- FY 

2011 

3.4.13: Ratio of persons 

served/impacted per 

activity/intervention (Outcome) 

FY 2008: 

1177 

(Target 

Exceeded) 

430 430 430 Maintain 

3.4.14: Cost per 1,000 individuals 

served/impacted 31 (Efficiency) 

FY 2008: 

$1,886 

(Target 

Exceeded) 

$1,950 $1,950 $1,950 Maintain 

3.4.19: The number attending public 

education/constituency training and 

public awareness activities (Output) 

FY 2008: 

83,070 

(Target Not 

Met) 

120,000 120,000 120,000 Maintain 

31Successful result is below target. 
SAMHSA/CMHS - 53 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CFDA # 93.138 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Alabama $447,513 $453,033 $451,210 -$1,823

Alaska 424,900 430,800 430,800 0

Arizona 588,922 615,499 636,135 +20,636

Arkansas 424,900 430,800 430,800 0

California 3,138,129 3,157,066 3,156,541 -525

Colorado 424,900 430,800 430,800 0

Connecticut 424,900 430,800 430,800 0

Delaware 424,900 430,800 430,800 0

District Of Columbia 424,900 430,800 430,800 0

Florida 1,611,140 1,639,586 1,642,945 +3,359

Georgia 893,202 919,227 932,582 +13,355

Hawaii 424,900 430,800 430,800 0

Idaho 424,900 430,800 430,800 0

Illinois 1,118,985 1,118,508 1,111,634 -6,874

Indiana 600,262 613,654 612,763 -891

Iowa 424,900 430,800 430,800 0

Kansas 424,900 430,800 430,800 0

Kentucky 424,900 430,800 430,800 0

Louisiana 424,900 430,800 430,800 0

Maine 424,900 430,800 430,800 0

Maryland 460,344 460,430 458,172 -2,258

Massachusetts 515,059 516,687 516,280 -407

Michigan 936,728 956,242 944,052 -12,190

Minnesota 448,056 452,067 447,934 -4,133

Mississippi 424,900 430,800 430,800 0

Missouri 550,483 561,160 558,480 -2,680

Montana 424,900 430,800 430,800 0

Nebraska 424,900 430,800 430,800 0

Nevada 424,900 430,800 430,800 0

New Hampshire 424,900 430,800 430,800 0

New Jersey 697,603 695,242 688,789 -6,453

New Mexico 424,900 430,800 430,800 0

New York 1,579,588 1,581,203 1,585,334 +4,131

North Carolina 840,515 869,277 881,640 +12,363

North Dakota $424,900 430,800 430,800 $0
SAMHSA/CMHS - 54 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CFDA # 93.138 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Ohio $1,074,273 $1,085,963 $1,080,596 -$5,367

Oklahoma 424,900 430,800 430,800 0

Oregon 424,900 430,800 430,800 0

Pennsylvania 1,107,644 1,110,883 1,099,490 -11,393

Rhode Island 424,900 430,800 430,800 0

South Carolina 429,192 441,509 446,302 +4,793

South Dakota 424,900 430,800 430,800 0

Tennessee 573,410 593,337 595,120 +1,783

Texas 2,140,710 2,184,785 2,194,491 +9,706

Utah 424,900 430,800 430,800 0

Vermont 424,900 430,800 430,800 0

Virginia 656,253 666,229 665,862 -367

Washington 559,347 561,991 564,558 +2,567

West Virginia 424,900 430,800 430,800 0

Wisconsin 510,279 517,377 516,223 -1,154

Wyoming 424,900 430,800 430,800 0

State Sub-total 33,374,837 33,833,355 33,849,533 +16,178

American Samoa 227,600 230,800 230,800 0

Guam 227,600 230,800 230,800 0

Northern Marianas 227,600 230,800 230,800 0

Puerto Rico 649,563 665,045 648,867 -16,178

Virgin Islands 227,600 230,800 230,800 0

Territory Sub-Total 1,559,963 1,588,245 1,572,067 -16,178

American Indian Consortium 227,600 230,800 230,800 0

Total States/Territories 35,162,400 35,652,400 35,652,400 0

Technical Assistance 717,600 727,600 727,600 0

TOTAL PAIMI $35,880,000 $36,380,000 $36,380,000 $0
SAMHSA/CMHS - 55 

Projects for Assistance in Transition from Homelessness 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $59,687 $65,047 $70,000 +$4,953

Authorizing Legislation .............................................Section 521 of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ......................................................................................................Formula grant 

Program Description and Accomplishments

In 1990, the Stewart B. McKinney Homeless Assistance Amendments Act authorized the 

Projects for Assistance in Transition from Homelessness (PATH) program. PATH is unique in 

that it alone is authorized to address the needs of individuals with serious mental illness (SMI) 

and/or SMI with a co-occurring substance use disorder who are experiencing homelessness or 

are at risk of homelessness. PATH connects this largely un-served population to critical services 

and resources to assist them on the road of recovery. PATH funds community-based outreach, 

mental health, substance abuse, case management and other supportive services, and a limited set 

of housing services in 483 communities from all 50 states, the District of Columbia, Puerto Rico, 

Guam, American Samoa, the U.S. Virgin Islands, and the Northern Mariana Islands. 

The PATH formula calculates State allotments based on the population living in urbanized areas. 

These population data are updated after each census. This program requires matching funds of $1 

to every $3 of Federal funds. In the past several years, State and local matching funds exceeded 

the required amount. The PATH program has been highly successful in targeting assistance to 

individuals with SMI who are homelessness or are at risk of homelessness or experiencing a cooccurring SMI and substance use disorder. The PATH budget supports 56 grants to States and 

Territories, as well as centralized activities like technical assistance and evaluation. 

In 2008, the PATH program contacted 134,932 homeless persons, ten percent short of the target 

of 150,000. The program has begun to implement several activities to increase its performance 

on all the National Outcome Measures. Regarding the required match of $1 for every $3 of 

Federal funds, previously PATH grantees reported on the number of persons served by federal 

PATH funds only. Grantees will now report on all persons served using Federal and matching 

funds and on optional outcome measures for the first time. 

PATH implemented other activities to assure greater consistency of data collection and reporting 

to improve performance. In 2009, PATH developed national definitions for outreach, enrollment 

and engagement. Online training on these definitions was provided for all 56 State grantees and 

483 local providers. In addition, a partnership has been established with the Department of 

Housing and Urban Development (HUD) to determine the feasibility of having all PATH 
SAMHSA/CMHS - 56 

grantees collect and report PATH data in the Homeless Management Information System 

(HMIS). 

In December 2009, PATH began a process to prepare grantees to report in HMIS. This will 

involve a series of exposure trainings, intensive technical assistance activities, regional trainings, 

early adopter, pilot and peer-to peer activities and online trainings etc. These activities will be 

implemented in partnership with HUD and the Department of Veterans Affairs. PATH 

anticipates that by 2011, the early adopter, pilot testers will begin reporting in HMIS. 

Involving consumers in the PATH program is essential. The program established a PATH 

consumer-provider network that developed a consumer involvement curriculum to assist in the 

planning, design, and delivery of PATH at the local, State, and national levels. Located at 

http://pathprogram.samhsa.gov, the recently re-designed PATH website provides tools and 

information for consumers, PATH providers, other homeless service providers, policy makers 

and the general public. It also presents opportunities for providers working with individuals who 

are homeless to connect with each other. 

Funding History 

FY Amount 

2006 $54,223,000 

2007 $54,261,000 

2008 $53,313,000 

2009 $59,687,000 

2010 $65,047,000 

Data Elements Used to Calculate FY 2011 Allotments 

Population: 2000 Population (all ages combined) of Urbanized Areas from U.S. Census Bureau 

for the States, the District of Columbia and Puerto Rico (2000 Census); no population data 

required for the Territories. 

Budget Request 

The FY 2011 President’s Budget request is $70.0 million, an increase of $4.9 million over the 

FY 2010 Appropriation. The request will support 56 grants to States and Territories. State 

allotments reflect an increase of funding. The same population data was used in the prior year. 
 

SAMHSA/CMHS - 57 

Outcomes and Outputs 

Table 12: Key Performance Indicators for Projects to Assist in the Transition from 

Homelessness 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 32

FY 2012 +/- 

FY 2011 

3.4.15: Increase the percentage of 

enrolled homeless persons who 

receive community mental health 

services (Outcome) 

FY 2008: 47%

(Target 

Exceeded) 

47% 47% 47% Maintain 

3.4.16: Increase number of homeless 

persons contacted (Outcome) 

FY 2008: 

134,932 

(Target Not 

Met) 

160,000 182,000 195,850 +13,850 

3.4.17: Increase percentage of 

contacted homeless persons with 

serious mental illness who become 

enrolled in services (Outcome) 

FY 2008: 54%

(Target Not 

Met) 

55% 55% 55% Maintain 

3.4.18: Average Federal cost of 

enrolling a homeless person with 

serious mental illness in services 33

(Efficiency) 

FY 2008: 

$669 

(Target Not 

Met but 

Improved) 

$668 $668 $668 Maintain 

3.4.20: Provide training for PATH 

providers on SSI/SSDI Outreach, 

Access, Recovery (SOAR) to ensure 

eligible homeless clients are 

receiving benefits. (Output) 

FY 2009: 

5,104 

(Target 

Exceeded) 

4,927 5,420 5,832 +412 

32 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

33Successful result is below target.
SAMHSA/CMHS - 58 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Projects for Assistance in Transition from Homelessness (PATH) 

CFDA # 93.150 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Alabama $535,000 $588,000 $635,000 +$47,000

Alaska 300,000 300,000 300,000 0

Arizona 1,078,000 1,184,000 1,278,000 +94,000

Arkansas 300,000 300,000 300,000 0

California 8,261,000 9,073,000 9,792,000 +719,000

Colorado 886,000 973,000 1,050,000 +77,000

Connecticut 786,000 863,000 931,000 +68,000

Delaware 300,000 300,000 300,000 0

District Of Columbia 300,000 300,000 300,000 0

Florida 3,715,000 4,081,000 4,404,000 +323,000

Georgia 1,382,000 1,518,000 1,638,000 +120,000

Hawaii 300,000 300,000 300,000 0

Idaho 300,000 300,000 300,000 0

Illinois 2,686,000 2,950,000 3,183,000 +233,000

Indiana 941,000 1,033,000 1,115,000 +82,000

Iowa 307,000 338,000 364,000 +26,000

Kansas 333,000 366,000 395,000 +29,000

Kentucky 432,000 475,000 512,000 +37,000

Louisiana 699,000 768,000 829,000 +61,000

Maine 300,000 300,000 300,000 0

Maryland 1,172,000 1,287,000 1,389,000 +102,000

Massachusetts 1,554,000 1,707,000 1,842,000 +135,000

Michigan 1,814,000 1,993,000 2,151,000 +158,000

Minnesota 748,000 821,000 887,000 +66,000

Mississippi 300,000 300,000 300,000 0

Missouri 852,000 936,000 1,010,000 +74,000

Montana 300,000 300,000 300,000 0

Nebraska 300,000 300,000 300,000 0

Nevada 462,000 508,000 548,000 +40,000

New Hampshire 300,000 300,000 300,000 0

New Jersey 2,139,000 2,349,000 2,535,000 +186,000

New Mexico 300,000 300,000 300,000 0

New York 4,276,000 4,697,000 5,069,000 +372,000

North Carolina 1,037,000 1,139,000 1,229,000 +90,000

North Dakota $300,000 $300,000 $300,000 $0
SAMHSA/CMHS - 59 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Projects for Assistance in Transition from Homelessness (PATH) 

CFDA # 93.150 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Ohio $2,017,000 $2,215,000 $2,390,000 +$175,000

Oklahoma 409,000 449,000 485,000 +36,000

Oregon 545,000 599,000 646,000 +47,000

Pennsylvania 2,265,000 2,487,000 2,684,000 +197,000

Rhode Island 300,000 300,000 303,000 +3,000

South Carolina 517,000 568,000 613,000 +45,000

South Dakota 300,000 300,000 300,000 0

Tennessee 818,000 898,000 969,000 +71,000

Texas 4,081,000 4,482,000 4,837,000 +355,000

Utah 482,000 530,000 571,000 +41,000

Vermont 300,000 300,000 300,000 0

Virginia 1,300,000 1,428,000 1,541,000 +113,000

Washington 1,187,000 1,304,000 1,407,000 +103,000

West Virginia 300,000 300,000 300,000 0

Wisconsin 784,000 861,000 929,000 +68,000

Wyoming 300,000 300,000 300,000 0

State Sub-total 55,900,000 60,868,000 65,261,000 +4,393,000

American Samoa 50,000 50,000 50,000 0

Guam 50,000 50,000 50,000 0

Northern Marianas 50,000 50,000 50,000 0

Puerto Rico 959,000 1,053,000 1,137,000 +84,000

Virgin Islands 50,000 50,000 50,000 0

Territory Sub-Total 1,159,000 1,253,000 1,337,000 +84,000

Total States/Territories 57,059,000 62,121,000 66,598,000 +4,477,000

Set Aside 2,628,000 2,926,000 3,402,000 +476,000

TOTAL PATH $59,687,000 $65,047,000 $70,000,000 +$4,953,000
SAMHSA/CMHS - 60 

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SAMHSA/CMHS - 61 

Community Mental Health Services Block Grant 

(Dollars in thousands) 

 FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Program Level $420,774 $420,774 $420,774 ---

PHS Evaluation Funds (non-add) (21,039) (21,039) (21,039) ---

Authorizing Legislation ...........................................Section 1911 of the Public Health Service Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ......................................................................................................Formula grant 

Program Description and Accomplishments

Since 1992, the Community Mental Health Services Block Grant (CMHSBG) distributes funds 

to 59 eligible States and Territories through a formula based upon specified economic and 

demographic factors. Applications for FY 2010 grants were due September 1, 2009. 

Applications must include an annual plan for providing comprehensive community mental health 

services to adults with a serious mental illness and children with a serious emotional disturbance. 

A major provision of the current law includes a Maintenance of Effort (MOE) requirement of the 

CMHSBG wherein States are required to maintain expenditures for authorized activities at a 

level that is not less than the average level of such expenditures maintained by the State for the 

2-year period proceeding the year for which the State is applying for a grant. In FY 2010, due to 

significant fiscal reductions among many State budgets, approximately one third of States and 

territories are expected to have CMHSBG expenditure shortfall. The CMHSBG continues to 

represent a significant “safety net” source of funding for mental health services for some of the 

most vulnerable populations across the county. Funding for the CMHSBG has been flat for the 

past three years following a reduction from FY 2007 funding. During this time, the number of 

people served by the State mental health authorities across the country has increased from 

approximately six million in FY 2006 to 6.3 million in FY 2008. Additionally, in part due to the 

current economic downturn, State mental health authorities are expecting increasing demand for 

mental health services. 

Ninety-five percent of the funds allocated to the Community Mental Health Services Block 

Grant program are distributed to States through a formula prescribed by the authorizing 

legislation. Factors used to calculate the allotments include total personal income; State 

population data by age groups (total population data for Territories); total taxable resources; and 

a cost of services index factor. States and territories may expend Block Grant funds only to carry 

out the annual plan, to evaluate programs and services carried out under the plan, and for 

planning, administration, and educational activities related to providing services under the plan. 

The legislation provides a five percent set-aside, which is retained by SAMHSA, to assist the 

States and Territories in the development of their mental health systems through the support of 
SAMHSA/CMHS - 62 

technical assistance, data collection and evaluation activities. A breakout of the Mental Health 

Block Grant set-aside funding is provided in a table following the ten-year funding table display. 

The Mental Health State Data Infrastructure Grants are funded under the Block Grant Set-aside. 

This grant program meets the goal of developing state capacity to collect and report data on 21 

Uniform Reporting System measures, which include the National Outcome Measures (NOMS). 

With support of the Data Infrastructure Grants and through the Uniform Reporting System, State 

Mental Health Agencies provide annual State mental health system data reports to the Mental 

Health Block Grant program to assure efficiency and effectiveness and to report on program 

performance. Over the past six years, 59 States and Territories have consistently increased in 

their ability to provide data, focusing on use of common measures across states. The Data 

Infrastructure Grant also supports mental health data system development and use of data for 

policy and program decision making. States must match grant awards at a 100 percent level. 

SAMHSA is working to initiate client-level data collection through the Uniform Reporting 

System. 

Most states are currently reporting on NOMS for public mental health services within their State 

through the Uniform Reporting System (URS). The first compilation of State National Outcome 

Measures data was submitted to Congress in the spring of 2005. For the fifth consecutive year, 

significantly increased numbers of States have reported on National Outcome Measures domains 

for both mental health and substance use programs: 

State level outcome data for mental health are currently reported by State Mental Health 

Agencies through the Uniform Reporting System. The following outcomes for services provided 

during 2008 show that: 

 For the 55 States that reported data in the Employment Domain, 21 percent of the mental 

health consumers were in competitive employment; 

 For the 55 States that reported data in the Housing Domain, 79 percent of the mental 

health consumers were living in private residences; 

 For the District of Columbia and 50 States that reported data in the Access/Capacity 

Domain, State mental health agencies provided mental health services for 21 people per 

1,000 population. All States and the District of Colombia report this measure; 

 For the 48 States that reported data in the Retention Domain, only nine percent of the 

mental health patients returned to a State hospital within 30 days of State hospital 

discharge; 

 For the 53 States that reported data in the Perception of Care Domain, 71 percent of adult 

mental health consumers improved functioning as a direct result of the mental health 

services they received; 

 In addition to Uniform Reporting System, the final stage of a pilot test of collection of 

client level outcome data is currently in process in nine States. 

The independent evaluation study of the program has been completed and a draft report is under 

review for tentative publication in first half of 2010. A pilot on the collection of client level data 

across all states for National Outcome Measures is also being conducted. A standardized data 

protocol for use in test data submission has been developed and a test data submission has been 
SAMHSA/CMHS - 63 

received by all states. Additionally, the pilot was designed to collect estimates of the costs of 

modifying the state IT systems to report all the requested data files and a final project report that 

summarizes the steps in the process of implementing the pilot and challenges faced. All of this 

information will be useful as SAMHSA extends Client Level Data reporting to all states. A draft 

report will be completed in late October which will be reviewed by CMHS and the Advisory 

Panel in December. A final report on the pilot will be completed by the end of the year which 

will summarize the extent to which client level outcome data could be reported as well as what 

resources would be needed to roll out client level data collection and reporting to all states. 

Funding History 

FY Amount 

2001 $420,000,000 

2002 $433,000,000 

2003 $437,140,000 

2004 a/ $434,690,000 

2005 a/ $432,756,000 

2006 a/ $427,974,000 

2007 a/ $428,256,000 

2008 a/ $420,774,000 

2009 a/ $420,774,000 

2010 a/ $420,774,000 

a/ Includes PHS Evaluation funds of $21.8 million in FY 2004 and FY 2005, $21.4 million in FY 2006 and FY 

2007, $21.0 million in FY 2008, FY 2009 and FY 2010. 

Data Elements Used to Calculate FY 2011 Allotments

Population: States and the District of Columbia July 1, 2008 Population Estimates from U.S. 

Census Bureau; Territory population estimates as of July 1, 2009 from U.S. Census Bureau. 

Total Taxable Resources: 2005, 2006 and 2007 data from U.S. Department of Treasury. 

Income: 2006, 2007, and 2008 Total Personal Income for States and District of Columbia from 

Department of Commerce/Bureau of Economic Analysis. 

Cost of Services Index: This index is determined triennially (i.e., it is revised every third fiscal 

year rather than annually). The most current index is being used for the determination of 

allotments for FY 2010, FY 2011, and FY 2012. The base wage rate was calculated using wages 

paid and hours worked from the 2000 Decennial Census for specific occupation-industry 

categories. The update factor was determined using wages paid and hours worked for base year 

(FY 1999 for FY 2003 Final Rule), and recent year (FY 2005 for FY 2009 Final Rule), as 

reported to the Centers for Medicare and Medicaid by hospitals participating in the Medicare 

program. FY 2009 Median Fair Market Rent Estimates from Department of Housing and Urban 

Development; July 1, 2007 Population Estimates by County/Subcounty from U.S. Census 

Bureau. 
SAMHSA/CMHS - 64 

Budget Request 

The FY 2011 President’s Budget request is $420.8 million, the same level as the FY 2010 

Appropriation. This will support 59 grants to States and Territories. Of the total, five percent 

will be set aside for data collection, evaluation and technical assistance activities. Changes in 

State allotments are as a result of updated population estimates and total taxable resources. The 

Cost of Services index remained unchanged from the prior year. 
SAMHSA/CMHS - 65 

SAMHSA/Center for Mental Health Services 

Set-Aside Activities 

(Dollars in thousands) 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

Funding Sources

Budget Authority

Program Management $2,000 $2,000 $2,000

National Health Interview Survey (non-add) 2,000 2,000 2,000

PHS Evaluation Funds

Mental Health Block Grant Set-Aside 21,039 21,039 21,039

Program Management 1,000 1,000 1,000

NSDUH Mental Health Surveillance (non-add) 1,000 1,000 1,000

Total Program Level $24,039 $24,039 $24,039

Mental Health Block Grant Set-Aside Activities

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

State Data Systems

State Data Infrastructure Grants $7,158 $7,260 $7,260

State Data Infrastructure Contracts 432 435 434

Subtotal, State Data Systems 7,590 7,695 7,694

National Data Collection

National MH Data Contracts 2,822 2,060 2,059

Subtotal - National Data Collection 2,822 2,060 2,059

Technical Assistance (TA)

TA to States 10,254 10,855 10,858

Subtotal, Technical Assistance 10,254 10,855 10,858

Program Evaluation

Development of Spending Estimates for MH/SAT 373 429 428

Subtotal, Program Evaluation 373 429 428

TOTAL, MH Block Grant Set-Aside $21,039 $21,039 $21,039
 

SAMHSA/CMHS - 66 

Outcomes and Outputs 

Table 13: Key Performance Indicators for Mental Health Block Grant 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target 34

FY 2012 

+/- FY 

2011 

2.3.07: Reduce rate of adult 

readmissions to State psychiatric 

hospitals within 30 days 35 (Outcome) 

FY 2008: 

9.4% 

(Target Not 

Met but 

Improved) 

9.3% 9.8% 9.8% Maintain 

2.3.08: Reduce rate of adult 

readmissions to State psychiatric 

hospitals within 180 days 36

(Outcome) 

FY 2008: 

21.8% 

(Target Not 

Met) 

20% 20% 20% Maintain 

2.3.09: Reduce rate of 

Child/adolescent readmissions to 

State psychiatric hospitals within 30 

days 37 (Outcome) 

FY 2008: 

8.2% 

(Target Not 

Met) 

6.5% 6.5% 6.5% Maintain 

2.3.10: Reduce rate of 

Child/adolescent readmissions to 

State psychiatric hospitals within 180 

days 38 (Outcome) 

FY 2008: 

17.1% 

(Target Not 

Met) 

14.5% 15.3% 15.3% Maintain 

2.3.11: Number of evidence based 

practices (EBPs) implemented39

(Output) 

FY 2008: 4.2 

per State 

(Target 

Exceeded) 

4.1 per State 4.2 per State 4.2 per State Maintain 

34 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

35Successful result is below target.

36Successful result is below target.

37Successful result is below target.

38Successful result is below target.

39National average of evidence-based practices per state, based on 35 States reporting. Excludes Medication Management and Illness SelfManagement, which continue to undergo definitional clarification
 

SAMHSA/CMHS - 67 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target34

FY 2012 

+/- FY 

2011 

2.3.12: Adult: Percentage of adult 

population coverage for each 

(reported as percentage of service 

population receiving any evidence 

based practice) 40 (Output) 

FY 2008: 8% 

(Target Not 

Met) 

10.5% 10.5% 10.5% Maintain 

2.3.13: Children: Percentage of 

population coverage for each 

(reported as percentage of service 

population receiving any evidence 

based practice) 41 (Output) 

FY 2008: 3% 

(Target Not 

Met) 

3.5% 3.5% 3.5% Maintain 

2.3.15: Increase rate of consumers 

(adults) reporting positively about 

outcomes (Outcome) 

FY 2008: 72%

(Target Met) 72% 72% 72% Maintain 

2.3.16: Increase rate of family 

members (children/adolescents) 

reporting positively about outcomes 

(Outcome) 

FY 2008: 64%

(Target Not 

Met) 

73% 73% 73% Maintain 

2.3.17: Number of persons receiving 

evidence-based practices per $10,000 

of mental health block grant dollars 

spent (Efficiency) 

FY 2008: 6.7 

(Target 

Exceeded) 

7.0 7.0 7.0 Maintain 

2.3.14: Increase number of people 

served by the public mental health 

system42 (Output) 

FY 2008: 

6,332,983 

(Target 

Exceeded) 

6,300,000 6,300,000 6,300,000 Maintain 

40National average of evidence-based practices per state, based on 35 States reporting. Excludes Medication Management and Illness SelfManagement, which continue to undergo definitional clarification

41National average of evidence-based practices per state, based on 35 States reporting. Excludes Medication Management and Illness SelfManagement, which continue to undergo definitional clarification.

42The FY 2010, FY 2011 and FY 2012 targets have been set at 6.3 million persons served (slightly lower than the most recent actual) based on 

the expectation that the current recession will impact the service delivery systems of the State Mental Health Authorities and may result in fewer 

persons receiving mental health care nationally.
SAMHSA/CMHS - 68 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Community Mental Health Services Block Grant Program 

CFDA # 93.958 

STATE/TERRITORY FY 2009 FY 2010 FY 2011 +/- FY 2010

Alabama $6,013,207 $6,030,049 $6,043,224 +$13,175

Alaska 728,540 710,941 699,955 -10,986

Arizona 8,956,296 9,383,677 9,524,857 +141,180

Arkansas 3,634,304 3,687,284 3,684,620 -2,664

California 53,996,249 53,676,045 53,470,793 -205,252

Colorado 6,347,251 6,560,592 6,618,166 +57,574

Connecticut 4,323,899 4,233,212 4,172,385 -60,827

Delaware 733,354 730,894 736,297 +5,403

District Of Columbia 766,324 772,964 763,690 -9,274

Florida 26,953,073 26,711,963 26,381,061 -330,902

Georgia 12,892,617 13,141,697 13,303,932 +162,235

Hawaii 1,885,108 1,991,184 1,967,992 -23,192

Idaho 1,816,862 1,806,946 1,815,091 +8,145

Illinois 16,103,252 15,774,494 15,721,669 -52,825

Indiana 7,702,238 7,887,788 7,944,223 +56,435

Iowa 3,368,868 3,370,840 3,374,230 +3,390

Kansas 3,080,605 3,116,308 3,122,152 +5,844

Kentucky 5,358,519 5,420,187 5,412,148 -8,039

Louisiana 5,435,135 5,293,123 5,424,261 +131,138

Maine 1,659,600 1,649,042 1,643,710 -5,332

Maryland 7,558,544 7,281,807 7,308,278 +26,471

Massachusetts 7,904,060 8,050,963 8,073,592 +22,629

Michigan 13,164,191 12,810,013 12,798,172 -11,841

Minnesota 6,703,938 6,831,525 6,850,165 +18,640

Mississippi 3,930,816 3,942,229 3,961,974 +19,745

Missouri 6,842,569 6,959,268 7,007,039 +47,771

Montana 1,178,481 1,191,479 1,187,436 -4,043

Nebraska 1,925,411 1,943,546 1,937,291 -6,255

Nevada 3,698,333 3,678,154 3,668,825 -9,329

New Hampshire 1,603,631 1,510,763 1,503,859 -6,904

New Jersey 11,642,070 11,561,060 11,481,491 -79,569

New Mexico 2,326,829 2,365,487 2,360,459 -5,028

New York 24,217,281 23,725,265 23,484,085 -241,180

North Carolina 11,136,055 11,162,694 11,316,517 +153,823

North Dakota $729,870 746,161 737,998 -$8,163
SAMHSA/CMHS - 69 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Community Mental Health Services Block Grant Program 

CFDA # 93.958 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Ohio $13,790,311 $13,695,234 $13,792,762 +$97,528

Oklahoma 4,375,251 4,390,515 4,348,099 -42,416

Oregon 4,768,537 4,963,996 4,979,213 +15,217

Pennsylvania 14,812,107 14,485,712 14,409,512 -76,200

Rhode Island 1,469,007 1,387,146 1,375,754 -11,392

South Carolina 5,665,574 5,726,309 5,808,930 +82,621

South Dakota 838,929 863,186 865,047 +1,861

Tennessee 7,708,555 7,723,117 7,759,542 +36,425

Texas 31,567,780 32,209,069 32,256,069 +47,000

Utah 2,936,131 3,048,064 3,109,620 +61,556

Vermont 747,755 743,593 739,208 -4,385

Virginia 10,150,102 9,999,072 10,009,499 +10,427

Washington 8,343,715 8,463,723 8,485,053 +21,330

West Virginia 2,426,831 2,411,707 2,399,115 -12,592

Wisconsin 7,349,062 7,463,832 7,462,992 -840

Wyoming 471,948 455,056 436,923 -18,133

State Sub-total 393,738,975 393,738,975 393,738,975 0

American Samoa 78,196 84,418 85,886 +1,468

Guam 211,293 229,028 233,507 +4,479

Marshall Islands 69,391 82,265 84,439 +2,174

Micronesia 146,055 140,202 140,596 +394

Northern Marianas 94,480 112,792 67,376 -45,416

Puerto Rico 5,198,366 5,154,286 5,190,495 +36,209

Palau 50,000 50,000 50,000 0

Virgin Islands 148,244 143,034 143,726 +692

Territory Sub-Total 5,996,025 5,996,025 5,996,025 0

Total States/Territories 399,735,000 399,735,000 399,735,000 0

SAMHSA Set-Aside 21,039,000 21,039,000 21,039,000 0

TOTAL, MHBG $420,774,000 $420,774,000 $420,774,000 $0
SAMHSA/CMHS - 70 

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Table of Contents 

SAMHSA/Center for Substance Abuse Prevention (CSAP) Page 

1. Mechanism Table.......................................................................................................................1 

2. Programs of Regional and National Significance......................................................................3 

3. Summary Listing of Activities...................................................................................................5 

4. Mechanism Table by Summary Listing of Activities................................................................7 

5. Strategic Prevention Framework..............................................................................................11 

6. Sober Truth on Preventing Underage Drinking Act (STOP Act)............................................17 

7. Project LAUNCH.....................................................................................................................21 

8. Prevention Prepared Communities ..........................................................................................25 

9. Other Capacity Activities.........................................................................................................27 

10. Science and Service Activities.................................................................................................33 

11. Substance Abuse Prevention and Treatment (SAPT) Block Grant 20% Prevention Set-aside39 
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SAMHSA/CSAP - 1 

SAMHSA/Substance Abuse Prevention 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget Request 

FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

CAPACITY 

Grants/Cooperative Agreements:

Continuations 236 $83,915 207 $102,079 265 $103,170 +58 +$1,091

New/Competing 67 53,360 86 35,858 77 46,663 -9 +10,805

Supplements (12) 1,186 0 0 0 0 0 0 

Subtotal 303 138,461 293 137,937 342 149,833 +49 +11,896

Contracts:

Continuations 16 31,747 17 33,511 21 37,410 +4 +3,899 

New 5 4,188 4 3,388 3 8,783 -1 +5,395 

 Supplements 0 0 0 0 0 0 0 0 

Subtotal 21 35,935 21 36,899 24 46,193 +3 +9,294 

Technical Assistance 0 0 0 0 0 0 0 0 

Review Cost 1 607 1 782 1 659 0 -123 

Subtotal 22 36,542 22 37,681 25 46,852 +3 +9,171 

Subtotal, Capacity 325 175,003 315 175,618 367 196,685 +52 +21,067

SCIENCE AND SERVICE 

Grants/Cooperative Agreements:

Continuations 0 71 0 71 0 71 0 0 

 New/Competing 4 200 8 200 8 200 0 0 

 Supplements 0 0 0 0 0 0 0 0 

Subtotal 4 271 8 271 8 271 0 0 

Contracts:

Continuations 9 22,036 9 25,320 9 23,571 0 -1,749 

 New 3 3,693 1 1,000 1 2,548 0 +1,548 

 Supplements 0 0 0 0 0 0 0 0 

Subtotal, Contracts 12 25,729 10 26,320 10 26,119 0 -201 

Technical Assistance 0 0 0 0 0 0 0 0 

Review Cost 0 0 0 0 0 0 0 0 

Subtotal 12 25,729 10 26,320 10 26,119 0 -201 

Subtotal, Science and Service 16 26,000 18 26,591 18 26,390 0 -201 

TOTAL, PRNS 341 $201,003 333 $202,209 385 $223,075 +52 +$20,866
 

SAMHSA/CSAP - 2 

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SAMHSA/CSAP - 3 

SAMHSA/Substance Abuse Prevention 

Programs of Regional and National Significance 

Summary of Programs 

The Substance Abuse Prevention Programs of Regional and National Significance (PRNS) 

support States and communities in carrying out an array of activities for service improvements 

and priority needs. 

There are two program categories within PRNS, Capacity and Science and Service. Programs in 

the Capacity category provide funding to implement service improvements using proven 

evidence-based approaches and to identify and implement needed systems changes. Programs 

within the Science and Service category promote the identification and increase the availability 

of practices thought to have potential for broad service improvement. 

The FY 2011 President’s Budget request for SAMHSA Substance Abuse Prevention PRNS is 

$223.1 million, an increase of $20.9 million from the FY 2010 Appropriation level. The request 

includes: 

 $103.5 million for the Strategic Prevention Framework Program to support grants to 

States, Territories and Tribal organizations to implement the Strategic Prevention 

Framework and to expand the Partnerships for Success grants to encourage better State 

performance on prevention activities; 

 $9.7 million for a new Initiative Project LAUNCH Plus, an expansion of the Center for 

Mental Health Services’s Project LAUNCH program; 

 $22.6 million for the new Prevention Prepared Communities program, to assist 

communities in developing and implementing effective mental illness and substance 

abuse prevention practices for children and young adults aged 9-25; 

 $8.0 million for Sober Truth on Preventing Underage Drinking (STOP Act) to continue 

addressing underage drinking issues; 

 $52.9 million for the remaining Capacity activities including Mandatory Drug Testing, 

Minority AIDS, and Performance Management (formerly named Program 

Coordination/Data Coordination and Consolidation Center); and 

 $26.4 million for Science and Service activities, including Fetal Alcohol Spectrum 

Disorder, Center for the Application of Prevention Technologies, Science and Service 

Program Coordination, National Registry of Evidence-based Programs and Practices, the 

SAMHSA Health Information Network, and Minority Fellowship programs. 

The Substance Abuse Prevention PRNS underwent a program assessment in 2004. The 

assessment cited strong purpose and design, ambitious targets, and strong program management 

as strong attributes of the program. Since the program assessment, the program has implemented 
 

SAMHSA/CSAP - 4 

the Strategic Prevention Framework, has refined its outcome measures, and is improving data 

collection and reporting. 

Changes to Summary Listing of Activities Table 

In FY 2011, Center for Substance Abuse Prevention proposes to change some of its PRNS 

Summary Listing of Activities (SLoA) names to better reflect the program activity goals and 

objectives: 1) Strategic Prevention Framework State Incentive Grants (SPF SIG) is renamed 

Strategic Prevention Framework (SPF); 2) Program Coordination/Data Coordination and 

Consolidation Center is renamed Performance Management; and 3) Best Practices Program 

Coordination is renamed Science and Service Program Coordination. 
 

SAMHSA/CSAP - 5 

SAMHSA/Center for Substance Abuse Prevention 

Programs of Regional and National Significance 

Summary Listing of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

Request 

 FY 

2011 +/-

FY 2010 

 CAPACITY: 

Strategic Prevention Framework 1/ $110,374 $111,777 $103,511 -$8,266

 Partnerships for Success (non-add) 9,211 11,666 33,829 +22,163

Mandatory Drug Testing 5,233 5,206 5,206 0

Minority AIDS 41,385 41,385 41,385 0

Methamphetamine 1,774 0 0 0

Performance Management 2/ 6,317 6,300 6,300 0

Sober Truth on Preventing Underage Drinking (STOP Act) 7,176 7,000 8,000 +1,000

 National Adult-Oriented Media Public Service 

Campaign (non-add) 1,099 1,000 1,000 0

 Community-based Coalition Enhancement Grants (nonadd) 5,000 5,000 6,000 +1,000

 Intergovernmental Coordinating Committee on the 

Prevention of Underage Drinking-ICCPUD (non-add) 1,000 1,000 1,000 0

Project LAUNCH 0 0 9,683 +9,683

Prevention Prepared Communities 0 0 22,600 +22,600

Congressional Projects 2,744 3,950 0 -3,950

Subtotal, Capacity 175,003 175,618 196,685 21,067

 SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder 9,800 9,821 9,821 0

Center for the Application of Prevention Technologies 8,041 8,511 8,511 0

Science and Service Program Coordination 3/ 4,693 4,789 4,789 0

National Registry of Evidence-based Programs and 

Practices 646 650 650 0

SAMHSA Health Information Network 2,749 2,749 2,548 -201

Minority Fellowship Program 71 71 71 0

Subtotal, Science and Service 26,000 26,591 26,390 -201

TOTAL, PRNS $201,003 $202,209 $223,075+$20,866

1/ This was previously named Strategic Prevention Framework State Incentive Grants. 

2/ This was previously named Program Coordination/Data Coordination and Consolidation Center. 

3/ This was previously named Best Practice Program Coordination. 
 

SAMHSA/CSAP - 6 

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SAMHSA/CSAP - 7 

SAMHSA/Center for Substance Abuse Prevention 

Mechanism Table by Summary Listing of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

Request 

 FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount 

CAPACITY: 

Strategic Prevention Framework 

Grants 

Continuations 21 $40,703 46 $77,031 41 $59,322 -5 -$17,709

New/Competing 30 47,855 11 13,108 10 22,163 -1 +9,055

Subtotal 51 88,558 57 90,139 51 81,485 -6 -8,654

Contracts 

Continuations 6 19,397 9 21,638 9 22,026 0 +388

New 3 2,419 0 0 0 0 0 0

Subtotal 9 21,816 9 21,638 9 22,026 0 +388

Total, Strategic Prevention Framework 60 110,374 66 111,777 60 103,511 -6 -8,266

Mandatory Drug Testing 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 6 4,563 4 4,355 7 5,206 +3 +851

New 1 670 3 851 0 0 -3 -851

Subtotal 7 5,233 7 5,206 7 5,206 0 0

Total, Mandatory Drug Testing 7 5,233 7 5,206 7 5,206 0 0

Minority AIDS 

Grants 

Continuations 135 38,737 60 20,048 123 38,848 +63 +18,800

New/Competing 5 1,648 63 18,800 0 0 -63 -18,800

Subtotal 140 40,385 123 38,848 123 38,848 0 0

Contracts 

Continuations 1 1,000 0 0 1 2,537 +1 +2,537

New 0 0 1 2,537 0 0 -1 -2,537

Subtotal 1 1,000 1 2,537 1 2,537 0 0

Total, Minority AIDS 141 41,385 124 41,385 124 41,385 0 0

Methamphetamine 

Grants 

Continuations 2 588 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

 Supplements (12) 1,186 0 0 0 0 0 0

Subtotal 2 1,774 0 0 0 0 0 0

Contracts 

Continuations 0 0 0 0 0 0 0 0

New 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Total, Methamphetamine 2 1,774 0 0 0 0 0 0

Performance Management 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

 Supplements 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 3 6,317 3 6,300 3 6,300 0 0

New 0 0 0 0 0 0 0 0

Subtotal 3 6,317 3 6,300 3 6,300 0 0

 Total, Performance Management 3 $6,317 3 $6,300 3 $6,300 0 0
SAMHSA/CSAP - 8 

SAMHSA/Center for Substance Abuse Prevention 

Mechanism Table by Summary Listing of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget Request 

 FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount 

Sober Truth on Preventing Underage Drinking (STOP Act)

Grants 

Continuations 78 $3,887 101 $5,000 101 $5,000 0 0

New/Competing 23 1,113 0 0 20 1,000 +20 +1,000

Subtotal 101 5,000 101 5,000 121 6,000 +20 +1,000

Contracts 

Continuations 1 1,077 2 2,000 2 2,000 0 0

New 1 1,099 0 0 0 0 0 0

Subtotal 2 2,176 2 2,000 2 2,000 0 0

Total, Sober Truth on Preventing Underage Drinking 

(STOP Act) 103 7,176 103 7,000 123 8,000 +20 +1,000

Project LAUNCH 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 17 8,500 +17 +8,500

Subtotal 0 0 0 0 17 8,500 +17 +8,500

Contracts 

Continuations 0 0 0 0 0 0 0 0

New 0 0 0 0 1 1,183 +1 +1,183

Subtotal 0 0 0 0 1 1,183 +1 +1,183

Total, Project LAUNCH 0 0 0 0 18 9,683 +18 +9,683

Prevention Prepared Communities 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 30 15,000 +30 +15,000

Subtotal 0 0 0 0 30 15,000 +30 +15,000

Contracts 

Continuations 0 0 0 0 0 0 0 0

New 0 0 0 0 2 7,600 +2 +7,600

Subtotal 0 0 0 0 2 7,600 +2 +7,600

Total, Prevention Prepared Communities 0 0 0 0 32 22,600 +32 +22,600

Congressional Projects 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 9 2,744 12 3,950 0 0 -12 -3,950

Subtotal 9 2,744 12 3,950 0 0 -12 -3,950

Contracts 

Continuations 0 0 0 0 0 0 0 0

New 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Total, Congressional Projects 9 2,744 12 3,950 0 0 -12 -3,950

Subtotal, Capacity 325 175,003 315 175,618 367 196,685 +52 21,067

SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 1 9,800 1 9,821 1 9,821 0 0

New 0 0 0 0 0 0 0 0

Subtotal 1 9,800 1 9,821 1 9,821 0 0

Total, Fetal Alcohol Spectrum Disorder 1 9,800 1 9,821 1 9,821 0 0
SAMHSA/CSAP - 9 

SAMHSA/Center for Substance Abuse Prevention 

Mechanism Table by Summary Listing of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

 FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

Center for the Application of Prevention Technologies

Continuations 0 0 0 0 0 0 0 0

New/Competing 4 200 8 200 8 200 0 0

 Supplements 0 0 0 0 0 0 0 0

New 0 0 0 0 0 0 0 0

 Supplements 0 0 0 0 0 0 0 0

Subtotal 3 7,841 2 8,311 2 8,311 0 0

Total, Centers for the Application of Prevention 

Technologies 7 $8,041 10 $8,511 10 $8,511 0 0

Science and Service Program Coordination 

Grants 

Continuations 0 $0 0 $0 0 $0 0 $0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 4 1,646 4 3,789 5 4,789 +1 +1,000

New 2 3,047 1 1,000 0 0 -1 -1,000

Subtotal 6 4,693 5 4,789 5 4,789 0 0

Total, Science and Service Program Coordination 6 4,693 5 4,789 5 4,789 0 0

National Registry of Evidence-based Programs and 

Practices

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 0 0 1 650 1 650 0 0

New 1 646 0 0 0 0 0 0

Subtotal 1 646 1 650 1 650 0 0

 Total, National Registry of Evidence-based Programs and 1 646 1 650 1 650 0 0

SAMHSA Health Information Network 

Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Contracts 

Continuations 1 2,749 1 2,749 0 0 -1 -2,749

New 0 0 0 0 1 2,548 +1 +2,548

Subtotal 1 2,749 1 2,749 1 2,548 0 -201

Total, SAMHSA Health Information Network 1 2,749 1 2,749 1 2,548 0 -201

Minority Fellowship Program 

Grants 

Continuations 1/ 0 71 0 71 0 71 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 71 0 71 0 71 0 0

Contracts 

Continuations 0 0 0 0 0 0 0 0

New 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

Total, Minority Fellowship Program 0 71 0 71 0 71 0 0

Subtotal, Science and Service 16 26,000 18 26,591 18 26,390 0 -201

TOTAL, PRNS 341 $201,003 333 $202,209 385 $223,075 +52 +$20,866

1/ These are cross-center grants with CMHS & CSAT. 
 

SAMHSA/CSAP - 10 

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SAMHSA/CSAP - 11 

Strategic Prevention Framework 

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Budget Authority $110,374 $111,777 $103,511 -$8,266

Authorizing Legislation ........................................................................ Section 516 of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

Established in 2004, the Strategic Prevention Framework (formerly the Strategic Prevention 

Framework State Incentive Grant) program implements the following five-step process: 1) 

conduct a community needs assessment, 2) mobilize and/or build capacity, 3) develop a 

comprehensive strategic plan, 4) implement evidence-based prevention programs and 

infrastructure development activities, and 5) monitor process and evaluate effectiveness. The 

Strategic Prevention Framework approach to prevention supports the public health vision of a 

healthier U.S. in States, Tribes, Territories, and communities. 

The Institute of Medicine report, Preventing Mental, Emotional, and Behavioral Disorders 

Among Young People, defined "public health" as what society must do to keep people healthy 

and further defined it as involving the collection of data, assessment of problems, and assurance 

of health protection. The Strategic Prevention Framework (SPF) process embodies this public 

health approach to the prevention of substance use in communities across our Nation. As the 

Nation prepares for health reform that includes a renewed commitment to prevention, the SPF 

also positions those communities to integrate the prevention of substance use disorders with the 

prevention of other chronic diseases that challenge so many Americans. 

By the end of FY 2010, a total of 67 awards will have been granted to implement the Strategic 

Prevention Framework State Incentive Grant (SIG) program. Since this program aims to change 

systems and outcomes at the State level, outcome data reflect the percentage of States that 

achieve increases or reductions on each indicator at the State level. Most indicators use State 

estimates from the National Survey on Drug Use and Health (NSDUH) as a data source. 

Baseline data have been reported for these measures and ambitious targets set. 

The ability of States and communities to collect consistent and representative process and 

outcome measures has improved, and the information has served as the catalyst for data-driven 

assessment and decision making at all levels. Results from analyses of latest data available in 

FY 2008 indicate that the program met its target for percent of grantee States that have 

performed needs assessments and have submitted State plans, and the percent of grantee States 
 

SAMHSA/CSAP - 12 

with approved State plans, reflecting progress in implementing the Strategic Prevention 

Framework. When these results are broken out by cohort, the earlier cohorts have met or 

exceeded all targets, and cohort three is progressing very well. 

Early analyses of State-level outcomes show promising results. Cohort 1 Strategic Prevention 

Framework State Incentive Grant States did better than comparison States in reducing the 

prevalence of past-30-day drinking and heavy drinking among underage youth and in reducing 

the frequency of past-30-day alcohol use and of binge drinking among adult alcohol users. 

The impact of this program is already being felt throughout the States and Territories. For 

example, 51 States/Territories now use SPF or the equivalent in their Block Grant program for 

conducting needs assessments, 53 for building State capacity; 53 for planning; 43 for program 

implementation; and 29 use SPF or the equivalent for evaluation efforts. 

Partnerships for Success

In FY 2009, SAMHSA funded a new five-year grant program under the Strategic Prevention 

Framework that builds on the success of the Strategic Prevention Framework State Incentive 

Grant program. The Partnerships for Success Program is designed to provide eligible States, 

Tribes and U.S. Territories with grants to achieve a quantifiable decline in State-wide substance 

use disorders rates, incorporating an incentive award to grantees that have reached or exceeded 

their prevention performance targets. Eligible applicants are the immediate Office of the Chief 

Executive (e.g., Governor) in those States and U.S. Territories that have previously received a 

cohort one or cohort two Strategic Prevention Framework State Incentive Grant from SAMHSA. 

Applicants are strongly encouraged to leverage and coordinate other Federal and State-generated 

funding to ensure sufficient impact to meet their performance targets. Grant awards were made 

to Connecticut, Colorado, Tennessee, and Illinois, who demonstrated that their State has the 

infrastructure and capacity to reduce substance abuse problems in a three-year period. At the end 

of year three, SAMHSA will assess these grantees through evaluation reports to determine their 

program outcomes, and will offer performance incentives to qualified grantees during year four. 

SAMHSA plans to award one more award in FY 2010 and 10 more in FY 2011. 

Funding History 

FY Amount 

2006 $105,844,000 

2007 $105,324,000 

2008 $103,271,000 

2009 $110,374,000 

2010 $111,777,000 

Budget Request 

The FY 2011 President’s Budget request is $103.5 million, a decrease of $8.3 million from the 

FY 2010 Appropriation level. Sixteen Strategic Prevention Framework grants are coming to a 

natural end in FY 2011 and the funds have been realigned to support the Prevention Prepared 

Community program. 
 

 

SAMHSA/CSAP - 13 

Outcomes and Outputs 

Table 14: Key Performance Indicators for Strategic Prevention Framework State Incentive 

Grants43

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target44

FY 2012 

+/- FY 

2011 

2.3.21: Percent of SPF SIG States 

showing a decrease in state level 

estimate of percent of survey 

respondents (age 12-20) who report 

30-day use of alcohol (Outcome) 

FY 2008: 

55.9% 

(Target 

Exceeded) 

50.4% 50.4%45 55.9% +5.5% 

2.3.22: Percent of SPF SIG States 

showing a decrease in state level 

estimate of percent of survey 

respondents (age 21 and up) who 

report 30-day use of alcohol 

(Outcome) 

FY 2008: 

47.1% 

(Target 

Exceeded) 

31.4% 31.4%46 47.1% +15.7% 

2.3.23: Percent of SPF SIG states 

showing a decrease in state level 

estimates of survey respondents (age 

12-17) who report 30-day use of 

other illicit drugs (Outcome) 

FY 2008: 

67.6% 

(Target 

Exceeded) 

59.8% 59.8%47 67.6% +7.8% 

2.3.24: Percent of SPF SIG states 

showing a decrease in state level 

estimates of survey respondents (age 

18 and up) who report 30-day use of 

other illicit drugs (Outcome) 

FY 2008: 

38.2% 

(Target Not 

Met but 

Improved) 

47.2% 38.2%48 40% +1.8% 

43Data have been revised from previously reported. Previously, data collected in a given year were reported as a result for the following year: for 

example, results reported for 2008 reflected data collected in 2007. In order to achieve consistency throughout SAMHSA, reporting has been 

revised so that results reported for a given year reflect data actually collected in that year, so that results for 2008 reflect data collected in 2008. 44 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

45Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.

46Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.

47Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.

48Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.
 

 

SAMHSA/CSAP - 14 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target44

FY 2012 

+/- FY 

2011 

2.3.25: Percent of SPF SIG states 

showing an increase in state level 

estimates of survey respondents (age 

12-17) who rate the risk of substance 

abuse as moderate or great 

(Outcome) 

FY 2008: 

47.1% 

(Target Not 

Met) 

78.7% 47.1%49 50% +2.9% 

2.3.26: Percent of SPF SIG states 

showing an increase in state level 

estimates of survey respondents (age 

18 and up) who rate the risk of 

substance abuse as moderate or great 

(Outcome) 

FY 2008: 

44.1% 

(Target Not 

Met but 

Improved) 

50.4% 44.1%50 48% +3.9% 

2.3.27: Percent of SPF SIG states 

showing an increase in state level 

estimates of survey respondents (age 

12-17) who somewhat disapprove or 

strongly disapprove of substance 

use. (Outcome) 

FY 2008: 

76.5% 

(Target Not 

Met but 

Improved) 

84.9% 76.5%51 80% +3.5% 

2.3.28: Number of evidence-based 

policies, practices, and strategies 

implemented52 (Output) 

FY 2008: 731 

(Target 

Exceeded) 

234 39753 274 -123 

2.3.29: Percent of grantee states that 

have performed needs assessments 

(Output) 

FY 2009: 

100% 

(Target Met) 

97%54 100% 100% Maintain 

2.3.30: Percent of grantee States that 

have submitted State plans (Output) 

FY 2009: 

100% 

(Target 

Exceeded) 

60%55 100% 100% Maintain 

49Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.

50Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009. 51Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009. 52 This measure has been revised for the FY 2011 President's Budget. Previously the measure was cumulative. It has been revised to report its 

data incrementally. As a result, targets and data provided here may appear to differ from those previously published in the FY 2010 President's 

Budget. 

53Includes Cohorts 3 & 4. Cohort 4 began the SPF process in July 2009.

54Cohort 1: 100%; Cohort 2: 100%; Cohort 3: 94%

55Cohort 1: 100%; Cohort 2: 100%;Cohort 3: 63%
 

 

SAMHSA/CSAP - 15 

Measure Most Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target44

FY 2012 

+/- FY 

2011 

2.3.31: Percent of grantee States 

with approved plans (Output) 

FY 2009: 100% 

(Target 

Exceeded) 

54%56 80% 80% Maintain 

Table 15: Key Performance Indicators for Partnerships for Success 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target57

FY 2012 +/- 

FY 2011 

2.3.77: Increase the number of subrecipient communities funded 

through the Partnerships for Success 

grants (Output) 

N/A Baseline 48 150 +102 

2.3.78: Increase the number of 

communities who report an increase 

in prevention activities that are 

supported by collaboration and 

leveraging of funding streams 

(Output) 

N/A Baseline 24 75 +51 

2.3.79: Increase the number of EBPs 

implemented by sub-recipient 

communities (Output) 

N/A Baseline 96 300 +204 

2.3.80: Increase the number of subrecipient communities that improved 

on one or more targeted NOMs 

indicators (Outcome) 

N/A Baseline 24 30 +6 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 51 57 51

Average Award $1,700,000 $1,700,000 $1,700,000

Range of Awards 

$500,000 - 

$2,400,000 

$500,000 - 

$2,400,000

$500,000 - 

$2,400,000

56Cohort 1: 100%; Cohort 2: 100%; Cohort 3: 63%

57 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
 

SAMHSA/CSAP - 16 

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SAMHSA/CSAP - 17 

Sober Truth on Preventing Underage Drinking Act (STOP Act) 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 

2011 

+/- FY 

2010 

Budget Authority $7,176 $7,000 $8,000 +$1,000

Authorizing Legislation ..................................................................... Section 519B of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

The Sober Truth on Preventing Underage Drinking Act (STOP Act), signed into law in 2006, is 

the nation’s first comprehensive legislation on underage drinking. It establishes a national media 

campaign aimed at underage drinking, funds underage-drinking programs in communities, and 

prevents underage drinking by bolstering community-based coalitions. 

This program provides grants to organizations that are currently receiving or have received grant 

funds under the Office of National Drug Control Policy’s Drug-free Communities Act of 1997 to 

either enhance an existing focus or to add a focus on preventing underage drinking. This 

program will strengthen the collaborative efforts and increase participation among all 

stakeholders (e.g. community organizations, coalitions, local and State governments). The initial 

program, funded in FY 2008, provided 79 four year grants to local communities with up to 

$50,000 per community per year. In FY 2009, 23 more grants were awarded to strengthen these 

important efforts. 

Another component of the STOP Act is the National Adult-Oriented Media Public Services 

Campaign, with funding of $1 million in FY 2010. The Underage Drinking Prevention 

campaign urges parents to speak with their children, age 11-15, about underage drinking in order 

to delay the onset of and ultimately reduce underage drinking. Nationwide, more than 37 percent 

of the estimated 10.1 million underage drinkers were provided free alcohol by adults 21 or older 

(2008 NSDUH). Research shows that parents of teens generally underestimate the extent of 

alcohol used by youth and its negative consequences, with the vast majority viewing underage 

drinking as “inevitable.” Many parents also find it difficult to know how or when to start a 

conversation with their children about underage drinking. Through TV, radio, print and outdoor 

activities, SAMHSA’s multicultural campaign seeks to overcome parents’ misperceptions about 

underage drinking by creating a greater urgency around the issue and encourages them to 

communicate with their children about alcohol at an early age. Parents and viewers are 

encouraged to visit http://www.stopalcoholabuse.gov, funded through the media campaign, to get 

information about teens and alcohol, as well as tips on how to initiate conversations with their 

children about underage drinking. 

 
 

SAMHSA/CSAP - 18 

The third important component of the STOP Act is the Federal Interagency Coordinating 

Committee on the Prevention of Underage Drinking, with funding of $1 million in FY 2010. 

The Committee will support planning for the Annual Report on State Underage Drinking 

Prevention and Enforcement Activities, the development of a report that will include some of the 

information required in the STOP Act, as well as starting work on the development of a plan to 

improve the collection, measurement, and consistency of reporting Federal underage alcohol 

data. In FY 2008, 40 percent of coalitions reported at least a five percent improvement in past 

30-day alcohol use in at least two grades. 

These activities together can enhance and expand the capacity of community coalitions through 

establishing and strengthening collaborations with communities, private non-profit agencies, 

federal, State, local and tribal governments to enhance intergovernmental cooperation and 

coordination on the issue of underage drinking. 

Funding History 

FY Amount 

2006 $0 

2007 $840,000 

2008 $5,404,000 

2009 $7,176,000 

2010 $7,000,000 

Budget Request 

The FY 2011 President’s Budget request is $8.0 million, an increase of $1 million from the 

FY 2010 Appropriation level, to support $1.0 million for the National Adult-Oriented Media 

Public Service Campaign, $6.0 million for grants to community-based coalition enhancement, 

and $1.0 million for the Intergovernmental Coordinating Committee on the Preventing of 

Underage Drinking-ICCPUD. The increase will support 20 more communities to enhance and 

expand the capacity of community coalitions. 
SAMHSA/CSAP - 19 

Outcomes and Outputs

Table 16: Key Performance Indicators for Sober Truth on Preventing Underage Drinking 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target58

FY 2012 

+/- FY 

2011 

3.3.01: Percentage of coalitions that 

report at least 5% improvement in 

the past 30-day use of alcohol in at 

least two grades (Outcome) 

FY 2008: 40%

(Baseline) 41% 41% 41% Maintain 

3.3.02: Percentage of coalitions that 

report improvement in youth 

perception of risk from alcohol in at 

least two grades (Outcome) 

FY 2008: 

60.9% 

(Baseline) 

63.4% 63.4% 63.4% Maintain 

3.3.03: Percentage of coalitions that 

report improvement in youth 

perception of parental disapproval 

on the use of alcohol in at least two 

grades (Outcome) 

FY 2008: 

54.5% 

(Baseline) 

56.7% 56.7% 56.7% Maintain 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 101 101 121

Average Award $50,000 $50,000 $50,000

Range of Awards $40,000 - $50,000 $40,000 - $50,000 $40,000 - $50,000

 

58 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

 
SAMHSA/CSAP - 20 

 

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SAMHSA/CSAP - 21 

Project LAUNCH 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Budget Authority $0 $0 $9,683 +$9,683

Authorizing Legislation........................................... Sections 516 and 520A of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

According to the Institute of Medicine’s (IOM) 2009 Study, “Preventing Mental, Emotional, and 

Behavioral Disorders Among Young People: Program and Possibilities,” our nation’s approach 

to substance abuse and mental health disorders had largely been to “wait to act until a disorder is 

well-established and had already done considerable harm” in spite of the fact that there are many 

prevention strategies that have been shown to be effective. The result is a patchwork that does 

not perform as an integrated system and fails to serve the needs of many young people and their 

families. 

The Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH) Wellness 

Initiative was initiated in FY 2008 in CMHS to promote and enhance the wellness of young 

children by increasing grantees capacity to develop infrastructure and implement 

prevention/promotion strategies necessary to promote wellness for young children aged zero to 

eight. Project LAUNCH defines wellness as optimal functioning across all developmental 

domains, including physical, social, emotional, cognitive and behavioral health. For this 

program behavioral health includes mental health and positive development free from substance 

abuse and other negative behavior. The goal of Project LAUNCH is to create a shared vision for 

the wellness of young children that drives the development of Federal, State, Territorial, Tribal 

and locally-based networks for the coordination of key child-serving systems and the integration 

of behavioral and physical health services. The expected result is for children to be thriving in 

safe, supportive environments and entering school ready to learn and able to succeed. 

Funding History 

FY Amount 

2006 $0 

2007 $0 

2008 $0 

2009 $0 

2010 $0 
 

SAMHSA/CSAP - 22 

Budget Request 

The 2011 President’s Budget request will also support $36.683 million for Project LAUNCH, an 

increase of $11.683 million above FY 2010 Appropriation (+$2 million in CMHS and +$9.683 

million in CSAP). The new joint initiative ($11.683 million) between CMHS and CSAP will 

support approximately 20 new Project LAUNCH Plus grants to communities, an approximately 

$.7 million contract for evaluation, and a $1.183 million contract for technical assistance. The 

Initiative will support cooperative agreements of approximately $500,000 per year. 

In FY 2011 SAMHSA proposes Project LAUNCH Plus, a new grant program to be jointly 

managed by the Center for Substance Abuse Prevention (CSAP) and the Center for Mental 

Health Services (CMHS). The purpose of this initiative is to assist communities in developing 

and implementing effective mental illness and substance abuse prevention and behavioral health 

promotion practices, strategies, and policies that will promote the wellness of individuals aged 0-

8. The program builds on and expands SAMHSA’s original Project LAUNCH program by 

combining both mental illness and substance abuse prevention services into one program. 

Scientific evidence demonstrates that a common set of risk and protective factors contributes to a 

range of mental, physical, and behavioral problems, including substance abuse and other 

unhealthy behaviors. Thus, comprehensive individual and community based interventions 

targeting early risk factors and promoting protective factors can prevent substance abuse and 

some mental illnesses as well as other negative outcomes. The goals of the initiative are to 

improve community and individual level wellness, and health promotion outcomes. 

Performance measures will be collected at both the community and individual level. Measures 

will include population-based indicators of community wellness, and at an individual level will 

include measures of positive mental health, absence from substance abuse, and improved 

academic achievement. 

Under this program, grantee communities will utilize epidemiologically-based needs assessment 

approaches to identify their predominant substance abuse prevention and mental health issue(s), 

and will select and implement evidence-based strategies to target the identified risk and 

protective factors contributing to these issues. Evidence-based strategies may include individualand family-focused prevention programs and practices, environmental strategies, communitywide public education campaigns, school-based curricula, and parenting, social, and life skills 

training. Grantees will collaborate with appropriate service providers for ages 0-8 to ensure the 

utilization of best practices for universal, selective, and indicated populations. 

This Initiative is creative in four significant ways. First, building on the SAMHSA Project 

LAUNCH model, it requires communities to address substance abuse and mental health issues 

concurrently rather than separately. Second, it is based on a public health model that focuses on 

health promotion for the general population, disease prevention, and the related delivery of 

evidence-based prevention services. Third, it actively addresses the needs of children and will 

support their involvement in evidence-based prevention. Finally, a rigorous evaluation will be 

conducted, in coordination with the National Institute of Drug Abuse. 
 

SAMHSA/CSAP - 23 

Outcomes and Outputs 

SAMHSA is in the process of identifying appropriate measures for this program. 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 0 0 20

Average Award $0 $0 $500,000

Range of Awards $0 $0 $500,000
 

SAMHSA/CSAP - 24 

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SAMHSA/CSAP - 25 

Prevention Prepared Communities

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $0 $0 $22,600 +$22,600

Authorizing Legislation ..................................................... Sections 516 and 520A of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

The Prevention Prepared Communities program will assist communities in developing and 

implementing effective mental illness and substance abuse prevention practices, strategies, and 

policies that will promote the wellness of individuals aged 9-25 and the communities in which 

they live. The program builds on scientific evidence that a common set of risk and protective 

factors contributes to a range of mental, physical, and behavioral problems, including substance 

abuse and other unhealthy behaviors. Thus, targeting early risk factors and promoting protective 

factors can prevent substance abuse as well as other negative outcomes. The goal of Prevention 

Prepared Communities is to improve community and individual level wellness, and health 

promotion outcomes. Performance measures will be collected at both the community and 

individual level. Measures will include population-based indicators of community wellness and 

at an individual level will include measures of positive mental health, absence from substance 

abuse, and improved academic achievement. 

Under this program, grantee communities will use the Strategic Prevention Framework to utilize 

epidemiologically-based needs assessment approaches to identify their predominant substance 

abuse and related mental health issue(s), and will select and implement evidence-based strategies 

to target the identified risk and protective factors contributing to these issues. Evidence-based 

strategies may include individual- and family-focused prevention programs and practices, 

environmental strategies, community-wide public education campaigns, school-based curricula, 

and parenting, social, and life skills training Grantees will collaborate with appropriate service 

providers for ages 9-25 to ensure the utilization of best practices for universal, selected, and 

indicated populations. 

 Funding History 

FY Amount 

2006 $0 

2007 $0 

2008 $0 

2009 $0 

2010 $0 
 

SAMHSA/CSAP - 26 

Budget Request 

The FY 2011 President’s Budget request is $22.6 million. The budget request will support 

approximately 30 grants to communities for total of $15.0 million to offer a continuous system of 

evidence-based prevention intervention. The FY 2011 request includes $5.6 million to fund 

community prevention specialists within States to facilitate development of prevention-prepared 

communities and increase collaboration among State agencies in achieving these goals. Specific 

activities include establishing and maintaining a State-level drug abuse surveillance monitoring 

system, providing intensive technical assistance, and developing a state-wide support network to 

promote coaching and mentoring. In addition, a $2 million contract will be used to evaluate this 

new Initiative. 

Outcomes and Outputs 

SAMHSA is in the process of identifying appropriate measures for this program. 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 0 0 30

Average Award $0 $0 $500,000

Range of Awards $0 $0 $500,000
 

SAMHSA/CSAP - 27 

Other Capacity Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Mandatory Drug Testing $5,233 $5,206 $5,206 0

Minority AIDS 41,385 41,385 41,385 0

Methamphetamine 1,774 0 0 0

Performance Management 6,317 6,300 6,300 0

Congressional Projects 2,744 3,950 0 - 3,950

Budget Authority $57,453 $56,841 $52,891 -$3,950

Authorizing Legislation..................Sections 516, 519B, 519E of the PHS Act and E.O. 12564 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

SAMHSA/CSAP’s Other Capacity activities include Minority AIDS, Mandatory Drug Testing, 

and Performance Management (formerly Program Coordination/Data Coordination and 

Consolidated Center). These activities are critical to the balanced public health approach in that 

they are designed to enhance the role of prevention in helping prevent, delay and/or reduce 

disability from substance use disorders, which takes a toll on health, education, workplace 

productivity, community involvement, and overall quality of life. 

Mandatory Drug Testing

The Federal Drug-Free Workplace Mandatory Drug Testing program, initiated in 1986 by 

Executive Order #12564 and the Public Law 100-71 in 1987, provides funding for accreditation 

and ongoing quality assurance of laboratories that perform mandatory drug testing for Federal 

and non-Federal employees across the nation. The Lab Certification program is a core and 

crucial component that impacts all Executive Branch agencies related to public safety and 

national security clearance, including pre-hire and periodic testing for over 400,000 of the 

approximately 2.2 million non-uniformed service Federal employees, such as the Federal Bureau 

of Investigation, the Drug Enforcement Administration, and many others in the Department of 

Defense and the intelligence agencies. The contract is also critical to support employee drug 

testing federally mandated by the Department of Transportation and the Nuclear Regulatory 

Commission, in total approximately 6.8 million drug tests per year. 

Minority AIDS Program 

SAMHSA/CSAP’s Minority AIDS Program, implemented in FY 1999, supports efforts to reduce 

health disparities in minority communities by delivering and sustaining high quality and 

accessible substance abuse and HIV prevention services. The program strategies include 
 

SAMHSA/CSAP - 28 

implementing evidence-based prevention practices targeting subpopulations, conducting HIV 

testing and referral for treatment, preventing/reducing the risk of substance use disorders and/or 

HIV. Grantees are required to target one or more high-risk populations such as African American 

women, adolescents, or individuals who have been released from prisons and jails within the past 

two years. 

The Minority AIDS Program has funded seven cohorts of grants, with currently 140 active grants 

funded from cohorts six and seven, including five awarded in FY 2009. All grantees are required 

to use SAMHSA’s Strategic Prevention Framework as the model on which they develop their 

long-range and annual strategic plans for delivering prevention services. Program results show 

an increase of participants’ awareness of the risk of substance use and HIV, increased numbers 

of people undergoing HIV tests, and a decrease in participants’ use of alcohol or illicit drugs. In 

FY 2010, SAMHSA will focus on two grant programs (the Capacity Building Initiative and the 

Ready To Respond Initiative). Within each sub-program, grantees select an at-risk population to 

target: 

 The Capacity Building Initiative will target 18-24 year old at-risk populations, including 

minority students on college campuses; 

 The Ready To Respond Initiative allows experienced grantees that have successfully 

provided evidence-based substance abuse and HIV prevention services through the 

Strategic Prevention Framework to expand those services to a different at-risk 

subpopulation. 

Performance Management (formerly Program Coordination/ Data Coordination and 

Consolidation Center) 

SAMHSA uses multiple systems for performance monitoring and measurement. Each SAMHSA 

Center uses a Web-based data entry and reporting system for its program (except the Community 

Mental Health Services and Substance Abuse Prevention and Treatment Block Grant Programs). 

SAMHSA uses two contracts to manage performance monitoring and measurement for its 

programs. The Data Information Technology Infrastructure Contract (DITIC) maintains an 

online data entry and analysis functions, and data archives, and performs other critical initiatives 

such as maintaining training library and producing various analytic reports. Programs utilizing 

this online system include major prevention programs include the Minority AIDS Initiative, 

Strategic Prevention Framework State Incentive Grants, and Drug Free Communities. Since 

CY 2009, the contract has added a monitoring and reporting tool for each of those programs to 

meet progress report and compliance requirements. 

The Data Analysis, Coordination, and Consolidation Center (DACCC) provides data cleaning, 

analysis, and reporting support for SAMHSA/CSAP and its programs. It cleans the data collected 

by DITIC, and analyzes it to produce program and SAMHSA/CSAP-wide findings to meet 

Government Performance and Result Act (GPRA) requirements and NOMS needs, as well as 

Reports to Congress and other ad hoc queries. It also generates presentations and publications, 

such as “Substance Abuse Prevention Dollars and Cents: A Cost Benefit Analysis.” (available at 

http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=18137). The DACCC will 

also support more in-depth cross-site evaluations of SAMHSA/CSAP’s largest programs in the 
 

SAMHSA/CSAP - 29 

future. With those tools, SAMHSA can use the data to monitor program progress and provide 

needed technical assistance for grantees and contractors. 

Funding History 

FY Amount 

2006 $53,274,000 

2007 $55,165,000 

2008 $58,254,000 

2009 $57,453,000 

2010 $56,841,000 

Budget Request 

The FY 2011 President’s Budget request is $52.9 million, a decrease of $4.0 million from the FY 

2010 Appropriation level. This includes $5.2 million for Mandatory Drug Testing, $41.4 million 

for Minority AIDS, and $6.3 million for Performance Management. This decrease reflects the 

elimination of funding for congressional projects and maintains funding at FY 2010 level for all 

other activities. 
 

 

SAMHSA/CSAP - 30 

Outcomes and Outputs 

Table 17: Key Performance Indicators for Minority AIDS Initiative: Substance Abuse 

Prevention, HIV Prevention and Hepatitis Prevention for Minorities and Minorities Reentering Communities Post-Incarceration (HIV)59,60,61

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target62

FY 2012 +/- 

FY 2011 

2.3.35: Percent of program 

participants (age 12-17) that rate the 

risk of substance abuse as moderate 

or great (Outcome) 

FY 2008: 

90.1% 

(Target 

Exceeded) 

87% 87% 87% Maintain 

2.3.38: Percent of program 

participants (age 18 and up) that rate 

the risk of substance abuse as 

moderate or great (Outcome) 

FY 2008: 

96.5% 

(Target 

Exceeded) 

93% 93% 93% Maintain 

2.3.39: Percent of participants (age 

12-20) who used alcohol at pre-test 

who report a decrease in use of 

alcohol at post-test (user decrease) 

(Outcome) 

FY 2008: 

58.1% 

(Target Not 

Met) 

76.6% 76.6% 76.6% Maintain 

2.3.40: Percent of participants (age 

21 and up) who used alcohol at pretest who report a decrease in use of 

alcohol at post-test (user decrease) 

(Outcome) 

FY 2008: 

60.4% 

(Target 

Exceeded) 

60.8% 60.8% 60.8% Maintain 

2.3.41: Percent of participants (age 

12-20) who report no alcohol use at 

pre-test who remain non-users at 

post-test (non-user stability) 

(Outcome) 

FY 2008: 

93.7% 

(Target 

Exceeded) 

95.3% 95.3% 95.3% Maintain 

59Data have been revised from previously reported. Previously, data collected in a given year were reported as a result for the following year: for 

example, results reported for 2008 reflected data collected in 2007. In order to achieve consistency throughout SAMHSA, reporting has been 

revised so that results reported for a given year reflect data actually collected in that year, so that results for 2008 reflect data collected in 2008.

60HIV Cohort 7 serves different population groups so baseline data from this cohort will be established and entered in FY 2010.

61The out years of this program are under development and performance measures will be added once the program is finalized. In the interim, 

targets for FY 2011 and FY 2012 have been included and are subject to change. 62 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
 

SAMHSA/CSAP - 31 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target62

FY 2012 +/- 

FY 2011 

2.3.42: Percent of participants (age 

21 and up) who report no alcohol 

use at pre-test who remain non-users 

at post-test (non-user stability) 

(Outcome) 

FY 2008: 

90.3% 

(Target 

Exceeded) 

92% 92% 92% Maintain 

2.3.43: Percent of participants (age 

12-17) who used illicit drugs at pretest who report a decrease in 30-day 

use at post-test (user decrease) 

(Outcome) 

FY 2008: 

67.3% 

(Target Not 

Met) 

92.3% 92.3% 92.3% Maintain 

2.3.44: Percent of participants (age 

18 and up) who used illicit drugs at 

pre-test who report a decrease in 30-

day use at post-test (user decrease) 

(Outcome) 

FY 2008: 

59.1% 

(Target Not 

Met) 

70.6% 70.6% 70.6% Maintain 

2.3.45: Percent of participants (age 

12-17) who report no illicit drug use 

at pre-test who remain non-users at 

post-test (non-user stability) 

(Outcome) 

FY 2008: 96%

(Target 

Exceeded) 

94.9% 94.9% 94.9% Maintain 

2.3.46: Percent of participants (age 

18 and up) who report no illicit drug 

use at pre-test who remain non-users 

at post-test (non-user stability) 

(Outcome) 

FY 2008: 

93.4% 

(Target 

Exceeded) 

94.6% 94.6% 94.6% Maintain 

2.3.47: Percent of program 

participants (age 12-17) who 

somewhat disapprove or strongly 

disapprove of substance use 

(Outcome) 

FY 2008: 

72.9% 

(Target Not 

Met but 

Improved) 

82.8% 82.8% 82.8% Maintain 

2.3.48: Number of evidence-based 

policies, practices, and strategies 

implemented by HIV program 

grantees63 (Output) 

FY 2008: 509 

(Target 

Exceeded) 

270 11064 110 Maintain 

63This measure has been revised for the FY 2011 President's Budget. Previously the measure was cumulative. It has been revised to report its 

data annually. As a result, targets and data provided here may appear to differ from those previously published in the FY 2010 President's Budget. 

64This measure is expected to decline in FY 2011 following the close-out of Cohort 6 grants and newer Cohorts not yet functioning at optimum 

levels.
 

 

SAMHSA/CSAP - 32 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target62

FY 2012 +/- 

FY 2011 

2.3.56: Number of individuals 

exposed to substance abuse/hepatitis 

education services (Output) 

FY 2008: 

3,298 

(Target 

Exceeded) 

2,327 1,53565 1,535 Maintain 

2.3.70: Cost per participant 

improved on one or more measures 

between pre-test and post-test66

(Efficiency) 

FY 2008: 

$10,890 

(Target 

Exceeded)67 

$20,167 $10,890 $10,890 Maintain 

65This measure is expected to decline in FY 2011 following the close-out of Cohort 6 grants and newer Cohorts not yet functioning at optimum 

levels.

66Successful result is performance below target.

67Calculations have been adjusted somewhat from earlier years. 
 

SAMHSA/CSAP - 33 

Science and Service Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Fetal Alcohol Spectrum Disorder $9,800 $9,821 $9,821 0

Center for the Application of 

Prevention Technologies 8,041 8,511 8,511 0

Science and Service Program 

Coordination 4,693 4,789 4,789 0

National Registry of Evidencebased Programs and Practices 646 650 650 0

SAMHSA Health Information 

Network 2,749 2,749 2,548 -201

Minority Fellowship Program 71 71 71 0

Budget Authority $26,000 $26,591 $26,390 -$201

Authorizing Legislation.........................................Sections 516 and 519D of the PHS Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Cooperative Agreements/Contracts 

Program Description and Accomplishments 

SAMHSA’s Science and Service programs are complements to the Capacity programs. The 

programs within Science and Service include the Fetal Alcohol Spectrum Disorder Center for 

Excellence, Center for the Application of Prevention Technologies, Science and Service Program 

Coordination, National Registry of Evidence-based Programs and Practices, and the SAMHSA 

Health Information Network. These programs disseminate best-practices information to grantees 

and the field, as well as build and strengthen the Strategic Prevention Framework. By 

strengthening the framework between community organizations, coalitions, and State and local 

government, the Science and Services activities ensure that SAMHSA’s Capacity programs build 

and improve services in the most efficient, effective and sustainable way possible. The Science 

and Service programs are also essential to building effective capacity in communities that do not 

receive grant funds from SAMHSA. 

Fetal Alcohol Spectrum Disorder Center for Excellence 

The Fetal Alcohol Spectrum Disorder Center (FASD) for Excellence, initiated in 2001, is the 

largest alcohol prevention initiative within SAMHSA. The Center for Excellence identifies and 

disseminates information about innovative techniques and effective strategies for preventing 

Fetal Alcohol Spectrum Disorder and increases functioning and quality of life for individuals and 

their families impacted by these disorders. The Center for Excellence identifies gaps and trends 

in the field, synthesizes findings, and develops appropriate materials about FASD for health and 

social service professionals, communities, States, and tribal organizations. The Center has 
SAMHSA/CSAP - 34 

provided more than 500 trainings, technical assistance events, and consultations to 

approximately 23,000 individuals in the U.S., its Territories, and internationally. One of the 

Center’s key early activities was to establish a database of FASD materials. This database is now 

searchable and contains nearly 10,000 resources, including FASD literature, publications, 

posters, and public service announcements (PSAs). 

At the heart of the Center’s dissemination efforts is its website: 

http://www.fasdcenter.samhsa.gov. This site is the premier source of FASD information and a 

top result on all major search engines when researching FASD. The number of unique visitors, 

number of total visitors, and length of average visit to the site are all up significantly in 2008, 

compared to 2007. In addition, preliminary 2009 data are also strongly positive, for instance, 

more than 20,000 products were downloaded from the site, and its Spanish language section has 

been greatly expanded. Complementing the website is the FASD Information Resource Center 

hotline (1-866-STOPFAS), through which the Center fields inquiries and contacts from 

individuals around the world. In 2009, the Call Center fielded more than 400 queries, from 

across the country and around the world. 

To effectively expand its influence, the Center for Excellence uses subcontractors to advance the 

field of FASD prevention and treatment by learning what works in States and communities with 

specific populations using evidence-based interventions. Twenty-three local, State, and juvenile 

court subcontracts were offered through a competitive review process. Fifteen are subcontracts 

implementing prevention programs and eight are implementing diagnosis and intervention 

programs. 

Working closely with the FASD Prevention, Diagnosis, and Intervention Learning Community, 

the Center has identified the following trends from the initial subcontractor data: 

 Women should be screened for prenatal alcohol use to prevent alcohol-exposed 

pregnancies (AEP); 

 Brief interventions using motivational interviewing are low-cost and effective in reducing 

the risk of AEP; 

 Pregnant women receiving brief interventions may be less likely to drink if their partners 

are involved; 

 Non-medical professionals serving pregnant, low-income, minority women can 

incorporate brief interventions with their other services; 

 Primary care physicians have great potential to reduce drinking among childbearing 

women; 

 Comprehensive services involving case management can produce long-lasting benefits 

for low-income women and their children. 

The Center for the Application of Prevention Technologies

In existence for more than a decade, the Center for the Application of Prevention Technologies 

(CAPT) promotes state-of-the-art prevention technologies through three core strategies: 1) 

establishment of technical assistance networks using local experts from each of their five 

regions; 2) development of training activities; and 3) innovative use of communication media 

 
 

SAMHSA/CSAP - 35 

such as teleconference and video conferencing, online events, and Web-based support. These 

training and technical assistance activities are designed to build the capacity of SAMHSA 

grantees and develop the skills, knowledge, and expertise of their prevention workforce. These 

activities will help support successful implementation of the Strategic Prevention Framework, 

the delivery of effective prevention programs and practices, and the development of 

accountability systems for performance measurement and management. Through interagency 

agreements, the CAPT also provides training and technical assistance to additional client groups 

such as the U.S. Department of Education’s Grants to Reduce Alcohol Abuse Program. 

The CAPT promotes a 3-tiered strategic approach to effective prevention throughout the 

provision of their skill-building training and capacity-building technical assistance: 1) build 

capacity at the State or grantee level to implement the Strategic Prevention Framework process, 

2) prepare States to roll out the Strategic Prevention Framework process at the local level, and 3) 

work directly with States and their communities to select and implement effective prevention 

programs and practices, integrate prevention efforts across State systems, and sustain these 

efforts. 

During FY 2008, the CAPT devoted 18,880 hours to provide 1,456 capacity-building technical 

assistance services to 5,113 individuals representing 373 organizations, resulting in the delivery 

of 102,517 hours of client service (a measure taking into account both the number of CAPT staff 

hours devoted to delivery of each TA service and the number of individual recipients of those 

services). In addition, it delivered 552 on-site and web-based events to advance SAMHSA 

Strategic Prevention Framework priorities, the majority of which were skill development 

trainings and training-of-trainers. Collectively, the CAPT provided 3,745 hours of training to 

14,664 individuals from all 60 States, territories, and jurisdictions – a total of 115,968 client 

service hours (a measure of service delivery taking into account the number of training hours 

delivered to individual training participants). Ninety-six percent of CAPT training and technical 

assistance service recipients reported satisfaction with the service provided. At follow-up, 

ninety-eight percent of recipients of substantive CAPT services reported that the service had 

been useful to them in their work, and ninety-four percent reported that the service substantively 

enhanced their ability to provide effective prevention services, which is 14 percent higher than 

the FY 2008 program target of 80 percent. 

Critical CAPT activities continued during in FY 2009 despite a contract protest. At this time, the 

protest has been resolved and all technical assistance and training tasks and activities are 

continuing to support SAMHSA/CSAP grantees delivering substance abuse prevention services. 

National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP) is a searchable 

online registry of mental health and substance use disorders interventions that have been 

reviewed and rated by independent reviewers. The purpose of this registry is to assist the public 

in identifying approaches to preventing an treating mental and/or substance use disorders that 

have been scientifically tested and that can be readily disseminated to the field. NREPP is one 

way that SAMHSA is working to improve access to information on tested interventions and 

thereby reduce the lag time between the creation of scientific knowledge and its practical 
 

SAMHSA/CSAP - 36 

application in the field. SAMHSA has developed this resource to help people, agencies, and 

organizations implement programs and practices in their communities. 

 

After an extensive period of redesign, the new NREPP system and Web site was launched in 

March 2007. Information on over 150 interventions is currently available, and new intervention 

summaries (approximately three to five per month) are continually being added as reviews are 

completed. The registry is expected to grow to a large number of interventions over the coming 

months and years. Moreover, additional interventions to address service needs are submitted for 

review each year in response to an annual Federal Register notice. 

SAMHSA Health Information Network

SAMHSA’s Health Information Network (SHIN), initiated in 2005, combines the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC) to provide a one-stop, quick access point that connects the 

behavioral health workforce and the general public to the latest information on the prevention 

and treatment of mental and substance abuse disorders. SHIN leverages knowledge management 

technology to create an integrated, customer-centric health information network that provides a 

suite of information services to help SAMHSA discern and meet the needs of its customers. This 

knowledge management project has allowed SAMHSA to merge the NCADI and NMHIC backend infrastructures, contact centers, and warehouses; reengineer the Contact Center 

communications architecture to serve customers faster and with fewer staff; streamline and unify 

data collection; and establish dashboard reporting on inventory and customer inquiries. The 

current contract will end in FY 2010, and a new contract will begin in FY 2011. SAMHSA is 

currently reviewing options for that contract. By providing centralized, state-of-the-art 

information network, SHIN can create efficiencies that allow the program to redirect resources 

into product development and other priority programmatic needs. SHIN will continue to provide 

information dissemination and related core services based not only on legacy needs and 

approaches (e.g., warehousing print publications, inventory management, order fulfillment, call 

center services), but also based on new evolving health communications approaches. 

SHIN provides critical knowledge dissemination and education support for SAMHSA, including 

hard copy and electronic dissemination of such publications as the “Tips for Teens” series 

(which provides substance use disorders prevention information targeted to teens on an array of 

topics), materials supported by SAMHSA’s Underage Drinking Initiative, and information about 

culturally competent and evidence-based substance use disorders prevention practices. The 

majority of substance use disorders prevention materials disseminated by SHIN are used for 

general distribution, personal use and patient education in a treatment setting. SHIN also 

supports exhibits at several major substance use disorders prevention conferences. 

SAMHSA has established two new performance measures for the SHIN to reflect the substantial 

and increasing role in knowledge product dissemination of the SHIN. SAMHSA will continue to 

refine and update its performance measures over the coming year, as it moves forward with 

developing the necessary taxonomy and IT infrastructure to support these measures. 
 

 

SAMHSA/CSAP - 37 

In 2009, the most recent year for which data are available, SHIN disseminated 16,360,389 

knowledge products to the field. 

Funding History 

FY Amount 

2006 $33,649,000 

2007 $32,413,000 

2008 $27,191,000 

2009 $26,000,000 

2010 $26,591,000 

Budget Request 

The FY 2011 President’s Budget request is $26.4 million, a decrease of $0.2 million from the FY 

2010 Appropriation level. This includes $9.8 million for FASD, $8.5 million for Center for the 

Application of Prevention Technologies, $4.8 million for Science and Service Program 

Coordination, $0.65 million for NREPP, $2.5 million for SHIN, and $0.071 million for Minority 

Fellowship Program. The reduction is for the SAMHSA Health Information Network which is 

part of the overall contract cost efficiencies and process improvements. Funding for all other 

activities is maintained at the FY 2010 level. 

Outcomes and Outputs 

Table 18: Key Performance Indicators for Prevention PRNS - Science and Service 

Activities 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target68

FY 2012 

+/- FY 

2011 

2.3.71: Number of people provided 

technical assistance (TA) Services69

(Output) 

FY 2008: 

22,889 

(Baseline)70 

21,117 21,420 21,420 Maintain 

68 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

69Updated to include Centers for the Application of Prevention Technologies, Native American Center for Excellence, Fetal Alcohol Spectrum 

Disorder, MEI, and Prevention Fellowships.

70Actual has been updated from previously reported and now contains data from the additional science and service activities. 
 

SAMHSA/CSAP - 38 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target68

FY 2012 

+/- FY 

2011 

2.3.72: Percentage of TA recipients 

who reported that they are very 

satisfied with the TA received71

(Outcome) 

FY 2008: 

69.6% 

(Baseline)72 

69.1% 69.1% 69.1% Maintain 

2.3.73: Percentage of TA recipients 

who reported that their ability to 

provide effective services improved a 

great deal73 (Outcome) 

FY 2008: 

65.4% 

(Baseline)74 

53.4% 53.4% 53.4% Maintain 

2.3.74: Percentage of TA recipients 

who reported that the TA 

recommendations have been fully 

implemented75 (Outcome) 

FY 2008: 

55.4% 

(Baseline)76 

54% 54% 54% Maintain 

2.3.75: Number of persons receiving 

prevention information directly77

(Output) 

FY 2008: 

122,992 

(Baseline)78 

120,223 120,223 120,223 Maintain 

2.3.76: Number of persons receiving 

prevention information indirectly 

from advertising, broadcast, or 

website79 (Output) 

FY 2008: 

1,211,382 

(Baseline)80 

906,707 906,707 906,707 Maintain 

 

71

Includes Centers for the Application of Prevention Technologies, Native American Center for Excellence, and Prevention fellowships.

72

Actual has been updated from previously reported and now contains data from the additional science and service activities. 

73Includes Centers for the Application of Prevention Technologies, and Prevention Fellowships.

74

Actual has been updated from previously reported and now contains data from the additional science and service activities. 

75Includes only the Centers for the Application of Prevention Technologies.

76Actual has been updated from previously reported and now contains data from the additional science and service activities. 

77

Includes Town Hall Meetings and Fetal Alcohol Spectrum Disorder.

78Actual has been updated from previously reported and now contains data from the additional science and service activities. 

79Includes Town Hall Meetings, Fetal Alcohol Spectrum Disorder, and MEI (Community Outreach).

80Actual has been updated from previously reported and now contains data from the additional science and service activities. 
 

SAMHSA/CSAP - 39 

Substance Abuse Prevention and Treatment (SAPT) Block Grant 

20% Prevention Set-aside 

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Budget Authority $355,718 $359,718 $359,718 $0

NOTE: The Substance Abuse Prevention and Treatment (SAPT) Block Grant is also discussed in 

the CSAT SAPT Block Grant section. 

Authorizing Legislation....................... ...........Section 1921 of the Public Health Services Act 

FY 2011 Authorization .........................................................................................................Expired 

Allocation Method ....................................................................................................... Block Grants 

Program Description and Accomplishments 

SAMHSA/CSAP is responsible for managing $360 million, the 20 percent Primary Prevention 

Set-Aside of the SAPT Block Grant. States expend these funds on the six primary prevention 

strategies: information dissemination, education, alternatives, problem identification and 

referral, community-based processes, and environmental strategies. States are heavily dependent 

upon SAPT Block Grant funding for urgently needed substance use prevention services. 

Prevention service funding varies significantly from State to State. Some States rely solely on 

the Block Grant’s 20 percent set-aside to fund their prevention systems; others use the funds to 

target gaps and enhance existing program efforts. 

In support of SAMHSA’s goal to promote increased State accountability, the Block Grant 

reporting system collects data on the National Outcome Measures (NOMs). Beginning in FY 

2008, States were required to submit NOMs as part of their application for the Substance Abuse 

Prevention and Treatment Block Grant. 

Outcome measures for the prevention 20 percent set-aside are based on data from the National 

Survey on Drug Use and Health for the Block Grant compliance year. Thus, the FY 2008 report 

uses the FY 2005 compliance year data. Beginning in 2008, the program reported on the new set 

of performance measures based on state-level estimates from the National Survey on Drug Use 

and Health. 

This transition to a data-driven Block Grant is supported by the States data infrastructure to 

implement needed data collection and performance measures. One of the permissible uses for 

the Strategic Prevention Framework grants (within the PRNS budget line) is data infrastructure 

support. States are being encouraged to utilize the SAMHSA Strategic Prevention Framework or 

similar planning tool for their Block Grant which will help States to build comprehensive state 

systems that will lead to better outcomes. In addition, data for a new OMB-approved efficiency 

measure, “Percent of Program Costs Spent on Evidence-based Programs, Policies, and/or 

Practices (EBPs)” have been reported by the States in the FY 2010 Block Grant application. 
 

SAMHSA/CSAP - 40 

This OMB-approved efficiency measure calculates as total prevention dollars used for EBPs 

divided by total prevention program dollars. 

The information gathered for the Block Grant application is helping States describe and analyze 

sub-state needs, and plan programs, policies, and practices to address gaps in service and in their 

substance use disorders prevention systems. States use data to report to the State legislature and 

other State and local organizations. Aggregated statistical data from State applications 

demonstrates to SAMHSA the magnitude of the national substance abuse problem and the 

effectiveness of Federal-State resources targeted to serve individuals, families, and communities 

impacted by substance use disorders. This data provides SAMHSA with a better understanding 

of funding needs in the substance use disorders prevention arena. 

Synar 

A measurable outcome resulting from the Block Grant is the success demonstrated by States in 

reducing the rate at which retailers sell tobacco products to minors, as required under the Block 

Grant’s Synar Amendment. Enacted in 1992, the Amendment requires that States enact and 

enforce laws that prohibit the sale or distribution of tobacco products to minors. Because it plays 

a lead Federal role in substance use disorders prevention, SAMHSA was charged with 

implementing the Synar Amendment. In January 1996, SAMHSA issued the Synar Regulation 

to provide guidance to the States. The regulation requires that States: 1) have in effect a law 

prohibiting any manufacturer, retailer, or distributor of tobacco products from selling or 

distributing such products to any individual younger than age 18; 2) enforce this law; 3) conduct 

annual, unannounced inspections in a way that provide a valid probability sample of tobacco 

sales outlets accessible to minors; 4) negotiate interim targets and a date to achieve a 

noncompliance rate of no more than 20 percent (SAMHSA required that each State reduce its 

retailer violation rate to 20 percent or less by FY 2003); and 5) submit an annual report detailing 

State activities to enforce its law. Performance has steadily improved, and for the last three years, 

for which data are available, (FY 2006, 2007, and 2008), all States and the District of Columbia 

have met or exceeded the retailer violation rate goal. The Synar program has been successful in 

reducing youth access to tobacco through retail sources. While the national weighted average 

retailer violation rate for the 50 States, Puerto Rico and the District of Columbia (weighted by 

State population) was 40.1 percent in FY 1996, the rate steadily fell to 9.9 percent in FY 2007. 

However, the national weighted average retailer violation rate is the amount and reach of a 

State’s youth tobacco access enforcement effort. Further, in a worsening economy and as State 

budgets decrease, these funds are at risk. As a result, some States are reducing the number of 

enforcement inspections they conduct, which has the potential to result in higher retailer 

violation rates. At the same time, States have been cutting back funds spent on anti-smoking 

campaigns that had been funded by nationwide 1998 settlement of a class-action lawsuit against 

the tobacco industry (Master Settlement Agreement). 

The SAPT Block Grant’s Synar regulation specifically forbids States from spending SAPT Block 

Grant money to fund the enforcement of State access law. SAMHSA is working with States to 

address this issue, including planning sessions at the upcoming 10th National Synar Workshop on 

topics such as the impact of the recession on Synar: what States are doing to maintain outcomes 

with less money and how to use local tobacco licensing to help fund enforcement. 
 

SAMHSA/CSAP - 41 

National Outcome Measures

The National Outcome Measures for SAMHSA/CSAP use State-level estimates from the 

NSDUH. Combined NSDUH samples for 2006 and 2007 showed the following improvements 

over the combined samples for 2005 and 2006: 

 Twenty-seven States (52.9 percent) showed a decrease in past-30-day alcohol use in the 

12-17 age group. Twenty-eight States (54.9 percent) showed an increase in the 

perception of risk of harm from having five or more drinks of an alcoholic beverage once 

or twice a week among the same age group; 

 Twenty-five States (49.0 percent) showed a decrease in past-30-day marijuana use among 

persons aged 12-17. Twenty-one States (41.2 percent) showed an increase in perception 

of risk of harm from smoking marijuana once or twice per week among the same age 

group; 

 Twenty-nine States (56.9 percent) witnessed increases in the age of first marijuana use, 

while 31 States (60.8 percent) had increases in the age of first alcohol use; 

 Thirty-two States (62.7 percent) witnessed an increase in percentages of persons aged 12-

17 reporting that they somewhat or strongly disapproved of their peers having one or two 

drinks of an alcoholic beverage nearly every day; 

 Thirty-four States (66.7 percent) showed increased percentages of persons aged 12-17 

reporting that their close friends would somewhat or strongly disapprove of their smoking 

one or more packs of cigarettes a day; 

 Fifteen States showed higher percentages of employed persons aged 15-17 reporting that 

they would be more likely to work for an employer who randomly tests for drugs and 

alcohol. This constitutes 57.7 percent of the 26 States for which valid comparisons of this 

measure were possible across the two combined samples; 

 Twenty-five States (49.0 percent) showed increased percentages of persons aged 12-17 

reporting a conversation with a parent/guardian about the dangers of alcohol, tobacco, or 

other drugs during the past 12 months; 

 Twelve States showed increased percentages of persons aged 12-17 who reported having 

been exposed to substance use disorders prevention messages during the past 12 months. 

Funding History 

FY Amount 

2006 $351,485,000 

2007 $351,718,000 

2008 $351,745,000 

2009 $355,718,000 

2010 $359,718,000 
e) 

 

SAMHSA/CSAP - 42 

Budget Request 

The FY 2011 President’s Budget request is $359.7 million, same level of funding as the FY 2010 

Appropriation. This funding level will maintain the same number of States whose retail tobacco 

sales violations is at or below 20 percent. 

Outcomes and Outputs 

Table 19: Key Performance Indicators for SAPTBG - Prevention Set-Aside: Synar 

Amendment 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target81

FY 2012 +/- 

FY 2011 

2.3.49: Increase number of States 

(including Puerto Rico) whose retail 

sales violations is at or below 

20%82 (Outcom

FY 2008: 52 

(Target Met) 52 52 52 Maintain 

2.3.62: Number of States (excluding 

Puerto Rico) reporting retail 

tobacco sales violation rates below 

10% (Outcome) 

FY 2008: 22 

(Target Not 

Met) 

25 26 28 +2 

Table 20: Key Performance Indicators for SAPTBG - Prevention Set-Aside: Other 

Activities 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target83

FY 2012 +/- 

FY 2011 

2.3.53: Number of evidence-based 

policies, practices, and strategies 

implemented84 (Output) 

FY 2008: 

10,393 

(Target 

Exceeded) 

7,000 10,393 10,393 Maintain 

 

81 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

82The 20% retail sales violation data apply to the 50 states, D.C., and Puerto Rico. 83 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

84This measure has been revised for the FY 2011 President's Budget. Previously the measure was cumulative. It has been revised to report its 

data incrementally. As a result, targets and data provided here may appear to differ from those previously published in the FY 2010 President's 

Budget. 
SAMHSA/CSAP - 43 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target83

FY 2012 +/- 

FY 2011 

2.3.69: Percent of program costs 

spent on evidence-based practices 

(EBP) (Outcome) 

FY 2008: 75%

(Target 

Exceeded) 

71% 75% 75% Maintain 

2.3.54: Number of participants 

served in prevention programs 

(Outcome) 

FY 2008: 

70,647,674 

(Target 

Exceeded) 

17,482,060 70,647,674 70,647,674 Maintain 

2.3.63: Percent of states showing an 

increase in state level estimates of 

survey respondents who rate the 

risk of substance abuse as moderate 

or great (age 12-17) (Outcome) 

FY 2008: 

47.1% 

(Target 

Exceeded) 

45.1% 47.1% 47.1% Maintain 

2.3.64: Percent of states showing an 

increase in state level estimates of 

survey respondents who rate the 

risk of substance abuse as moderate 

or great (age 18+) (Outcome) 

FY 2008: 

37.3% 

(Target 

Exceeded) 

27.5% 37.3% 37.3% Maintain 

2.3.65: Percent of states showing a 

decrease in state level estimates of 

percent of survey respondents who 

report 30 day use of alcohol (age 

12-20) (Outcome) 

FY 2008: 

52.9% 

(Target 

Exceeded) 

51% 52.9% 52.9% Maintain 

2.3.66: Percent of states showing a 

decrease in state level estimates of 

percent of survey respondents who 

report 30 day use of alcohol (age 

21+) (Outcome) 

FY 2008: 

47.1% 

(Target 

Exceeded) 

37.3% 47.1% 47.1% Maintain 

2.3.67: Percent of states showing a 

decrease in state level estimates of 

percent of survey respondents who 

report 30 day use of other illicit 

drugs (age 12-17) (Outcome) 

FY 2008: 

64.7% 

(Target 

Exceeded) 

52.9% 64.7% 64.7% Maintain 

2.3.68: Percent of states showing a 

decrease in state level estimates of 

percent of survey respondents who 

report 30 day use of other illicit 

drugs (age 18+) (Outcome) 

FY 2008: 

37.3% 

(Target 

Exceeded) 

33.3% 37.3% 37.3% Maintain 
SAMHSA/CSAP - 44 

 

Page intentionally left blank 
 Table of Contents 

SAMHSA/Center for Substance Abuse Treatment (CSAT) Page

1. Mechanism Table................................................................................................................ 1 

2. Programs of Regional and National Significance............................................................... 3 

3. Summary Listing of Activities............................................................................................ 5 

4. Mechanism Table by Summary of Activities ..................................................................... 7 

5. Access to Recovery........................................................................................................... 13

6. Screening, Brief Intervention and Referral to Treatment ................................................. 17 

7. Criminal Justice ................................................................................................................ 21 

8. Treatment Systems for Homelessness .............................................................................. 29 

9. Other Capacity Activities.................................................................................................. 33 

10. Science and Service Activities.......................................................................................... 39 

11. National All Schedules Prescription Electronic Reporting (NASPER)............................ 45 

12. Substance Abuse Prevention and Treatment (SAPT) Block Grant .................................. 51 
Page intentionally left blank
SAMHSA/CSAT-1 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Programs of Regional & National 

Significance No. Amount No. Amount No. Amount No. Amount

Capacity 

Grants/Cooperative Agreements:

Continuations 364 $249,492 416 $179,139 491 $279,774 + 75+$100,635

New/Competing 176 59,335 203 158,433 184 88,903 - 19 - 69,530

Supplements 24 3,523 0 0 0 0 0 0

Subtotal 540 312,350 619 337,572 675 368,677 + 56 + 31,105

Contracts:

Continuations 25 52,156 29 78,029 37 88,771 + 8 + 10,742

New/Competing 19 20,324 9 10,085 3 3,113 - 6 - 6,972

Supplements (1) 238 0 0 0 0 0 0

Subtotal 44 72,718 38 88,114 40 91,884 + 2 + 3,770

Technical Assistance 0 0 0 0 0 0 0 0

Review Cost 0 402 0 0 0 0 0 0

 Subtotal 44 73,120 38 88,114 40 91,884 + 2 + 3,770

Subtotal, Capacity 584 385,470 657 425,686 715 460,561 + 58 + 34,875

Science and Service 

Grants/Cooperative Agreements:

Continuations 16 8,647 16 8,579 16 9,678 0 + 1,099

New/Competing 0 0 0 0 0 0 0 0

Supplements 0 0 (10) 1,099 0 0 - 10 - 1,099

Subtotal 16 8,647 16 9,678 16 9,678 0 0

Contracts:

Continuations 8 6,540 11 11,830 11 11,861 0 + 31

New/Competing 22 10,917 14 4,635 0 3,782 - 14 - 853

Supplements 0 0 0 0 0 0 0 0

Subtotal 30 17,457 25 16,465 11 15,643 - 14 - 822

Technical Assistance 1 768 1 800 1 800 0 0

Review Cost 0 0 0 0 0 0 0 0

Subtotal 31 18,225 26 17,265 12 16,443 - 14 - 822

Subtotal, Science and Service 47 26,872 42 26,943 28 26,121 - 14 - 822

PHS Evauation Funds:(Non-add) 0 (8,596) 0 (8,596) 0 (8,596) 0 (0)

Total, PRNS 631 412,342 699 452,629 743 486,682 + 44 + 34,053

Prescription Drug Monitoring (NASPER) 13 2,000 51 2,000 51 2,000 0 0

SAPT BG 60 1,778,591 60 1,798,591 60 1,798,591 0 0

SAPT BG Set-aside:(Non-add) 0 (88,930) 0 (89,930) 0 (89,930) 0 (0)

PHS Evauation Funds:(Non-add) 0 (79,200) 0 (79,200) 0 (79,200) 0 (0)

TOTAL, CSAT 691 $2,192,933 759 $2,253,220 803 $2,287,273+ 44 +$34,053
SAMHSA/CSAT-2 

Page intentionally left blank 
SAMHSA/CSAT-3 

SAMHSA/Substance Abuse Treatment 

Programs of Regional and National Significance 

Summary of Programs 

The SAMHSA/Substance Abuse Treatment Programs of Regional and National Significance 

(PRNS) support States and communities in carrying out an array of activities for service 

improvements and priority needs. 

There are two program categories within PRNS, Capacity and Science and Service. Programs in 

the Capacity category provide funding to implement service improvements using proven 

evidence-based approaches and to identify and implement needed systems changes. Programs 

within the Science and Service category promote the identification and increase the availability 

of practices with potential for broad service improvement. 

The FY 2011 President’s Budget request for SAMHSA Substance Abuse Treatment PRNS is 

$486.7 million, an increase of $34.0 million from the FY 2010 Appropriation level. The request 

includes: 

 $108.9 million for the Access to Recovery Program (ATR) to support grant awards to 

States and Tribal organization through a recovery-oriented system of care approach to 

service delivery utilzing electronic vouchers and client choice ; 

 $37.1 million for Screening, Brief Intervention, and Referral to Treatment (SBIRT) for 

continuation grants/cooperative agreements to add screening and brief 

intervention/referral services within States, campuses and general medical settings, an 

evaluation of the program, and includes $15.0 million for a new Mental Health/ 

Substance Abuse SBIRT Initiative, a joint initiative with the Center for Mental Health 

Services, $3.0 million for the development of new pilot project based on the Physician 

Clinical Support System, $0.5 million to monitor and encourage State-wide SBIRT code 

adoption and implementation, and $0.7 million to enhance and expand 

SAMHSA/CSAT's state financing academies; 

 $84.2 million for Criminal Justice activities; $56.4 million for Treatment Drug Courts to 

provide treatment, housing, vocational, and employment services of which $5.0 million is 

for Family Dependency/Treatment Drug Courts; $23.2 million for Ex-Offender Reentry 

programs to provide screening, assessment and comprehensive treatment, and recovery 

services to offenders reentering the community, and $4.6 million for Adult Criminal 

Justice Treatment grants; 

 $47.4 million for Treatment Systems for Homeless which includes $8.4 million for the 

new Homeless Initiative Program joint with Center for Mental Health Services’ 

 $183.1 million for Other Capacity activities, including Minority AIDS ($65.9 million); 

Targeted Capacity Expansion – General ($28.5 million) which includes $6.0 million for a 
SAMHSA/CSAT-4 

 $26.1 million for Science and Service activities, including Addiction Technology 

Transfer Centers ($9.1 million), the SAMHSA Health Information Network ($3.8 

million), and the National Registry of Evidence-Based Programs and Practices ($0.9 

million). 

The Substance Abuse Treatment PRNS program underwent a program assessment in 2002. The 

assessment cited strong design and positive impact as strong attributes of the program. As a 

result of the assessment, the program is providing benchmark data to allow grantees to gauge 

how they perform compared to other grantees in their program area; including language in new 

program announcements (as appropriate) around incentives and disincentives based on grantee 

performance; and to improve the integration of the monthly tracking system of performance that 

supports monitoring of grantees by team leaders and project officers. 

Changes to Summary Listing of Activities Table 

The Seclusion and Restraint (S&R) Summary Listing of Activities (SLoA) line has been 

eliminated and those functions realigned within the Special Initiatives and Outreach line. 

Adding the Seclusion and Restraint functions to the Special Initiatives and Outreach line serves 

to streamline the SLoA structure while preserving functionality of all Seclusion and Restraint 

activities. 
SAMHSA/CSAT-5 

SAMHSA/Center for Substance Abuse Treatment 

Programs of Regional & National Significance

Summary Listing of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

CAPACITY: 

Co-occurring State Incentive Grants (SIGs) $4,263 $4,263 $4,113 -$150

Opioid Treatment Programs/Regulatory Activities 8,886 8,903 8,903 0

Screening, Brief Intervention and Referral to Treatment 

a/ 28,972 29,106 37,106 +8,000

Mental Health/Substance Abuse SBIRT (non-add) 0 0 15,000 +15,000

TCE - General 28,634 28,989 28,481 -508

Performance Contracting Program 0 0 6,000 +6,000

Pregnant & Postpartum Women 15,662 16,000 17,350 +1,350

Strengthening Treatment Access and Retention 1,638 1,775 1,775 0

Recovery Community Services Program 5,237 5,236 5,236 0

Access to Recovery b/ 98,954 98,954 108,854 +9,900

Children and Families 20,468 30,678 30,488 -190

Treatment Systems for Homeless 42,879 42,750 47,360 +4,610

Minority AIDS 66,421 65,988 65,888 -100

Criminal Justice Activities 38,130 67,635 84,191 +16,556

Treatment Drug Courts (non-add) 23,925 43,882 56,438 +12,556

Family Dependency/Treatment Drug Courts (nonadd within Drug Courts) 0 5,000 5,000 0

Ex-Offender Re-Entry (non-add) 10,092 18,200 23,200 +5,000

Services Accountability c/ 21,040 20,816 20,816 0

Congressional Projects 4,286 4,593 0 -4,593

Subtotal, Capacity 385,470 425,686 460,561 +34,875

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers 9,150 9,081 9,081 0

Minority Fellowship Program 547 547 547 0

Special Initiatives/Outreach d/ 2,232 2,400 2,420 +20

Information Dissemination 4,586 4,553 4,353 -200

National Registry of Evidence-Based Programs & 

Practices 893 893 893 0

SAMHSA Health Information Network 4,255 4,255 3,782 -473

Program Coordination and Evaluation e/ 5,209 5,214 5,045 -169

Subtotal, Science and Service 26,872 26,943 26,121 -822

TOTAL, PRNS $412,342 $452,629 $486,682 +$34,053

a/ Includes PHS evaluation funds for SBIRT evaluation in the amount of $2.0 million in FY 2009, FY 2010 and FY 2011. 

b/ Includes PHS evaluation funds for ATR in the amount of $1.4 million in FY 2009. 

c/ Includes PHS evaluation funds for the SAIS contract which supports CSAT's data collection activities, in the amount of $5.2 

million in FY 2009 and $6.6 million in FY 2010 and FY 2011. 

d/ Includes funding for Seclusion and Restraint activities. 

e/ Includes Partners for Recovery activities which address issues of national significance and are field/consumer -driven. 
SAMHSA/CSAT-6 

Page intentionally left blank 
SAMHSA/CSAT-7 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. Amount No. Amount No. Amount No. Amount

CAPACITY: 

Co-occurring State Incentive Grants (SIGs) 

 Grants 

Continuations 4 $1,695 4 $1,298 2 $1,100 - 2 -$198

New/Competing 0 0 0 0 0 0 0 0

Subtotal 4 1,695 4 1,298 2 1,100 -2 -198

 Contracts 

Continuations 1 820 1 2,965 1 3,013 0 +48

New/Competing 1 1,748 0 0 0 0 0 0

Subtotal 2 2,568 1 2,965 1 3,013 0 +48

Total, Co-occurring State Incentive Grants (SIGs) 6 4,263 5 4,263 3 4,113 -2 -150

Opioid Treatment Programs/Regulatory Activities

 Grants 

Continuations 5 1,955 4 1,435 1 500 -3 -935

New/Competing 0 0 1 500 4 1,435 +3 +935

Subtotal 5 1,955 5 1,935 5 1,935 0 0

 Contracts 

Continuations 8 6,585 6 5,208 10 6,968 +4 +1,760

New/Competing 2 108 4 1,760 0 0 - 4 - 1,760

Supplements (1) 238 0 0 0 0 0 0

Subtotal 10 6,931 10 6,968 10 6,968 0 0

 Total, Opioid Treatment Programs/Regulatory Activities 15 8,886 15 8,903 15 8,903 0 0 

Screening, Brief Intervention and Referral to Treatment a/

 Grants 

Continuations 19 24,558 19 23,988 15 13,377 - 4 - 10,611

New/Competing 6 2,247 0 0 26 18,000 +26 +18,000

Subtotal 25 26,805 19 23,988 41 31,377 +22 +7,389

 Contracts 

Continuations 1 67 1 5,118 1 5,729 0 +611

New/Competing 2 2,100 0 0 0 0 0 0

Subtotal 3 2,167 1 5,118 1 5,729 0 +611

Total, Screening, Brief Intervention and Referral to 

Treatment 28 28,972 20 29,106 42 37,106 +22 +8,000 

TCE - General 

 Grants 

Continuations 39 14,829 36 11,991 32 12,039 - 4 +48

New/Competing 13 5,069 19 6,969 24 6,000 +5 - 969

Supplements 0 0 0 0 0 0 0 0

Subtotal 52 19,898 55 18,960 56 18,039 +1 - 921

 Contracts 

Continuations 4 7,294 5 10,029 4 9,829 - 1 - 200

New/Competing 1 1,442 0 0 1 613 +1 +613

Supplements 0 0 0 0 0 0 0 0

Subtotal 5 8,736 5 10,029 5 10,442 0 +413

Total,TCE - General 57 28,634 60 28,989 61 28,481 +1 - 508

Pregnant & Postpartum Women 

 Grants 

Continuations 15 7,201 26 12,634 10 4,933 - 16 - 7,701

New/Competing 12 5,400 0 0 19 9,201 +19 +9,201

Subtotal 27 12,601 26 12,634 29 14,134 +3 +1,500

 Contracts 

Continuations 0 900 1 3,366 1 3,216 0 - 150

New/Competing 1 2,161 0 0 0 0 0 0

Subtotal 1 3,061 1 3,366 1 3,216 0 - 150

Total, Pregnant & Postpartum Women 28 $15,662 27 $16,000 30 $17,350 +3 +$1,350

a/ Includes PHS evaluation funds for SBIRT evaluation in the amount of $2.0 million in FY 2009, FY 2010 and FY 2011. 
SAMHSA/CSAT-8 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Programs of Regional & National No. Amount No. Amount No. Amount No.Amount

Strengthening Treatment Access and Retention

 Grants 

Continuations 0 $0 0 $0 0 $0 0 $0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 0 0 0 0 0 0 0

 Contracts 

Continuations 0 1,050 1 1,775 1 1,775 0 0

New/Competing 3 588 0 0 0 0 0 0

Subtotal 3 1,638 1 1,775 1 1,775 0 0

Total, Strengthening Treatment Access and 3 1,638 1 1,775 1 1,775 0 0

Recovery Community Services Program 

 Grants 

Continuations 15 5,137 8 2,686 6 2,150 - 2 - 536

New/Competing 0 0 6 2,150 8 2,686 +2 +536

Subtotal 15 5,137 14 4,836 14 4,836 0 0

 Contracts 

Continuations 0 100 0 0 1 400 +1 +400

New/Competing 0 0 1 400 0 0 -1 -400

Subtotal 0 100 1 400 1 400 0 0

Total, Recovery Community Services Program 15 5,237 15 5,236 15 5,236 0 0

Access to Recovery b/ 

 Grants 

Continuations 24 94,026 0 0 30 96,954 + 30 $96,954

New/Competing 0 0 30 96,954 4 9900 -26 -87,054

Supplements (24) 3,523 0 0 0 0 0 0

Subtotal 24 97,549 30 96,954 34 106,854 4 9900

 Contracts 

Continuations 1 1,405 0 0 1 2,000 + 1 +2,000

New/Competing 0 0 1 2,000 0 0 -1 -2,000

Subtotal 1 1,405 1 2,000 1 2,000 0 0

Total, Access to Recovery 25 98,954 31 98,954 35 108,854 4 9,900

Children and Families 

 Grants 

Continuations 16 4,795 13 3,897 48 14,376 + 35 +10,479

New/Competing 14 4,098 35 10,575 0 0 -35 -10,575

Subtotal 30 8,893 48 14,472 48 14,376 0 - 96

 Contracts 

Continuations 5 11,206 5 10,956 5 16,112 0 +5,156

New/Competing 1 369 0 5,250 0 0 0 -5,250

Subtotal 6 11,575 5 16,206 5 16,112 0 - 94

Total, Children and Families 36 20,468 53 30,678 53 30,488 0 -190

Treatment Systems for Homeless 

 Grants 

Continuations 71 27,945 72 28,122 70 27,460 - 2 - 662

New/Competing 25 8,683 20 8,092 24 10,864 + 4 +2,772

Subtotal 96 36,628 92 36,214 94 38,324 +2 +2,110

 Contracts 

Continuations 1 3,724 2 6,536 2 6,536 0 0

New/Competing 1 2,527 0 0 2 2,500 + 2 +2,500

Subtotal 2 6,251 2 6,536 4 9,036 + 2 +2,500

Total, Treatment Systems for Homeless 98 $42,879 94 $42,750 98 $47,360 +4 +$4,610

b/ Includes PHS evaluation funds for ATR in the amount of $1.4 million in FY 2009. 
SAMHSA/CSAT-9 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Programs of Regional & National No. Amount No. Amount No. Amount No. Amount

Minority AIDS 

 Grants 

Continuations 126 $57,563 133 $60,697 123 $55,715 - 10 -$4,982

New/Competing 16 6,610 0 0 10 4,982+ 10 +4,982

Subtotal 142 64,173 133 60,697 133 60,697 0 0

 Contracts 

Continuations 1 2,248 1 5,291 1 5,191 0 - 100

New/Competing 0 0 0 0 0 0 0 0

Subtotal 1 2,248 1 5,291 1 5,191 0 - 100

Total, Minority AIDS 143 66,421 134 65,988 134 65,888 0 -100

Criminal Justice Activities 

 Grants 

Continuations 30 9,788 101 32,391 154 51,170+ 53 +18,779

New/Competing 71 22,942 83 28,600 65 25,835 -18 -2,765

Subtotal 101 32,730 184 60,991 219 77,005+ 35 +16,014

 Contracts 

Continuations 3 4,926 5 5,969 8 7,186 + 3 +1,217

New/Competing 6 474 3 675 0 0 -3 -675

Subtotal 9 5,400 8 6,644 8 7,186 --- +542

Total, Criminal Justice Activities 110 38,130 192 67,635 227 84,191+ 35 +16,556

Services Accountability c/ 

 Contracts 

Continuations 0 12,233 1 20,816 1 20,816 0 0

New/Competing 1 8,807 0 0 0 0 0 0

Subtotal 1 21,040 1 20,816 1 20,816 0 0

Total, Services Accountability 1 21,040 1 20,816 1 20,816 0 0

Congressional Projects 

 Grants 

Continuations 0 0 0 0 0 0 0 0

New/Competing 19 4,286 9 4,593 0 0 -9 -4593

Subtotal 19 4,286 9 4,593 0 0 - 9 - 4,593

Total, Congressional Projects 19 4,286 9 4,593 0 0 -9 - 4,593

Subtotal, Capacity 584 $385,470 657 $425,686 715 $460,561+ 58+$34,875

c/ Includes PHS evaluation funds for the SAIS contract which supports CSAT's data collection activities, in the amount of $5.2 

million in FY 2009 and $6.6 million in FY 2010 and FY 2011. 
SAMHSA/CSAT-10 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Programs of Regional & National Significance No. Amount No. AmountNo.AmountNo.Amount

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers 

 Grants 

Continuations 15 $7,800 15 $7,732 15 $8,831 0 +$1,099

New/Competing 0 0 0 0 0 0 0 0

Supplements 0 0 (10) 1,099 0 0 -10 -1,099

Subtotal 15 7,800 15 8,831 15 8,831 0 0

 Contracts 

Continuations 2 1,350 1 250 1 250 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 2 1,350 1 250 1 250 0 0

Total, Addiction Technology Transfer Centers 17 9,150 16 9,081 16 9,081 0 0

Minority Fellowship Program 

 Grants 

Continuations 0 547 0 547 0 547 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 0 547 0 547 0 547 0 0

Total, Minority Fellowship Program 0 547 0 547 0 547 0 0

Special Initiatives/Outreach d/ 

 Grants 

Continuations 1 300 1 300 1 300 0 0

New/Competing 0 0 0 0 0 0 0 0

Subtotal 1 300 1 300 1 300 0 0

 Contracts 

Continuations 3 770 5 2,100 5 2,120 0 +20

New/Competing 5 1,162 0 0 0 0 0 0

Subtotal 8 1,932 5 2,100 5 2,120 0 20

Total, Special Initiatives/Outreach 9 2,232 6 2,400 6 2,420 0 +20

Information Dissemination 

 Contracts 

Continuations 0 490 2 4,553 2 4,353 0 -200

New/Competing 2 4,096 0 0 0 0 0 0

Subtotal 2 4,586 2 4,553 2 4,353 0 -200

Total, Information Dissemination 2 $4,586 2 $4,553 2 $4,353 0 -$200

d/ Includes funding for Seclusion and Restraint activities. 
SAMHSA/CSAT-11 

SAMHSA/Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Programs of Regional & National Significance No. AmountNo. AmountNo. Amount No. Amount

National Registry of Evidence-Based Programs 

& Practices 

 Contracts 

Continuations 0 $0 0 $893 0 $893 0 $0

New/Competing 0 893 0 0 0 0 0 0

Subtotal 0 893 0 893 0 893 0 0

Total, National Registry of Evidence-Based 0 893 0 893 0 893 0 0

Programs & Practices 

SAMHSA Health Information Network 

 Contracts 

Continuations 0 4,255 0 4,255 0 0 0 -4,255

New/Competing 0 0 0 0 0 3,782 0 3,782

Subtotal 0 4,255 0 4,255 0 3,782 0 -473

Total, SAMHSA Health Information Network 0 4,255 0 4,255 0 3,782 0 -473

Program Coordination and Evaluation 

 Contracts 

Continuations 3 4,420 4 4,834 4 5,045 0 +211

New/Competing 16 789 14 380 0 0 -14 -380

Supplements 0 0 0 0 0 0 0 0

Subtotal 19 5,209 18 5,214 4 5,045 -14 -169

Total, Program Coordination and Evaluation e/ 19 5,209 18 5,214 4 5,045 -14 -169

Subtotal , Science and Service 47 26,872 42 26,943 28 26,121 -14 - 822

Total, PRNS 631 $412,342 699 $452,629 743 $486,682 + 44+$34,053

e/ Includes Partners for Recovery activities which address issues of national significance and are field/consumer -driven. 
SAMHSA/CSAT-12 

Page intentionally left blank 
SAMHSA/CSAT-13 

Access to Recovery 

(Dollars in Thousands)

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Program Level $98,954 $98,954 $108,854 + $9,900

PHS Evaluation Funds (non-add) (1,405) (0) (0) (0)

Authorizing Legislation..................................Section 509 of the Public Health Service Act 

2011 Authorization.....................................................................................Expired 

Allocation Method............................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

Access to Recovery (ATR) provides grants to States, Tribes, and Tribal organizations to carry 

out voucher programs that expand substance abuse treatment capacity and promote choice 

among clinical treatment and recovery support providers in order to facilitate client recovery 

from substance abuse. The objectives of the program are to expand substance abuse treatment 

capacity by increasing the number and types of providers (including faith-based and grass-roots 

providers), to allow clients to play a more significant role in the development of their treatment 

plans through the use of electronic vouchers, and to link clinical treatment with critical recovery 

support services such as childcare, transportation, and mentoring. The populations served 

through ATR include the following: youth, methamphetamine users, individuals involved with 

the criminal justice system, and women with dependent children. Individuals that abuse 

methamphetamine were included as a priority population in the Request for Applications for the 

FY 2010 ATR cohort. ATR enhances accountability by measuring outcomes and monitoring 

data to deter fraud and abuse. 

ATR was launched in 2004 when 15 3-year grants were awarded, which provided services to 

almost 200,000 clients. A second cohort of 24 3-year ATR grants was awarded in September 

2007. The second ATR cohort was projected to serve a target number of 30,000 clients in its 

first year; however, the actual number served was more than 50,000 for FY 2008. The number 

served in 2009 was approximately 89,600 which exceeded the target of 65,000 clients. SAMHSA 

recommends a target of 225,000 clients for the third cohort (4-year grants) which will begin in 

FY 2010, with approximately 33,000 to be served in the first year, 70,750 clients to be served in 

the two subsequent years, and 50,000 to be served in the final year. FY 2009 outcome data show 

that 81 percent of the clients had success achieving and maintaining abstinence from substance 

use. In addition, by six month follow-up, 47 percent reported being housed; 96 percent had no 

involvement in the criminal justice system; and 91 percent reported being socially connected. 
SAMHSA/CSAT-14 

ATR underwent a program assessment in 2007. The assessment cited a clearly defined purpose 

with specific goals and objectives, ambitious targets, and considerable success in meeting 

program goals and objectives as strong attributes of the program. 

As ATR grant awards are made late in the fiscal year, performance targets and results for each 

fiscal year primarily reflect the outputs and outcomes associated with activities supported by 

funding from the prior fiscal year. 

Funding History 

FY Amount

2006 $98,208,000 

2007 $98,703,000 

2008 $96,777,000 

2009 $98,954,000 

2010 $98,954,000 

Budget Request 

The FY 2011 President's Budget request is $108.9, an increase of $9.9 million above the 

FY 2010 Appropriation level. The increase will fund up to four new ATR grants, expanding this 

recovery-oriented system of care approach to service delivery utilizing electronic vouchers and 

client choice. 
 

SAMHSA/CSAT-15 

Outcomes and Outputs 

Table 21: Key Performance Indicators for Access to Recovery 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target85

FY 2012 

+/- FY 

2011 

1.2.32: Increase the number of 

clients gaining access to 

treatment86 (Output) 

FY 2009: 

89,595 

(Target 

Exceeded) 

65,000 33,500 70,75087 +37,250 

1.2.33: Increase the percentage 

of adults receiving services who 

had no past month substance use 

(Outcome) 

FY 2009: 

81% 

(Target Met) 

82% 82% 83% +1% 

1.2.34: Increase the percentage 

of adults receiving services who 

had improved family and living 

conditions (Outcome) 

FY 2009: 

47% 

(Target Not 

Met) 

53% 53% 54% +1% 

1.2.35: Increase the percentage 

of adults receiving services who 

had no/reduced involvement with 

the criminal justice system 

(Outcome) 

FY 2009: 

96% 

(Target Met) 

96% 96% 96% Maintain 

1.2.36: Increase the percentage 

of adults receiving services who 

had improved social support 

(Outcome) 

FY 2009: 

91% 

(Target 

Exceeded) 

91% 91% 91% Maintain 

1.2.37: Increase the percentage 

of adults receiving services who 

were currently employed or 

engaged in productive activities 

(Outcome) 

FY 2009: 

49% 

(Target Not 

Met) 

54% 54% 55% +1% 

1.2.39: Cost per client served88

(Efficiency) 

FY 2009: 

$1,071 

(Target 

Exceeded) 

$1,572 $2,985 $1,413 -$1,572 

85 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

86Initial Access to Recovery grants were made in August 2004, close to the end of FY 2004. Services were not necessarily provided in the same 

year Federal funds were obligated. Thus, although the baseline reported for FY 2005 represented people served in FY 2005, most of the funding 

consisted of FY 2004 dollars. With the FY 2004 grants, it was estimated that 125,000 clients would be served over the three year grant period. 

The second cohort of grants was awarded in September 2007.

87 The targets for numbers served for ATR were determined based on previous funding information for the third cohort of this Program. They 

have been published in the most recent RFA. As a result, FY 2012 targets have remained as published and not been adjusted based on funding 

levels in FY 2011.

88Successful result is below target.
SAMHSA/CSAT-16 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 24 30 34

Average Award $3,917,750 $3,231,800 $3,142,765

Range of Awards $1,650,000-$4,830,000 $1,600,000 - $4,000,000 $1,600,000 - $4,000,000
SAMHSA/CSAT-17 

Screening, Brief Intervention and Referral to Treatment 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 +/- 

FY 2010 

Program Level $28,972 $29,106 $37,106 + $8,000

PHS Evaluation Funds (non-add) (2,000) - 2,000 - 2,000 (0)

Authorizing Legislation..................................Section 509 of the Public Health Service Act 

2011 Authorization.....................................................................................Expired 

Allocation Method............................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

Screening, Brief Intervention and Referral to Treatment (SBIRT) was initiated in the Center for 

Substance Abuse Treatment (CSAT) in FY 2003, using cooperative agreements to expand and 

enhance the State or tribal organization continuum of care. The purpose of the program is to 

integrate screening, brief intervention, referral, and treatment services within general medical 

and primary care settings. According to SAMHSA’s National Survey on Drug Use and Health 

(NSDUH), in 2008 approximately 21 million people needed treatment for a substance use 

disorder but did not receive it. Of those, 95 percent did not even recognize they had a problem. 

Therefore, most people with or at risk for a substance use disorder are unlikely to seek help from 

the specialty treatment system. They are far more likely to present in some other medical setting. 

Research and clinical experience supports the use of the SBIRT approach to provide effective 

early identification and interventions in primary care and general medical settings. Early 

identification can decrease total healthcare costs by arresting progression toward addiction. 

SBIRT also can identify persons with more serious problems and encourage them to obtain 

appropriate specialty treatment services. 

The first cohort of SBIRT cooperative agreements was awarded in 2003 to six States and one 

Tribal entity. Cooperative agreements were awarded to four more States in 2006 and four in 

2008. In 2005, 12 Treatment Capacity Expansion (TCE), Screening and Brief Intervention (SBI) 

grants were awarded to colleges and universities to address campus drinking and drug use. In 

2008, in an effort to institutionalize SBIRT into general health care practice, 11 grants were 

awarded to embed SBIRT training and practice in medical residency programs. SBIRT has 

greatly expanded capacity by screening more than 185,000 persons in FY 2009, significantly 

exceeding the target of 139,650. 

The SBIRT cooperative agreements and grants require grant recipients to effect practice change 

throughout the spectrum of medical practice. This is achieved through implementation of SBIRT 
SAMHSA/CSAT-18 

programs in all levels of primary care, including hospitals, trauma centers, health clinics, nursing 

homes and school systems. Practice change is also envisioned as altering the educational 

structure of medical schools by developing and implementing SBIRT curriculum as standard and 

permanent practice. 

SBIRT is helping to identify individuals with emerging or undiagnosed substance abuse 

problems in trauma centers/emergency rooms, community clinics, federally qualified health 

centers, and school clinics. As of September 30, 2009, approximately 925,000 individuals have 

been screened through the SBIRT programs funded by SAMHSA. Of those screened, 23 percent 

required a brief intervention, brief treatment, or referral to a specialty treatment. At 6-month 

post intake, abstinence increased by nearly 50 percent for those individuals receiving a brief 

intervention, brief treatment, or referral to treatment. 

SBIRT has great future potential for promoting changes to the entire primary care medical 

service delivery system. Continued expansion of the SBIRT program would be expected to 

include dentistry, pediatrics and adolescent care organizations, community health and mental 

health agencies, and other locations where primary care services are offered. New diagnostic 

codes have been adopted by ten U.S. States, making it easier for doctors to get reimbursed for 

screening Medicaid patients. 

Funding History 

FY Amount

2006 $29,624,000 

2007 $29,624,000 

2008 $29,106,000 

2009 $28,972,000 

2010 $29,106,000 

Budget Request 

The FY 2011 President's Budget request is $37.1 million, an increase of $8.0 million from the 

FY 2010 Appropriation level. Of the total, $15.0 million will fund new grants for the Mental 

Health/ Substance Abuse SBIRT program, $3.0 million will fund the development of new pilot 

project based on the Physician Clinical Support System, $0.5 million to monitor and encourage 

State-wide SBIRT code adoption and implementation in collaboration with the Centers for 

Medicare & Medicaid Services on the design, collection, and reporting of data for this initiative., 

and $0.7 million to enhance and expand SAMHSA/CSAT's state financing academies, to 

promote state-wide adoption of SBIRT via code adoption, and secure inclusion of SBIRT into 

health care credentialing policies. 

The proposed Mental Health/Substance Abuse SBIRT will reach individuals not likely to seek, 

but are in need of substance abuse and mental health services in communities. Data from the 

2008 National Survey on Drug Use and Health (NSDUH) show that the prevalence of past 30-
 

SAMHSA/CSAT-19 

day serious psychological distress among adults aged 18 and older was 10.2 million, representing 

4.5 percent of all U.S. adults. In addition, the NSDUH found that there were 10.6 million adults 

aged 18 and older who reported an unmet need for mental health care in the past year. In 2008, 

approximately 40 percent of adults with co-occurring substance use and mental health disorders 

received no treatment at all. 

SAMHSA is proposing to build upon the existing SBIRT program and adopt critical aspects of 

the SBIRT program to include not only the provision of appropriate substance abuse treatment 

services but also to expand behavioral health system capacity for mental health disorder 

prevention/promotion and screening; facilitate access to quality, integrated, individualized care; 

and provide treatment that fosters recovery from both mental health and substance use disorders. 

Additionally, the new initiative includes efforts to expand the service settings of SBIRT to 

incorporate non-traditional settings such as "one stop" social service centers and employment 

centers. 

In addition, $3.0 million will be used for the development of a pilot project, Physician Clinical 

Support System- SBIRT, to extend SBIRT training and general substance abuse treatment 

information and clinical decision making support to physicians and other healthcare 

professionals. The goal of this effort is to increase healthcare providers' knowledge about 

addiction and the evidence-based treatments for substance dependence to better equip primary 

care physicians and other healthcare providers to screen for, diagnose, and treat a broad range of 

substance use disorders. The program will fund six new grants. 

Outcomes and Outputs 

Table 22: Key Performance Indicators for Screening, Brief Intervention and Referral to 

Treatment 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target89

FY 2012 +/- 

FY 2011 

1.2.40: Increase the number of 

clients served (Output) 

FY 2009: 

185,648 

(Target 

Exceeded) 

139,650 139,650 47,50090 -92,150 

1.2.41: Increase the percentage of 

clients receiving services who had 

no past month substance use 

(Outcome) 

FY 2009: 34%

(Target Not 

Met) 

50% 50% 50% Maintain 

89 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

90Target lower than last year's actual due to grants coming to a natural end and new SBIRT dollars being spent on grants to the Mental Health 

SBIRT program. 
 

SAMHSA/CSAT-20 

Table 23: Mental Health/Substance Abuse Screening, Brief Intervention and Referral to 

Treatment 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target91

FY 2012 

+/- FY 

2011 

Increase the number of individuals 

screened for mental disorders 

(including PTSD) and substance use 

disorders 

N/A N/A N/A 58,456 +58,456 

Increase the number of individuals 

receiving a brief intervention for MH 

and/or SUD 

N/A N/A N/A 9,998 +9,998 

Increase number of individuals 

assessed and referred for specialty 

MH and/or SA treatment 

N/A N/A N/A 2,449 +2,449 

Increase the percentage of 

individuals receiving mental health 

and/or substance abuse treatment 

services who report improved 

functioning 

N/A N/A N/A 47% +47% 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 25 19 41

Average Award $1,072,200 $1,262,526 $765,293

Range of Awards $281,000 - $2,800,000 $281,000 - $2,800,000 $275,000 - $2,800,000

91 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
SAMHSA/CSAT-21 

Criminal Justice 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Budget Authority $38,130 $67,635 $84,191 +$16,556

Treatment Drug Courts (non-add) 23,925 43,882 56,438 +12,556

Family Dependency/Treatment Drug Courts 

(non-add within Drug Courts) 0 5,000 5,000 0

Ex-Offender Re-Entry (non-add) 10,092 18,200 23,200 +5,000

Adult Criminal Justice Treatment 4,113 5,553 4,553 -1,000

Authorizing Legislation..................................Section 509 of the Public Health Service Act 

2011 Authorization....................................................................................Expired 

Allocation Method.............................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

Criminal justice activities include grant programs which focus on diversion and re-entry for 

adolescents, teens, and adults with substance use disorders, and/or co-occurring substance use 

and mental disorders. Criminal justice program grantees are tasked with providing a coordinated 

and comprehensive continuum of supervision, programs and services to help members of the 

target population become productive, responsible and law abiding citizens. In addition, the 

program assists States to break the pattern of incarceration and reduce recidivism. 

Treatment Drug Courts 

The Treatment Drug Court program is designed to combine the sanctioning power of courts with 

effective treatment services to break the cycle of child abuse/neglect or criminal behavior, 

alcohol and/or drug use, and incarceration or other penalties. Treatment Drug Courts are being 

established at a high rate, creating a challenge to support sufficient substance abuse treatment 

options for people referred by the court. 

The number of Treatment Drug Courts in the nation has increased, from 1,200 in 2005 to over 

2,100 in 2008. Even with the increase in the availability of these courts, there is a limited 

amount of treatment, mental health, and recovery support services available. Approximately 10 

percent of individuals in need of substance abuse treatment within the criminal justice system 

actually receive treatment as part of their justice system supervision. Recognizing the need to 

enhance or expand treatment services for people who were involved in the criminal justice 

system, Treatment Drug Court funding began in 2002 as combined adult, juvenile, and family 

drug courts and treatment providers. In 2009, $19 million was awarded to fund 66 grants for 

Adult and Juvenile Drug Courts. 
SAMHSA/CSAT-22 

In FY 2010, SAMHSA anticipates funding 61 new adult drug court grants for three years at an 

average cost of $350,000 per grant and 40 new juvenile and family drug court grants for four 

years at an average cost of $200,000 per grant. These funds will provide services to support 

substance abuse treatment, assessment, case management, and program coordination for those in 

need of treatment drug court services. Priority for the use of funding will be given to address 

gaps in the continuum of treatment. 

In FY 2009, the majority of the Treatment Drug Court Program consisted of Adult Treatment 

Courts. Data from the programs show that 1,183 clients received services, which exceeded the 

target of 960. In addition, targets were met or exceeded for no criminal justice involvement (95 

percent) and abstinence from substance use (89 percent). 

Children exposed to methamphetamine laboratories not only face great physical danger from 

chemical contamination and fire explosions, but they are at a heightened risk for abuse, neglect, 

and continued social and developmental problems. In addition, substance use and addiction are 

frequently associated with the neglect and abuse of children and this has placed an immense 

burden on the dependency courts, child welfare systems, and treatment providers. To address 

this situation, the Administration is providing assistance to the children of methamphetamine 

abusers through the Drug Court program in FY 2010. These grants will provide a Child Case 

Coordinator to link available community-based social services resources that will focus on the 

trauma to these youngest victims caused by substance abuse/methamphetamine use in the family 

and concurrent criminal justice involvement. This program will provide a collaborative 

approach to child case coordination of services for these children of methamphetamine-addicted 

parents by including judges, treatment providers, child welfare specialists, and attorneys. 

As the grant awards are made late in the fiscal year, performance targets and results for any 

given fiscal year primarily reflect the outputs and outcomes associated with activities supported 

by funding from the prior fiscal year. Therefore, FY 2011 funding will be reflected in the targets 

set for FY 2012. With the increase in funds in the Criminal Justice portfolio, a target of 

approximately 8,651 clients served has been set, including Juvenile and Adult Drug Courts. 

In FY 2010, SAMHSA and the Office of Justice Programs /Bureau of Justice Affairs developed a 

joint program to enhance court services, coordination, and substance abuse treatment capacity of 

adult drug courts. The purpose of this joint initiative was to invite applicants to submit for 

consideration one comprehensive strategy for enhancing drug court capacity, allowing applicants 

to compete for access to both criminal justice and substance abuse treatment funds with one 

application. Successful applicants will be awarded two separate grants from each agency, 

representing an innovative braided funding opportunity. This collaboration was modeled after a 

successful collaborative grant program initiated in FY 2009 between SAMHSA and the Office of 

Juvenile Justice and Delinquency Prevention (OJJDP) to support juvenile drug courts. 

The Treatment Drug Courts program underwent a program assessment in 2008. The assessment 

cited ambitious targets, progress towards achieving its long-term targets, and success in meeting 

program goals and objectives as strong attributes of the program. As a result of the assessment, a 

contract has been awarded to initiate a cross-site evaluation of SAMHSA's current Treatment 

Drug Court programs. In addition, in response to one of the program assessment 
SAMHSA/CSAT-23 

recommendations, SAMHSA has strengthened and expanded its collaboration with the 

Department of Justice. 

Ex-offender Re-entry Program 

The justice system is seen as the nexus of public health and public safety, given the number of 

individuals involved in both drugs and crime who cause significant impact on American society. 

In 2002, the estimated cost to society of drug abuse was $180.9 billion; $107.8 billion of that 

total was associated with drug-related crime, including criminal justice system costs and costs 

borne by victims of crime. The cost of treating drug abuse (including research, training and 

prevention) was estimated at $15.8 billion – a fraction of the overall costs to society. 

Research shows that for the drug-involved offender most positive gains made as the result of 

prison-based treatment rapidly dissipate if the individual is not linked to effective communitybased services upon return to the community. In FY 2002, with the number of reentering 

offenders totaling over 625,000 persons, federal agencies began to respond to the accompanying 

public safety and public health issues by funding new programs such as the Serious and Violent 

Offender Re-entry Initiative and the Prisoner Re-entry Initiative. SAMHSA participated as a 

federal partner in both of these initiatives. In FY 2004, SAMHSA’s Young Offender Re-entry 

Program (YORP) was initiated with the awarding of 12 grants to expand and enhance treatment 

capacity for juveniles and young offenders returning to their communities from correctional or 

detention facilities. This offender re-entry initiative was designed to facilitate reintegration into 

the community by providing pre-release screening, assessment and transition planning in 

institutional corrections settings and linking clients to community-based treatment and recovery 

services upon release. In FY 2005, a second cohort of 13 grants was funded as part of an $11 

million effort to respond to the escalating number of alcohol and drug involved offenders 

returning to the community. Using National Outcomes Measures (NOMs) as performance 

indicators, results from the YORP dataset indicate success in achieving program goals to reduce 

substance use and criminality while improving key life stakes such as housing and employment. 

SAMHSA recognizes the need to continue efforts to return and reintegrate offenders back into 

the community by providing substance abuse treatment and other related re-entry services while 

also ensuring public safety for the community and family. The Ex-Offender Re-entry grants 

provide screening, assessment and comprehensive treatment and recovery support services to 

offenders reentering the community, as well as offenders who are currently on or being released 

from probation or parole. 

SAMHSA and the U.S. Department of Justice Bureau of Justice Assistance share a mutual 

interest in supporting and shaping offender re-entry-treatment services, as both agencies fund 

“offender re-entry” programs. These two agencies have a longstanding partnership regarding 

criminal justice-substance abuse treatment issues. SAMHSA and the Bureau of Justice 

Assistance have developed formal agreements to further encourage and engage in mutual 

interests and activities related to criminal justice-treatment issues. SAMHSA and the Bureau of 

Justice Assistance will continue to plan and coordinate relevant activities. Offender Re-entry 

Program grantees are expected to seek out and coordinate with local federally-funded offender 

re-entry initiatives, including the Bureau of Justice Assistance’s Prisoner Re-entry Initiative or 

“Second Chance Act” offender re-entry programs, as appropriate. 
SAMHSA/CSAT-24 

Adult Criminal Justice Treatment 

SAMHSA/CSAT established a new criminal justice program in FY 2008, Substance Abuse 

Treatment in Adult Criminal Justice Populations (Short title: Adult Criminal Justice Treatment). 

This 3-year grant program targeted individuals that were under some form of judicial or 

community justice supervision and who were: screened and assessed as substance-involved; 

and/or had been diagnosed with a substance abuse disorder or co-occurring disorder of substance 

abuse and mental health. Program clients had to be under the supervision of the judiciary or 

community justice/corrections agencies (such as probation, parole, community corrections). 

Since SAMHSA/CSAT funding supports treatment and recovery services for individuals in the 

community, this program could not be used for providing services to incarcerated populations 

(defined as those persons in jail, prison, detention facilities or in custody where they are not free 

to move about in the community), nor could drug courts apply for these funds because 

SAMHSA/CSAT offered a separate funding stream for grants specific to drug courts. Applicants 

were further encouraged to give priority to expanding and/or enhancing substance abuse 

treatment and recovery services for returning veterans and chronic inebriates who were part of 

the targeted criminal justice population. The current group of ten Adult Criminal Justice 

Treatment (ACJT) grants will end in FY 2010 and a new announcement is planned for FY 2011. 

Funding History 

FY Amount

2006 $24,114,000 

2007 $23,243,000 

2008 $23,693,000 

2009 $38,130,000 

2010 $67,635,000 

Budget Request 

The FY 2011 President's Budget request is $84.2 million, an increase of $16.6 million from the 

FY 2010 Appropriation level which is offset by several grants that are coming to a natural end in 

FY 2010. Of the total, $17.9 million will support new Drug Court grants, $4.8 million to support 

new Ex-Offender Re-entry Grants and approximately $4.6 million to support new Adult 

Criminal Justice Treatment grants. For the FY 2011 Drug Court program, a target of 

approximately 8,651 clients served has been set, including Juvenile and Adult Drug Courts. 

Approximately 3,712 clients will be served by the Ex-Offender Re-entry Grants. 
 

SAMHSA/CSAT-25 

Outcomes and Outputs 

Table 24: Key Performance Indicators for Criminal Justice - Juvenile and Adult Drug 

Courts 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target92

FY 2012 

+/- FY 

2011 

1.2.62: Juvenile: Percentage of 

clients that complete treatment 

(Outcome) 

FY 2008: 

75.1%93

(Target 

Exceeded) 

N/A 76% 76% Maintain 

1.2.63: Juvenile: Increase percentage 

of clients receiving services who 

were currently employed or engaged 

in productive activities (Outcome) 

FY 2009: 89%

(Target 

Exceeded) 

N/A 88% 88% Maintain 

1.2.64: Juvenile: Increase percentage 

of clients receiving services who had 

a permanent place to live in the 

community (Outcome) 

FY 2009: 79%

(Target Not 

Met) 

N/A 82% 82% Maintain 

1.2.65: Juvenile: Increase percentage 

of clients receiving services who had 

no involvement with the criminal 

justice system (Outcome) 

FY 2009: 92%

(Target Not 

Met) 

N/A 95% 95% Maintain 

1.2.66: Juvenile: Increase percentage 

of clients receiving services who 

experienced no/reduced alcohol or 

illegal drug related health, 

behavioral or social consequences 

(Outcome) 

FY 2009: 99%

(Target 

Exceeded) 

N/A 93% 93% Maintain 

1.2.67: Juvenile: Increase percentage 

of clients receiving services who had 

no past month substance use 

(Outcome) 

FY 2009: 73%

(Target Met) N/A 73% 73% Maintain 

1.2.69: Juvenile: Reduce cost-perclient served94 (Outcome) 

FY 2009: 

$5,215 

(Target 

Exceeded) 

N/A $5,610 $5,610 Maintain 

1.2.70: Juvenile: Increase number of 

clients served (Output) 

FY 2009: 376 

(Target Not 

Met) 

N/A 146395 1881 +418 

92 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

93The treatment completion measure for juveniles is collected upon discharge from treatment. Due to the small number of grantees during FY 

2009, this measure could not be calculated with any reliability and therefore is not reported. Next reported actual will be for FY 2010. 

94Successful result is below target.

95 This target has been revised from the FY 2010 President’s Budget based on the FY 2010 Conference report.
 

SAMHSA/CSAT-26 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target92

FY 2012 

+/- FY 

2011 

1.2.71: Adult: Percentage of clients 

that complete treatment96 (Outcome) 

FY 2009: 51%

(Target Not 

Met) 

53% 53% 54% +1% 

1.2.72: Adult: Increase percentage of 

clients receiving services who were 

currently employed or engaged in 

productive activities97 (Outcome) 

FY 2009: 63%

(Target Not 

Met) 

64% 64% 65% +1% 

1.2.73: Adult: Increase percentage of 

clients receiving services who had a 

permanent place to live in the 

community98 (Outcome) 

FY 2009: 41%

(Target Not 

Met) 

42% 42% 43% +1% 

1.2.74: Adult: Increase percentage of 

clients receiving services who had 

no involvement with the criminal 

justice system (Outcome) 

FY 2009: 95%

(Target 

Exceeded) 

93% 93% 93% Maintain 

1.2.75: Adult: Increase percentage of 

clients receiving services who 

experienced no/reduced alcohol or 

illegal drug related health, 

behavioral or social, consequences 

(Outcome) 

FY 2009: 89%

(Target Not 

Met) 

93% 93% 93% Maintain 

1.2.76: Adult: Increase percentage of 

clients receiving services who had 

no past month substance use 

(Outcome) 

FY 2009: 89%

(Target 

Exceeded) 

73% 73% 73% Maintain 

1.2.78: Adult: Reduce cost-per-client 

served99 (Outcome) 

FY 2009: 

$4,320 

(Target 

Exceeded) 

$5,554 $5,554 $6,000 +$446 

1.2.79: Adult: Increase number of 

clients served (Output) 

FY 2009: 

1183 

(Target 

Exceeded) 

2832 5265100 6770 +1505 

96Targets set for this measure in the FY 2010 President's Budget were based on Juvenile Drug Court data. Data for Adult Drug Courts clients is 

now available. As a result, the targets for FY 2010, 2011 and 2012 have been revised to be more appropriate to the population of this program. 

97Targets set for this measure in the FY 2010 President's Budget were based on Juvenile Drug Court data. Data for Adult Drug Courts clients is 

now available. As a result, the targets for FY 2010, 2011 and 2012 have been revised to be more appropriate to the population of this program. 

98Targets set for this measure in the FY 2010 President's Budget were based on Juvenile Drug Court data. Data for Adult Drug Courts clients is 

now available. As a result, the targets for FY 2010, 2011 and 2012 have been revised to be more appropriate to the population of this program. 99Successful result is below target.

100The FY 2011 target has been revised based on the assumption that SAMHSA will fund primarily Adult Drug Courts with FY 2010 funds. This 

target may be revised if this does not occur. This target has been revised from the FY 2010 President’s Budget based on the FY 2010 Conference 

report.
 

SAMHSA/CSAT-27 

Table 25: Key Performance Indicators for Criminal Justice - Ex-Offender Re-Entry 

Program 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target101

FY 2012 

+/- FY 

2011 

1.2.80: Number of clients served 

(Outcome) N/A 1312 2912102 3712 +800 

1.2.81: Percentage of clients who 

had no past month substance use 

(Outcome) 

N/A 68.9% 70% 69% -1% 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 101 184 219

Average Award $324,059 $331,473 $351,621

Range of Awards $76,000 - $450,000 $236,000 - $400,000 $289,000 - $400,000

101 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

102 This target has been revised from the FY 2010 President’s Budget based on the FY 2010 Conference report. 
SAMHSA/CSAT-28 

Page intentionally left blank 
SAMHSA/CSAT-29 

Treatment Systems for Homelessness 

(Dollars in thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Budget Authority $42,879 $42,750 $47,360 + $4,610

Authorizing Legislation ...............................Section 506 and 509 of the Public Health Service Act 

2011 Authorization ...............................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

SAMHSA/CSAT manages two grant portfolios under its Grants for the Benefit of Homeless 

Individuals (GBHI) program, both of which provide focused services to individuals with a 

substance use disorder or who have co-occurring disorders. Through a recovery and public 

health oriented system of care, grantees are encouraged to address gender, age, race, ethnicity, 

sexual orientation, disability status, veteran’s status, and criminal justice status as these issues 

relate to both co-occurring disorder services and to substance use disorder services for homeless 

individuals. 

The purpose of the GBHI program is to enable communities to expand and strengthen their 

substance abuse treatment services for homeless (including chronically homeless) individuals 

with substance abuse disorders, or with co-occurring substance abuse disorders and mental 

illness. SAMHSA/CSAT funds programs that demonstrate treatment effectiveness in serving 

runaways, homeless, and street youth, and homeless veterans. In addition, SAMHSA/CSAT 

provides funds for expansion and strengthening substance abuse treatment services for homeless, 

alcohol-dependent persons who have histories of public inebriation, frequent emergency room 

visits, arrests, mental disorders, or co-occurring substance use disorders and mental disorders. 

The term “chronic public inebriates” has been used to define this population; one of several 

target populations served which require substance use disorder treatment oriented service 

modalities. 

Through this grant program, grantees link substance abuse treatment services with housing 

programs and other services (e.g., primary care). Funds support direct services, including the 

following types of activities: conducting outreach and pre-service strategies to expand access to 

treatment services to underserved populations; purchasing or providing direct treatment 

(including screening, assessment, and care management) services for populations at risk; 

purchasing or providing “wrap-around” services; and collecting data using specified tools and 

standards to measure and monitor substance abuse treatment services and costs. In particular, 

programs are encouraged to implement evidence-based practices that result in treatment 

outcomes such as abstinence from alcohol and substance use, reduced criminal justice system 

involvement, employment, and stable housing. 
SAMHSA/CSAT-30 

One such program that has been recognized by the Boston Globe for its exceptional work is 

SAMHSA/CSAT grantee, the Institute for Health And Recovery (IHR) in Cambridge, MA. IHR 

provides innovative, home, and community-based services to: families struggling to address their 

addictions and keep their children; adolescents hoping to build lives free of substance use; 

parents devastated by the recognition that their children may have serious substance use issues; 

and to pregnant women hoping to beat back addiction in order to give birth to drug-free babies. 

IHR is engaged at multiple levels with state agencies, providing advice regarding gender-specific 

treatment services for substance use, as a liaison to community-based service providers, and as a 

provider of services, as well. Their trauma integration work develops and supports an integrated 

trauma-informed service system for women, men, children, and families affected by substance 

use, co-occurring disorders, and violence/trauma. Their curriculum for parents of adolescents in 

substance abuse treatment was piloted at several sites throughout the State of Massachusetts. 

This grant program works directly in family shelters providing individual and group services, 

and care coordination aimed at engaging mothers and their children in substance abuse services. 

Currently, they are treating 114% of their target goal and following up on 90% of their clients. 

Their outcomes demonstrate an increase in abstinence, a decrease in criminal justice activity and 

significant increases in education/employment, social connectedness, and housing stability. 

 

In FY 2008, consistent with congressional intent, SAMHSA/CSAT began allocating part of its 

GBHI funds for grants that address services in supportive housing. Like SAMHSA/CSAT’s 

GBHI grants for the homeless population generally (GBHI General), the services in supportive 

housing (SSH) grants seek to expand and strengthen treatment services for persons who are 

homeless by providing linkages to appropriate treatment for substance use or other support 

services. SAMHSA/CSAT defines services in supportive housing for the purposes of our SSH 

grants as services for clients already in housing that is permanent, affordable, and linked to 

health, employment, and other support services. This approach combines long-term, 

community-based housing assistance and intensive individualized treatment and recovery 

support services to chronically homeless individuals with substance use disorders. It is a costeffective combination of affordable housing with substance abuse treatment services that helps 

people live more stable, productive lives and leads to reductions in substance use. 

The GBHI General and Services in Supportive Housing (SSH) grants are complementary 

approaches that provide a comprehensive response to homeless persons living with substance 

use. Both support the implementation of effective, evidence-based practices, and the combination 

of the two approaches allows SAMHSA to support communities in reaching their homeless 

populations in need of treatment wherever they are found, whether in supportive housing or other 

community-based settings. 

In FY 2009, SAMHSA/CSAT allocated $5.5 million to fund 16 new GBHI General grants, and 

$3.1 million to fund nine new SSH grants. In FY 2010, SAMHSA/CSAT plans to allocate $8.0 

million to fund up to 20 new GBHI grants. The FY 2011 Request will support all grant and 

contract continuations and provide funds to implement a new Homeless Initiative jointly with the 

SAMHSA/Center for Mental Health Services. 
SAMHSA/CSAT-31 

Since the inception of the GBHI program, SAMHSA/CSAT homeless grants have served 37,893 

individuals. The currently active portfolio has served over 18,800 individuals. Each grantee 

collects information on the clients that are served through the grant funds. The information is 

entered into a Web-based data system that allows for tracking and accountability of grantee 

performance on the goals outlined in the grant proposal. Outcomes data available for a subset of 

clients served by the program through the active GBHI grantees show that individuals 

demonstrate: 

 117 percent increase in employment or engaging in productive activities; 

 182 percent increase in persons with a permanent place to live in the community; 

 55 percent increase in no past months substance use; 

 36 percent improvement in no/reduced alcohol or illegal drug related health, 

behavioral or social consequences. 

Funding History

 FY Amount

2006 $34,517,000 

2007 $34,841,000 

2008 $42,500,000 

2009 $42,879,000 

2010 $42,750,000 

Budget Request 

The FY 2011 President’s Budget request is $47.4 million, an increase of $4.6 million from the 

FY 2010 Appropriation. Additionally, SAMHSA will begin a new Homelessness Initiative 

program for a total of $15.8 million ($7.4 million in CMHS and $8.4 million in CSAT). Several 

GBHI grants are coming to a natural end in FY 2010 and the funds have been realigned to 

support the Homeless Initiative Program. These activities involve working with state and local 

jurisdictions and service providers to creatively direct appropriate services and supports to 

homeless individuals and families with the aim of preventing and reducing homelessness. 

Included in these activities is a robust collaboration with the Department of Housing and Urban 

Development. This collaboration will combine health, behavioral health and other support 

services to move and maintain chronically homeless individuals with mental and substance use 

disorders into permanent supportive housing. 
 

SAMHSA/CSAT-32 

Outcomes and Outputs 

Table 26: Key Performance Indicators for Treatment Systems for Homeless 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target103

FY 2012 +/- 

FY 2011 

Increase the percentage of adults 

receiving services who had no past 

month substance use (Outcome) 

FY 2009: 

66.4% 

(Target Not 

Met) 

67.4% 67.4% 67.4% Maintain 

Increase the number of clients served 

(Output) 

FY 2009: 6,935

(Target 

Exceeded) 

7,005 7,005 7,005 Maintain 

Increase percentage of adults 

receiving services who were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2009: 

31.7% 

(Target Not 

Met) 

32.7% 32.7% 32.7% Maintain 

Increase percentage of adults 

receiving services who had a 

permanent place to live in the 

community (Outcome) 

FY 2009: 

24.6% 

(Target 

Exceeded) 

25.6% 25.6% 25.6% Maintain 

Increase percentage of adults 

receiving services who had no 

involvement with the criminal justice 

system (Outcome) 

FY 2009: 

95.8% 

(Target Not 

Met) 

96.8% 96.8% 96.8% Maintain 

Increase percentage of adults 

receiving services who had improved 

social support (Outcome) 

FY 2009: 

88.3% 

(Target 

Exceeded) 

89.3% 89.3% 89.3% Maintain 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 96 92 94

Average Award $381,542 $393,630 $407,702

Range of Awards $300,000 - $550,000 $300,000 - $580,000 $300,000 -$580,000

103 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
SAMHSA/CSAT-33 

Other Capacity Activities 

(Dollars in Thousands)

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 +/-

FY 2010 

Co-occurring State Incentive Grants (SIGs) $4,263 $4,263 $4,113 -$150

Opioid Treatment Programs/Regulatory Activities 8,886 8,903 8,903 0

TCE - General 28,634 28,989 28,481 -508

Performance Contracting Program (non-add) 0 0 6,000 +6,000

Children and Families 20,468 30,678 30,488 -190

Pregnant & Postpartum Women 15,662 16,000 17,350 +1,350

Strengthening Treatment Access and Retention 1,638 1,775 1,775 0

Recovery Community Services Program 5,237 5,236 5,236 0

Minority AIDS 66,421 65,988 65,888 -100

Services Accountability 21,040 20,816 20,816 0

Congressional Projects 4,286 4,593 0 -4,593

Program Level $176,535 $187,241 $183,050 -$4,191

PHS Evaluation Funds (non-add) (5,191) (6,596) (6,596) (0)

Authorizing Legislation .......................Section 508, 509 and 514 of the Public Health Service Act 

2011 Authorization ...............................................................................................................Expired 

Allocation Method ....................................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

Substance Abuse Treatment Capacity programs provide funding to (a) implement service 

improvements using proven evidence-based approaches, and (b) identify and implement needed 

systems changes. Programs discussed in this section include Opioid Treatment, Services 

Accountability Improvement System, Minority AIDS, and Targeted Capacity ExpansionGeneral. 

Performance results for all capacity programs except Access to Recovery and Screening, Brief 

Intervention and Referral to Treatment, and Criminal Justice programs are reported in aggregate. 

The targets were met or exceeded for the following measures: number of clients served; 

percentage of adults receiving services who had no past month substance use; percentage with no 

involvement in the criminal justice system; and for percentage with no social/health 

consequences. The target for reducing substance use was missed, declining slightly from the 

previous year. Performance for programs funded with 2009 funds will be reflected in FY 2010 

performance data. 

Data for SAMHSA/CSAT's Other Capacity Programs show that, collectively, the Programs have 

been successful in achieving program goals. In FY 2009, 32,939 clients were served. Positive 

outcomes were seen for these clients from intake to six months, including the rate for abstinence 
SAMHSA/CSAT-34 

from substance use of 66 percent (an improvement over the previous year) and the rate for no 

involvement in the criminal justice system of 96 percent. Performance is not reported 

individually for each Capacity activity. 

Opioid Treatment Programs/Regulatory Activities

The SAMHSA’s Opioid Treatment Program (OTP) accreditation support program was 

introduced in October 2001 to assist OTPs in transitioning to the new accreditation requirement 

established in March 2001. OTPs are required to attain accreditation every three years as part of 

the process for SAMHSA certification. The goal of the program has been to reduce the cost of 

basic accreditation education and the required accreditation surveys. The OTP accreditation 

support program will be phased out in FY 2011. 

In addition to OTP program accreditation, SAMHSA has established a national mentoring 

network offering support (clinical updates, evidence-based outcomes and training) to physicians 

and other medical professionals in the appropriate use of methadone for the treatment of chronic 

pain and opioid addiction. This initiative addresses the nation’s rise in methadone-associated 

deaths that has been spurred by misuse/abuse, and fatal drug interactions involving methadone 

and other prescription medications, over the counter medications, and illicit drugs. Finally, in 

accordance with the Drug Addiction Treatment Act of 2000, SAMHSA provides a Physician 

Clinical Support System designed to assist practicing physicians to incorporate into their 

practices the treatment of prescription opioid and heroin dependent patients using buprenorphine. 

The goal of this program is to expand access to office-based buprenorphine treatment by 

providing expert education and training to physicians on the appropriate use of buprenorphine. 

The FY 2011 President's Budget request will support all grant and contract continuations as well 

as four new grants. 

Minority AIDS

Minority AIDS grants are awarded to community-based organizations with two or more years of 

experience in the delivery of substance abuse treatment and related HIV/AIDS services. Funded 

programs target one or more of the following high-risk substance abusing populations: African 

American, Hispanic/Latino, and/or other racial/ethnic minority communities; women, including 

women with children; adolescents; men who inject drugs; and individuals who have been 

released from prisons and jails within the past two years. 

In addition to providing substance abuse treatment services, pre-treatment services are provided, 

including the provision of literature and other materials to support behavior change, facilitation 

of access to drug treatment, HIV/AIDS testing and counseling services, and the provision of 

other medical and social services available in the local community. 

In FY 2009, SAMHSA/CSAT’s TCE/HIV program served approximately 13,800 individuals. 

Of these individuals, approximately 70 percent were between the ages of 25 and 54 years. 

Approximately 31 percent identified themselves as Hispanic/Latino in ethnicity; 45 percent as 
SAMHSA/CSAT-35 

African American; 20 percent white; 2 percent Asian, Native Hawaiian or Pacific Islander; and 4 

percent as American Indian/Alaska Native. 

The FY 2011 President's Budget request provides funding to maintain all activities at the FY 

2010 Appropriation level. 

Services Accountability and Improvement System (SAIS)

SAMHSA uses multiple systems for performance monitoring and measurement. Each Center 

uses a Web-based data entry and reporting system for its discretionary programs. The data from 

these systems are used to manage and monitor grantee performance, process technical assistance 

requests, and feed management reports. These systems also provide National Outcome Measures 

(NOMs) data, a SAMHSA performance measurement tool. 

SAIS is a Web-based system which serves as the single repository for Center for Substance 

Abuse Treatment’s discretionary grant Government Performance and Results Act (GPRA) 

measures. Grantees set targets for the number of persons to be served within established cost 

bands and submit real-time client measures on a uniform Office of Management and Budget 

approved data collection instrument, at baseline, six months post baseline, and discharge. 

Grantees are required to submit their information via the Web, one to seven business days after 

seeing a client. SAIS generates daily Web-based reports on intake coverage, follow-up, and 

outcomes which serve as tools to monitor program performance. 

The FY 2011 President's Budget request provides funding to maintain all activities at the FY 

2010 Appropriation level. 

Targeted Capacity Expansion-General

Targeted Capacity Expansion (TCE) General was initiated in FY 1998 to help communities 

bridge gaps in treatment services. TCE funding supports grants to units of State and local 

governments and tribal entities to expand or enhance a community’s ability to provide rapid, 

strategic, comprehensive, integrated, community-based responses to a specific, well-documented 

substance abuse capacity problem. TCE projects use grant funding to expand and/or enhance 

treatment capacity using evidence-based treatment practices, report on performance 

measurements, and address cultural relevance in their treatment and recovery services. Since FY 

1998, grants have been awarded to address the following targeted populations or urgent, unmet 

and emerging treatment needs: American Indian and Alaska Natives, Asian Americans, Pacific 

Islanders, rural areas, methamphetamine abuse, e-therapy, grassroots partnerships, and other 

populations. 

The FY 2011 request provides funding to maintain all activities at the FY 2010 Appropriation 

level. 
SAMHSA/CSAT-36 

Funding History 

FY Amount

2006 $217,439,000 

2007 $217,770,000 

2008 $221,582,000 

2009 $176,535,000 

2010 $187,241,000 

Budget Request 

The FY 2011 President's Budget request is $183.1 million, a decrease of $4.2 million from the 

FY 2010 Appropriation level. For more detailed budget for specific programs please see the 

header table at the beginning of this section. The decrease is attributed to the elimination of 

funding for congressional projects and includes reductions in contract costs for efficiencies and 

process improvements. Of the total, $6.0 million will fund new grants under the new 

Performance Contracting Program, funded under the TCE-General Program line. 

The new Performance Contracting Program are grants to State and Tribal authorities which will 

be used to enhance overall drug treatment quality by incentivizing treatment providers to achieve 

specific performance targets. Examples could include supplements to existing grantees for 

treatment providers who are able to connect higher proportions of detoxified patients continuing 

recovery-oriented treatment or outpatient providers who are able to successfully retain greater 

proportions of patients in active treatment participation for longer periods of time. 
 

SAMHSA/CSAT-37 

Outcomes and Outputs 

Table 27: Key Performance Indicators for Treatment Programs of Regional and National 

Significance – All Other Capacity104

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target105

FY 2012 

+/- FY 

2011 

1.2.25: Increase percentage of adults 

receiving services who had no past 

month substance use (Outcome) 

FY 2009: 66%

(Target 

Exceeded) 

62% 62% 62% Maintain 

1.2.26: Increase the number of 

clients served (Output) 

FY 2009: 

32,939 

(Target 

Exceeded) 

34,784 34,784 34,784 Maintain 

1.2.27: Increase percentage of adults 

receiving services who were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2009: 44%

(Target Not 

Met) 

51% 51% 51% Maintain 

1.2.28: Increase percentage of adults 

receiving services who had a 

permanent place to live in the 

community (Outcome) 

FY 2009: 44%

(Target Not 

Met) 

49% 49% 49% Maintain 

1.2.29: Increase percentage of adults 

receiving services who had no 

involvement with the criminal 

justice system (Outcome) 

FY 2009: 96%

(Target 

Exceeded) 

95% 95% 95% Maintain 

1.2.30: Increase percentage of adults 

receiving services who experienced 

no/reduced alcohol or illegal drug 

related health, behavioral or social, 

consequences (Outcome) 

FY 2009: 86%

(Target 

Exceeded) 

66% 66% 66% Maintain 

1.2.31: Increase the percentage of 

grantees in appropriate cost bands 

(Outcome)106 

FY 2009: 79%

(Target 

Exceeded) 

79% 79% 79% Maintain 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 294 294 297

Average Award $403,531 $406,207 $405,276

Range of Awards $188,000 - $550,000 $188,000 - $550,000 $200,000 - $550,000

104Includes TCE General, HIV/AIDS Outreach, Addiction Treatment for Homeless Persons, Assertive Adolescent and Family Treatment, 

Family and Juvenile Drug Courts, Young Offender Re-Entry Program, Pregnant and Post-Partum Women, Recovery Community Service – 

Recovery, Recovery Community Service – Facilitating, and Child and Adolescent State Incentive Grants. 105 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

106 Percentage of grantees that provide drug treatment services within approved cost per person bands is measured by the type of treatment 

including outpatient non-methadone, outpatient methadone, and residential treatment services. The cost ranges are for outpatient non-methadone 

$1,000-$5,000, outpatient methadone $1,500-$8,000, and residential $3,000-$10,000.
SAMHSA/CSAT-38 

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SAMHSA/CSAT-39 

Science and Service Activities

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Addiction Technology Transfer Centers $9,150 $9,081 $9,081 $ ---

Minority Fellowship Program 547 547 547 0

Special Initiatives/Outreach 2,232 2,400 2,420 +20

Information Dissemination 4,586 4,553 4,353 -200

Health Information Technology --- --- --- 0

National Registry of Evidence-Based 

Programs & Practices 893 893 893 0

SAMHSA Health Information Network 4,255 4,255 3,782 -473

Program Coordination and Evaluation 5,209 5,214 5,045 -169

Budget Authority $26,872 $26,943 $26,121 -$822

Authorizing Legislation..................................Section 509 of the Public Health Service Act 

2011 Authorization..................................................................................Expired 

Allocation Method.............................Competitive Grants/Contracts/Cooperative Agreements 

Program Description and Accomplishments 

SAMHSA’s Science and Service programs are complements to the Capacity programs. The 

substance abuse treatment programs within Science and Service include Addiction Technology 

Transfer Centers (ATTCs), the National Registry of Evidence-based Programs and Practices, and 

the SAMHSA Health Information Network. These programs disseminate best-practices 

information to grantees and the field, helping to ensure that SAMHSA’s Capacity programs build 

and improve services capacity in the most efficient, effective and sustainable way possible. The 

Science and Service programs are also an essential and cost-effective support to building 

effective capacity in communities that do not receive grant funds from SAMHSA. 

Addiction Technology Transfer Centers

The ATTC Network is comprised of one national coordinating center and fourteen 

geographically dispersed regional ATTCs covering all States, the District of Columbia, Puerto 

Rico, the Virgin Islands, and U.S. Territories in the Pacific. The Regional Centers support 

national activities and implement programs and initiatives in response to regional needs, 

decreasing the gap in time between the release of new scientific findings and evidence-based 

practices and the implementation of these interventions by front-line clinicians. ATTCs 

disseminate evidence-based and promising practices to addictions treatment/recovery 

professionals, public health/mental health personnel, institutional and community corrections 

professionals, and other related disciplines. The ATTC program dissemination models include 

technical assistance; training events; a growing catalog of educational and training materials; and 

an extensive array of Web-based resources created to translate the latest science for adoption into 
SAMHSA/CSAT-40 

practice by the substance use disorders treatment workforce. The ATTCs are highly responsive 

to emerging challenges in the field. 

Data show that over 22,900 people were trained in 2009, exceeding the target of 20,516. 

Approximately 82 percent of participants report implementing improvements in treatment 

methods based on the information they received from the training they attended. 

Information Dissemination

The main activity within this program line is CSAT's Knowledge Application Program (KAP). 

The KAP provides substance abuse treatment professionals with publications, online education, 

and other resources that contain information on best treatment practices. KAP takes knowledge 

about best treatment practices in substance abuse treatment and packages and promotes it in a 

way that ensures widespread application in the field. KAP staff produces, markets, and 

distributes publications and products; strives for cultural competency; gathers, analyzes, and uses 

market research; and enlists the assistance of national experts to ensure that KAP is responsive to 

the needs of multiple audiences and that the products are representative of the many areas of 

substance abuse treatment. 

National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP) is a searchable 

online registry of mental health and substance abuse interventions that have been reviewed and 

rated by independent reviewers. The purpose of this registry is to assist the public in identifying 

approaches to preventing and treating mental and/or substance use disorders that have been 

scientifically tested and that can be readily disseminated to the field. NREPP is one way that 

SAMHSA improves access to information on tested interventions and thereby reduces the lag 

time between the creation of scientific knowledge and its practical application in the field. 

SAMHSA developed this resource to help people, agencies, and organizations implement 

programs and practices in their communities. 

After an extensive period of redesign, the new NREPP system and Web site was launched in 

March 2007. Information on over 150 interventions is currently available, and new intervention 

summaries (approximately three to six per month) are continually being added as reviews are 

completed. The registry is expected to grow to a large number of interventions over the coming 

months and years. Moreover, additional interventions to address service needs are submitted for 

review each year in response to an annual Federal Register notice. 

SAMHSA Health Information Network

SAMHSA’s Health Information Network (SHIN), initiated in 2005, combines the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC) to provide a one-stop, quick access point that connects the 

behavioral health workforce and the general public to the latest information on the prevention 

and treatment of mental and substance abuse disorders. SHIN leverages knowledge management 

technology to create an integrated, customer-centric health information network that provides a 
SAMHSA/CSAT-41 

suite of information services to help SAMHSA discern and meet the needs of its customers. This 

knowledge management project has allowed SAMHSA to merge the NCADI and NMHIC backend infrastructures, contact centers, and warehouses; reengineer the Contact Center 

communications architecture to serve customers faster and with fewer staff; streamline and unify 

data collection; and establish dashboard reporting on inventory and customer inquiries. The 

current contract will end in FY 2010, and a new contract will begin in FY 2011. SAMHSA is 

currently reviewing options for that contract. By providing a centralized, state-of-the-art 

information network, SHIN can create efficiencies that allow the program to redirect resources 

into product development and other priority programmatic needs. SHIN will continue to provide 

information dissemination and related core services based not only on legacy needs and 

approaches (e.g., warehousing print publications, inventory management, order fulfillment, call 

center services), but also based on new evolving health communications approaches. 

A significant majority of telephone inquiries to SHIN concern topics related to substance abuse 

treatment. These include inquiries from people seeking help and searching for treatment/support 

options, either for themselves, a family member or a friend. SHIN provides a critical link to 

SAMHSA’s Treatment Locator, which helps people to locate substance abuse treatment services 

in their local area. SHIN also provides essential knowledge dissemination support for CSAT, 

including hard copy and electronic dissemination of such critical publications as CSAT’s 

Treatment Improvement Protocols (TIPs) and Recovery Month materials. SHIN also supports 

exhibits at several major substance abuse treatment conferences. 

SAMHSA has established two new performance measures for the SHIN to reflect the substantial 

and increasing role in knowledge product dissemination of the SHIN. SAMHSA will continue to 

refine and update its performance measures over the coming year, as it moves forward with 

developing the necessary taxonomy and IT infrastructure to support these measures. 

In 2009, the most recent year for which data are available, SHIN disseminated 16,360,389 

knowledge products to the field. 

Program Coordination and Evaluation

One of the primary activities within this program line is Partners for Recovery (PFR) which 

addresses issues of national significance and is field and consumer-driven. The PFR initiative is 

a collaboration of communities and organizations mobilized to help individuals and families 

achieve and maintain recovery and lead fulfilling lives. PFR supports and provides technical 

resources to those who deliver services for the prevention and treatment of substance use and 

mental health disorders and seeks to build capacity and improve services and systems of care. 

PFR activities fall into five broad focus areas: Recovery, Cross-Systems Collaboration, Stigma 

Reduction, Workforce Development and Leadership Development. Also included in this 

program line are consumer affairs activities, the largest of which is the National Recovery Month 

celebration which takes place annually during the month of September. 
 

SAMHSA/CSAT-42 

Funding History 

FY Amount 

2006 $29,290,000

2007 $29,609,000

2008 $28,686,000

2009 $26,872,000

2010 $26,943,000

Budget Request 

The FY 2011 President's Budget request is $26.1 million, a decrease of $0.8 million from the FY 

2010 Appropriation. The reduction is part of the overall contract cost efficiencies and process 

improvements. Sufficient funding maintains all other activities at the FY 2010 Appropriation 

level. 

Outcomes and Outputs 

Table 28: Key Performance Indicators for Treatment Programs of Regional and National 

Significance – Science and Service107

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target108

FY 2012 

+/- FY 

2011 

1.4.01: Report implementing 

improvements in treatment 

methods on the basis of 

information and training 

provided by the program 

(Outcome) 

FY 2009: 

82% 

(Target Not 

Met) 

90% 90% 90% Maintain 

1.4.02: Increase the number of 

individuals trained per year 

(Output) 

FY 2009: 

22,943 

(Target 

Exceeded) 

20,516 20,516 20,516 Maintain 

1.4.03: Increase the percentage 

of drug treatment professionals 

trained by the program who 

would rate the quality of the 

events as good, very good, or 

excellent (Outcome) 

FY 2009: 

95% 

(Target Not 

Met) 

96% 96% 96% Maintain 

107Includes Knowledge Application Program, Faith Based Initiatives, Strengthening Treatment Access and Retention, Addiction Technology 

Transfer Centers, and SAMHSA Conference Grants. 

108 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 
 

SAMHSA/CSAT-43 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target108

FY 2012 

+/- FY 

2011 

1.4.04: Increase the percentage 

of drug treatment professionals 

trained by the program who 

shared any of the information 

from the events with others 

(Outcome) 

FY 2009: 

85% 

(Target Not 

Met) 

92% 92% 92% Maintain 

1.4.05: Increase the percentage 

of grantees in appropriate cost 

bands (Outcome)109 

FY 2009: 

100% 

(Target Met) 

100% 100% 100% Maintain 

Size of Awards 

(whole dollars) FY 2009 FY 2010 FY 2011 

Number of Awards 16 16 16

Average Award $540,437 $570,688 $570,688

Range of Awards $300,000 - $550,000 $300,000 - $580,000 $300,000 -$580,000

109 Percentage of grantees that provide drug treatment services within approved cost per person bands is measured by the type of treatment 

including outpatient non-methadone, outpatient methadone, and residential treatment services. The cost ranges are for outpatient non-methadone 

$1,000-$5,000, outpatient methadone $1,500-$8,000, and residential $3,000-$10,000.
SAMHSA/CSAT-44 

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SAMHSA/CSAT-45 

Prescription Drug Monitoring 

National All Schedules Prescription Electronic Reporting (NASPER) 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Budget Authority $2,000 $2,000 $2,000 $0 

Authorizing Legislation Section.................................399O of the Public Health Service Act 

2011 Authorization.....................................................................................Expired 

Allocation Method............................................................................Formula Grants 

Program Description and Accomplishments 

The National All Schedules Prescription Electronic Reporting Act, is a formula grant program, 

that was authorized in 2005 (Public Law 109-60) and received its first appropriation in FY 2009. 

The purpose of this program is to: 1) foster the establishment of State-administered controlled 

substance monitoring systems in order to ensure that health care providers and law enforcement 

officials and other regulatory bodies have access to accurate, timely prescription history 

information that they may use as a tool for the early identification of patients at risk for addiction 

in order to initiate appropriate medical interventions and avert the tragic personal, family, and 

community consequences of untreated addiction; 2) develop, based on the experiences of 

existing State controlled substance monitoring programs, a set of best practices to guide the 

establishment of new State programs and the improvement of existing programs. 

By requiring standards for security, privacy, confidentiality and interoperability, NASPER will 

expand the utility of prescription monitoring programs (PMPs), allowing more States to share 

information internally and regionally with neighboring States, a key shortcoming of the existing 

system. In addition, the expansion and establishment of prescription monitoring systems has the 

potential for assisting in the early identification of patients at risk for addiction. Early 

identification of individuals in need of treatment is a key public health concern and will lead to 

enhanced substance abuse treatment interventions. 

Approximately 40 States have an operational PMP or current legislation authorizing 

establishment of PMPs in 2009. Although current State PMPs vary, they essentially require that 

pharmacies, physicians, or both, submit information on prescriptions dispensed for certain 

controlled substances as mandated by state law. Prescriber and patient information relating to 

prescriptions issued for controlled stimulants, sedatives/depressants, anxiolytics, narcotics and 

other covered drugs is transmitted to a central office within each State. 
SAMHSA/CSAT-46 

The allocation formula for the NASPER grant program distributes one percent of the 

appropriation to each eligible State, with an additional amount distributed based on the ratio of 

the number of pharmacies in the State to the number of pharmacies in all States. 

The Secretary must approve grants to all States that are qualified (defined as the 50 States and 

the District of Columbia). To qualify for a grant award, a State must submit an application that 

meets all the NASPER requirements including the following: the State must demonstrate that it 

has enacted legislative or regulatory authority for a PMP; the State must have penalty provisions 

for unauthorized patient information disclosures; the State must include substances in Schedules 

II-IV in its PMP; and the State must agree to collect information in accordance with standards 

developed by the Department. 

To implement NASPER and the 2009 appropriation, the Department was required to solicit 

Federal Register Notice (FRN) comments on proposed minimum standards. Before developing 

proposed minimum standards, and issuing the FRN, SAMHSA sought input from and consulted 

with the field and also obtained the Secretary’s delegation of authority to implement NASPER. 

Several States and pharmacy entities subsequently commented on the proposed minimum 

standards. SAMHSA carefully considered the comments and incorporated revised minimum 

standards into a request for applications (RFA) that was published in July 2009. A total of 

thirteen States submitted applications for grants, and each applicant subsequently received an 

award of FY 2009 funds. A new RFA will be published for the FY 2010 appropriation. 

In 2009, SAMHSA reported that the misuse of prescription drugs decreased significantly 

between 2007 and 2008 among those aged 12 and older, including among adolescents, according 

to the 2008 National Survey on Drug Use and Health (NSDUH). The report also indicated that 

progress has been made in curbing other types of illicit drug use. For example, past month 

methamphetamine use among those aged 12 and older dropped sharply from approximately 

529,000 people in 2007 to 314,000 in 2008. Similarly, the level of current cocaine use among 

the population aged 12 and older has decreased from 1.0 percent in 2006 to 0.7 percent in 2008. 

Promising results from the latest survey also were also found for the most part among youth (12 

to 17 year olds). Among youth there was a significant decline in overall past month illicit drug 

use, from 11.6 percent in 2002 to 9.3 percent in 2008. Although the rate of current marijuana use 

among youth has remained level at about 6.7 percent over the past few years there have been 

significant decreases in the current use of alcohol, cigarettes and non-medical use of prescription 

drugs since 2007. Non-medical use of prescription drugs dropped from 3.3 percent in 2007 to 

2.9 percent in 2008. 

Funding History 

FY Amount 

2006 0

2007 0

2008 0

2009 $2,000,000

2010 $2,000,000
SAMHSA/CSAT-47 

Data Elements Used to Calculate State Allotments

The State Allotment calculation assumes that all 50 States and the District of Columbia will 

apply and are approved. The count of pharmacies in each State is based on the most recent data 

provided on the Drug Enforcement Administration’s (DEA) website (November, 2009). FY 

2010 and FY 2011 calculations assume no change to the most recent data provided by the DEA 

and assumes that all 50 States and the District of Columbia will apply and be approved. 

Currently, only 13 States have applied for and been approved for funding. 

Budget Request 

The FY 2011 President's Budget request is $2.0 million, the same level of funding as the 

FY 2010 Appropriation level. Grants will be awarded to all States with approved applications. 

To be eligible to receive a grant under NASPER, the State must demonstrate that the State has 

enacted legislation or regulations to permit the implementation of the State controlled substance 

monitoring program and the imposition of appropriate penalties for the unauthorized use and 

disclosure of information maintained in such program. Additional requirements for applications 

are set forth under 42 U.S.C. section 399(O)(c), and include budget cost estimates, 

interoperability standards, uniform electronic formats, access to information, penalties for 

unauthorized disclosures and other issues. 

Outputs and Outcomes 

SAMHSA is in the process of identifying appropriate performance measures for this program. 
SAMHSA/CSAT-48 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

National All Schedules Prescription Electronic Reporting (NASPER) 

CFDA #93.975 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

Alabama $115,396 $40,190 $40,190 $0

Alaska 0 21,539 21,539 0

Arizona 0 36,594 36,594 0

Arkansas 0 31,581 31,581 0

California 454,587 112,540 112,540 0

Colorado 0 32,175 32,175 0

Connecticut 65,976 29,813 29,813 0

Delaware 0 22,971 22,971 0

District Of Columbia 0 21,935 21,935 0

Florida 0 88,525 88,525 0

Georgia 0 54,544 54,544 0

Hawaii 0 23,139 23,139 0

Idaho 0 24,541 24,541 0

Illinois 188,843 56,114 56,114 0

Indiana 108,079 38,545 38,545 0

Iowa 0 31,779 31,779 0

Kansas 66,407 29,920 29,920 0

Kentucky 101,409 37,493 37,493 0

Louisiana 0 37,737 37,737 0

Maine 40,514 24,373 24,373 0

Maryland 0 37,752 37,752 0

Massachusetts 0 37,554 37,554 0

Michigan 193,362 57,196 57,196 0

Minnesota 0 37,508 37,508 0

Mississippi 79,246 32,632 32,632 0

Missouri 0 39,657 39,657 0

Montana 0 23,855 23,855 0

Nebraska 0 27,253 27,253 0

Nevada 52,922 27,025 27,025 0

New Hampshire $0 $23,855 $23,855 $0
SAMHSA/CSAT-49 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

National All Schedules Prescription Electronic Reporting (NASPER) 

CFDA #93.975 

STATE

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

New Jersey $0 $50,522 $50,522 $0

New Mexico 0 24,693 24,693 0

New York 342,264 89,135 89,135 0

North Carolina 0 50,964 50,964 0

North Dakota 0 22,682 22,682 0

Ohio 190,995 56,282 56,282 0

Oklahoma 0 33,516 33,516 0

Oregon 0 30,728 30,728 0

Pennsylvania 0 64,998 64,998 0

Rhode Island 0 23,139 23,139 0

South Carolina 0 36,777 36,777 0

South Dakota 0 23,078 23,078 0

Tennessee 0 44,518 44,518 0

Texas 0 89,272 89,272 0

Utah 0 27,649 27,649 0

Vermont 0 22,149 22,149 0

Virginia 0 43,101 43,101 0

Washington 0 39,078 39,078 0

West Virginia 0 28,305 28,305 0

Wisconsin 0 37,127 37,127 0

Wyoming 0 21,950 21,950 0

Total NASPER $2,000,000 $2,000,000 $2,000,000 $0
SAMHSA/CSAT-50 

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SAMHSA/CSAT-51 

Substance Abuse Prevention and Treatment (SAPT) Block Grant 

(Dollars in Thousands) 

 

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

FY 2011 

+/- FY 

2010 

Program Level $1,778,591 $1,798,591 $1,798,591 $0 

PHS Evaluation Funds (non-add) (79,200) (79,200) (79,200) (0)

NOTE: The Substance Abuse Prevention and Treatment (SAPT) Block Grant is also discussed in 

the CSAP SAPT Block Grant section. 

Authorizing Legislation................................Section 1921 of the Public Health Services Act 

2011 Authorization.....................................................................................Expired 

Allocation Method.............................................................................Formula Grants 

Program Description and Accomplishments 

The Substance Abuse Prevention and Treatment Block Grant Program distributes funds to 60 

eligible States, Territories, the District of Columbia and the Red Lake Indian Tribe of Minnesota 

to plan, carry out, and evaluate substance abuse prevention activities and treatment services 

provided to individuals, families, and communities impacted by substance abuse and substance 

use disorders. This formula grant program provides funding based upon specified economic and 

demographic factors and is administered by SAMHSA’s Center for Substance Abuse Prevention 

and Center for Substance Abuse Treatment. All Block Grant applications must include an 

annual plan that contains detailed provisions for complying with each funding agreement 

specified in the legislation, and describes how the applicant intends to expend the grant. The 

current law includes specific provisions and funding set-asides, such as a 20 percent prevention 

set-aside; an HIV/AIDS early intervention set-aside; requirements and potential reduction of the 

Block Grant allotment with respect to sale of tobacco products to those under the age of 18; a 

maintenance of effort requirement; and “hold harmless” provisions that limit fluctuations in 

allotments as the total appropriation changes from year to year. 

The program’s overall goal is to support and expand substance abuse prevention and treatment 

services while providing maximum flexibility to the States. States and territories may expend 

Block Grant funds only for the purpose of planning, carrying out, and evaluating activities 

related to these services. Targeted technical assistance is available to the States and Territories 

through CSAT’s State Systems Technical Assistance Project. The Substance Abuse Prevention 

and Treatment Block Grant requires States to maintain expenditures for authorized activities at a 

level that is not less than the average level of such expenditures maintained by the State for the 

2-year period preceding the year for which the State is applying for a grant. Given the current 

economic situation, SAMHSA is aware that a number of States may experience challenges 
SAMHSA/CSAT-52 

meeting the maintenance of effort requirement in the Federal FY 2010 grant cycle, and is 

monitoring the situation closely. 

Of the amounts appropriated for the Block Grant program, 95 percent are distributed to States 

through a formula prescribed by the authorizing legislation. Factors used to calculate the 

allotments include total personal income; State population data by age groups (total population 

data for territories); total taxable resources; and a cost of services index factor. 

As seen in the following table, the Block Grant Program has been successful in expanding 

treatment capacity in the latest year for which recipients that have reported actual data are 

available (FY 2008) by supporting almost 2.3 million admissions to treatment programs 

receiving public funding. Outcomes data for the Block Grant Program also show positive 

results. At discharge, clients have demonstrated high abstinence rates from both illegal drug 

(73.7 percent) and alcohol (78.2 percent) use. 

The Substance Abuse Prevention and Treatment Block Grant program underwent a program 

assessment in 2003. The assessment cited clear purpose and collaboration with other agencies as 

strong attributes of the program. As a result of the program assessment, the program has 

included performance measures in the block grant application and is conducting an independent 

and comprehensive evaluation of the national program. 

State Substance Abuse Agencies reported the following outcomes for services provided during 

2007, the most recent available data: 

 For the 51 States that reported data in the Abstinence from Drug/Alcohol Use 

Domain for alcohol, 50 of 51 identified improvements in client abstinence. Fortythree of these States reported improvements based on information submitted to the 

Treatment Episode Data Set (TEDS) and seven reported improvements based on their 

own data collection systems. 

 Similarly, for the 51 States that reported data in the Abstinence from Drug/Alcohol 

Use Domain for drug use, 50 of 51 identified improvements in client abstinence. 

Forty-three of these States reported improvements based on information submitted to 

TEDS and seven reported improvements based on their own data collection systems. 

 For the 51 States that reported data in the Employment Domain, 46 of 51 identified 

improvements in client employment. Forty of these States reported improvements 

based on information submitted to TEDS and six reported improvements based on 

their own data collection systems. 

 For the 51 States that reported in the Criminal Justice Domain, 35 of 40 reported an 

increase in clients with no arrests based on data reported to TEDS. 

 For the 51 States that reported data in the Housing Domain, 35 of 47 identified 

improvements in stable housing for clients based on data reported to TEDS. 
SAMHSA/CSAT-53 

Funding History 

FY Funding FTEs 

2001 $1,665,000,000 

2002 $1,725,000,000 

2003 $1,753,932,000 

2004 a/ $1,779,146,000 

2005 a/ $1,775,555,000 

2006 a/ $1,757,425,000 40 

2007 a/ $1,758,591,000 40 

2008 a/ $1,758,728,000 40 

2009 a/ $1,778,591,000 40 

2010 a/ $1,798,591,000 40 

a/ Includes $79.2 million from the PHS evaluation funds. 

Data Elements Used to Calculate State Allotments

Population Data: States and the District of Columbia July 1, 2008 Population Estimates) from 

U.S. Census Bureau; Territory population estimates as of July 1, 2009 from U.S. Department of 

Commerce. 

Total Taxable Resources: 2005, 2006 and 2007 data from U.S. Department of Treasury. 

Income: 2006, 2007, and 2008 Total Personal Income for States and District of Columbia from 

Department of Commerce/Bureau of Economic Analysis. 

Cost of Services Index: This index is determined triennially (i.e., it is revised every third fiscal 

year rather than annually). The most current index is being used for the determination of 

allotments for FY 2010, FY 2011, and FY 2012. The base wage rate was calculated using wages 

paid and hours worked from the 2000 Decennial Census for specific occupation-industry 

categories. The update factor was determined using wages paid and hours worked for base year 

(FY 1999 for FY 2003 Final Rule), and recent year (FY 2005 for FY 2009 Final Rule), as 

reported to the Centers for Medicare and Medicaid by hospitals participating in the Medicare 

program. FY 2009 Median Fair Market Rent Estimates from Department of Housing and Urban 

Development; July 1, 2007 Population Estimates by County/Subcounty from U.S. Census 

Bureau. 

Budget Request 

The FY 2011 President's Budget request is $1,798.6 million, the same level of funding as the FY 

2010 Appropriation level. Of the total, five percent will be set aside for data collection, 

evaluation, and technical assistance activities. We are currently monitoring the state budget 

situation and requests for Maintenance of Effort waivers in 2010 and 2011. Increased funding 

for the set-aside is provided to OAS to cover the costs of the National Survey on Drug Use and 

Health (NSDUH). Additional detail is provided in the SAPT BG set-aside chapter. 
 

SAMHSA/CSAT-54 

There are no changes in State allotments as a result of hold harmless provision of the Public 

Health Service Act. Even though the data elements have been updated, as long as the 

appropriation remains the same as the prior year, the State allotments remain the same. 

Outcomes and Outputs 

Table 29: Key Performance Indicators for Substance Abuse Prevention and Treatment 

Block Grant – Treatment Activities 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target110

FY 2012 +/- 

FY 2011 

1.2.43: Number of admissions to 

substance abuse treatment programs 

receiving public funding111 (Output) 

FY 2008: 

2,272,250 

(Target 

Exceeded) 

1,881,515 1,881,515 2,372,302 +490,787 

1.2.47: Increase the percentage of 

States in appropriate cost bands 

(Outcome)112 

FY 2007: 65%

(Target Not 

Met) 

68% 70% 71% +1% 

1.2.48: Percentage of clients 

reporting abstinence from drug use 

at discharge (Outcome) 

FY 2008: 

73.7% 

(Target 

Exceeded) 

70.3% 70.3% 70% -0.3% 

1.2.49: Percentage of clients 

reporting abstinence from alcohol at 

discharge (Outcome) 

FY 2008: 

78.2% 

(Target 

Exceeded) 

74.7% 74.7% 75% +0.3% 

1.2.50: Percentage of clients 

reporting being employed/in school 

at discharge (Outcome) 

FY 2008: 

37.2% 

(Target Not 

Met) 

43.9% 43.9% 43% -0.9% 

1.2.51: Percentage of clients 

reporting no involvement with the 

Criminal Justice System (Outcome) 

FY 2008: 92%

(Target 

Exceeded) 

88.9% 88.9% 89% +0.1% 

110 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, adjustments to FY 2011 funding will 

be reflected in the targets set for FY 2012. 

111

Formerly Number of Clients Served. Wording change approved by OMB 12/4/07 112 Percentage of grantees that provide drug treatment services within approved cost per person bands is measured by the type of treatment 

including outpatient non-methadone, outpatient methadone, and residential treatment services. The cost ranges are for outpatient non-methadone 

$1,000-$5,000, outpatient methadone $1,500-$8,000, and residential $3,000-$10,000.
SAMHSA/CSAT-55 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Substance Abuse Prevention and Treatment Block Grant 

CFDA #93.959 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 Pres.

Budget +/- FY 2010

Alabama $23,850,008 $23,932,208 $23,932,208 $0

Alaska 4,796,474 4,958,281 4,958,281 0

Arizona 34,764,203 37,421,345 37,421,345 0

Arkansas 13,335,211 13,381,171 13,381,171 0

California 250,794,726 251,659,105 251,659,105 0

Colorado 24,858,461 26,393,425 26,393,425 0

Connecticut 16,808,904 17,071,088 17,071,088 0

Delaware 6,669,716 6,744,716 6,744,716 0

District Of Columbia 6,669,716 6,744,716 6,744,716 0

Florida 98,102,522 100,688,583 100,688,583 0

Georgia 50,524,018 50,698,151 50,698,151 0

Hawaii 7,171,197 7,660,446 7,660,446 0

Idaho 6,907,466 6,931,273 6,931,273 0

Illinois 69,873,891 70,114,715 70,114,715 0

Indiana 33,308,207 33,423,005 33,423,005 0

Iowa 13,524,616 13,571,229 13,571,229 0

Kansas 12,291,614 12,333,978 12,333,978 0

Kentucky 20,665,068 20,736,291 20,736,291 0

Louisiana 25,850,751 25,939,847 25,939,847 0

Maine 6,669,716 6,744,716 6,744,716 0

Maryland 31,980,001 32,090,222 32,090,222 0

Massachusetts 34,030,730 34,451,972 34,451,972 0

Michigan 57,899,122 58,098,674 58,098,674 0

Minnesota 23,968,851 24,981,718 24,981,718 0

Red Lake Indians 590,744 615,708 615,708 0

Mississippi 14,258,225 14,307,367 14,307,367 0

Missouri 26,158,458 26,248,614 26,248,614 0

Montana 6,669,716 6,744,716 6,744,716 0

Nebraska 7,892,928 7,920,131 7,920,131 0

Nevada 13,751,877 13,897,818 13,897,818 0

New Hampshire 6,669,716 6,744,716 6,744,716 0

New Jersey 46,941,463 47,103,249 47,103,249 0

New Mexico 8,714,908 9,009,024 9,009,024 0

New York 115,513,516 115,911,639 115,911,639 0

North Carolina $38,620,261 $40,041,719 $40,041,719 $0
SAMHSA/CSAT-56 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2011 DISCRETIONARY STATE/FORMULA GRANTS 

Substance Abuse Prevention and Treatment Block Grant 

CFDA #93.959 

STATE/TERRITORY

FY 2009 

Appropriation

FY 2010 

Appropriation

FY 2011 

Pres. Budget +/- FY 2010

North Dakota $5,321,380 $5,500,894 $5,500,894 $0

Ohio 66,661,413 66,891,165 66,891,165 0

Oklahoma 17,714,206 17,775,259 17,775,259 0

Oregon 16,861,926 17,998,935 17,998,935 0

Pennsylvania 59,087,858 59,291,507 59,291,507 0

Rhode Island 6,669,716 6,744,716 6,744,716 0

South Carolina 20,574,947 20,685,249 20,685,249 0

South Dakota 4,920,793 5,086,794 5,086,794 0

Tennessee 29,748,417 29,850,946 29,850,946 0

Texas 135,987,493 136,456,180 136,456,180 0

Utah 17,134,976 17,194,033 17,194,033 0

Vermont 5,261,374 5,438,864 5,438,864 0

Virginia 43,088,812 43,237,320 43,237,320 0

Washington 34,978,304 35,098,858 35,098,858 0

West Virginia 8,710,435 8,740,456 8,740,456 0

Wisconsin 27,078,689 28,190,657 28,190,657 0

Wyoming 3,418,788 3,534,119 3,534,119 0

State Sub-Total 1,664,316,528 1,683,031,528 1,683,031,528 0

American Samoa 331,855 362,204 368,518 +6,314

Guam 896,699 982,668 1,001,931 +19,263

Northern Marianas 400,959 483,945 289,096 -194,849

Puerto Rico 22,061,150 22,115,030 22,271,328 +156,298

Palau 110,804 117,852 116,775 -1,077

Marshall Islands 294,488 352,969 362,308 +9,339

Micronesia 619,838 601,551 603,270 +1,719

Virgin Islands 629,129 613,703 616,696 +2,993

Territory Sub-Total 25,344,922 25,629,922 25,629,922 0

Total States/Territories 1,689,661,450 1,708,661,450 1,708,661,450 0

SAMHSA Set-Aside 88,929,550 89,929,550 89,929,550 

TOTAL SAPTBG $1,778,591,000 $1,798,591,000 $1,798,591,000 $0
Table of Contents 

Substance Abuse Prevention and Treatment Block Grant (Set-aside) Page

1. Summary Table....................................................................................................................1 

2. Center for Substance Abuse Treatment ...............................................................................2 

3. Center for Substance Abuse Prevention ..............................................................................3 

4. Office of Applied Studies ....................................................................................................3 

5. Program Description and Accomplishments .......................................................................4 
 

Page intentionally left blank 
SAMHSA/SA Set Aside - 1 

Substance Abuse Prevention and Treatment Block Grant (Set-aside) and 

Program Management Data Collection/National Surveys 

(Dollars in Thousands)

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

 Funding Sources 

 Budget Authority: 

 SAPT Block Grant 5% Set-aside $9,730 $10,730 $10,730

 Program Management 0 0 32,600 

 PHS Evaluation Funds: 

 SAPT Block Grant 79,200 79,200 

 

79,200 

 Program Management 21,750 21,750 

 

22,399 

 Total Program Level $110,680 $111,680 $144,929

 SAMHSA Component 

 Office of Applied Studies 81,699 82,699 115,948

 Budget Authority (non-add) ( 4,343) ( 5,343) ( 37,699)

 PHS Evaluation SAPTBG (non-add) ( 55,606) ( 55,606) ( 55,850)

 PHS Evaluation Program Mgmt (non-add) ( 21,750) ( 21,750) ( 22,399)

 Center for Substance Abuse Prevention 12,193 12,193 12,193

 Budget Authority (non-add) ( 1,967) ( 1,967) ( 2,028)

 PHS Evaluation SAPTBG (non-add) ( 10,226) ( 10,226) ( 10,165)

 PHS Evaluation Program Mgmt (non-add) (0) (0) (0)

 Center for Substance Abuse Treatment 16,788 16,788 16,788

 Budget Authority (non-add) ( 3,420) ( 3,420) ( 3,603)

 PHS Evaluation SAPTBG (non-add) ( 13,368) ( 13,368) ( 13,185)

 PHS Evaluation Program Mgmt (non-add) (0) (0) (0)

 Total, SAMHSA $110,680 $111,680 $144,929
SAMHSA/SA Set Aside - 2 

Center for Substance Abuse Treatment 

(Dollars in thousands) 

CSAT Set-Aside Activities

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

State Data Systems

Block Grant Management Information $ 925 $ 925 $ 1,267

NASADAD 500 500 500

State Outcomes Measurement and Management 

System (SOMMS)1/ 1,500 0 0

Subtotal, State Data Systems 2,925 1,425 1,767

Technical Assistance

TA to States 3,118 4,218 4,218

Health Information Technology (HIT) 3,200 2,400 4,000

Treatment Improvement Exchange 0 1,200 1,000

Analyses Medicaid/Medicare/CMS 1,252 1,252 250

TA to States -Recovery/Faith-based Programs 2,500 2,500 1,500

 FTE Support 3,420 3,420 3,603

Subtotal, Technical Assistance 13,490 14,990 14,571

Program Evaluation

Dev. of Spending Estimates for MH/SAT 373 373 450

Subtotal, Program Evaluation 373 373 450

TOTAL CSAT $16,788 $16,788 $ 16,788
SAMHSA/SA Set Aside - 3

Center for Substance Abuse Prevention 

(Dollars in thousands) 

CSAP Set-Aside Activities

FY 2009 

Appropriation

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

State Data Systems

BGAS $ 100 $ 100 $ 100

Data Collection Coordinating Center 1,192 1,192 1,192

Subtotal, State Data Systems 1,292 1,292 1,292

Technical Assistance

SPFAS/ Synar 3,318 3,318 3,318

NASADAD 362 362 362

CAPTs 3,180 3,180 3,180

Materials Development Media Support 496 496 435

Health Communications and Marketing 1,080 1,080 1,080

UAD 498 498 498

FTE Support 1,967 1,967 2,028

Subtotal, Technical Assistance 10,901 10,901 10,901

TOTAL CSAP $ 12,193 $ 12,193 $ 12,193

Office of Applied Studies 

(Dollars in thousands) 

OAS Set-Aside Activities

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

National Data Collection

DAWN $ 19,000 $ 17,000 $ 29,788

NSDUH 45,000 47,000 52,830

National Analytic Center 2,500 2,500 2,500

DASIS 11,743 12,094 12,670

C-EMS 0 0 13,600

Data Archive 851 1,500 2,149

FTE/Operations 2,605 2,605 2,411

TOTAL OAS $ 81,699 $ 82,699 $ 115,948
SAMHSA/SA Set Aside - 4 

Program Description and Accomplishments 

The block grant set-aside represents five percent of the funding appropriated to the Substance 

Abuse Prevention and Treatment (SAPT) Block Grant program and is retained by SAMHSA for 

data collection, technical assistance, and evaluation activities. Funding is distributed among 

CSAT, CSAP and OAS and is primarily used to fund contracts. The Program Management 

budget line also supports specific data collection activities managed by OAS. All of these 

activities are guided by SAMHSA’s Data Strategy. The Data Strategy is guided by a set of 

principles that help ensure that SAMHSA provides the most timely, relevant, cost-effective, and 

accurate data that can guide and improve policymaking, program development, and performance 

monitoring in support of SAMHSA’s vision for a life in the community for everyone. The 

SAMHSA Data Strategy can be found at http://samhsa.gov/about/DataStrategyPlan.pdf. 

Center for Substance Abuse Treatment (CSAT)

CSAT manages several major state data system contracts, including the Block Grant 

Management Information System which is used to manage the block grant application cycle and 

the State Outcomes Measurement and Management System which subcontracts with the States to 

collect National Outcome Measures data through the Drug Abuse Service Information System 

contract. 

The State Outcomes Measurement and Management System payment to States will be completed 

in FY 2009 as 48 States are now reporting Treatment Episode Data Set data. OAS will continue 

to work with the states to improve reporting on Treatment Episode Data Set data and will 

continue to work with CSAT to generate performance reports based on data reported by the 

states through the Block Grant Management Information System. These funds will be shifted to 

other state technical assistance programs designed to improve performance. 

The 2009 planned amounts have changed since the FY 2009 President’s Budget as a result of 

fallout funds from the Treatment Improvement Exchange contract protest ($1.2 million) and 

reduced need for State Outcomes Measurement and Management System ($2.0 million). 

In 2009, Health Information Technology is being funded at $3.2 million. This contract, 

Integration Using Electronic Health Records is designed to provide technical assistance (TA) for 

States’ to collaboratively integrate electronic record systems. For CSAT, integration starts by 

consolidating the same client information, over time, across all substance abuse treatment 

providers. TA will help States and counties to re-use “open source,” Web-based, Electronic 

Health Record systems (EHRs). Second, TA will help States consolidate substance abuse 

service histories with personal history from mental health and other treatment settings. 

Consistent with emerging National interoperability strategy [making Personal Health Record 

systems (PHRs) the crossroads], TA will focus on Personal Health and Human Service Record 

systems (PHHSRs). 
SAMHSA/SA Set Aside - 5 

Center for Substance Abuse Prevention (CSAP) 

CSAP manages a single major state data system, the Data Analysis, Coordination and 

Consolidation Center, which collects data from state grantees. This contract is funded from the 

block grant set-aside and from Programs of Regional and National Significance and provides 

support for data collection and analysis for all CSAP grantees. In addition, CSAP manages the 

Centers for the Application of Prevention Technologies. This contract is jointly funded through 

the block grant set-aside and CSAP Programs of Regional and National Significance and 

provides support for technical assistance for state and discretionary grantees. The Underage 

Drinking State Technical Assistance will provide direct technical assistance to States to 

coordinate multiple funding sources to ensure that SAMHSA funds are used optimally in concert 

with other funding sources. CSAP also manages the Health Communications and Marketing 

contract, which provides direct support to the States to plan, develop, and operate 

communication strategies regarding evidence-based prevention information and interventions. 

The contract will help States use customer-centered and evidence-based strategies to protect and 

promote the health of diverse populations, with an emphasis on messages that convey that there 

is a strong evidence base showing that prevention works and that it is cost-efficient. 

Office of Applied Studies (OAS) 

OAS manages several major national data collection contracts focusing on substance use and 

mental disorders, the impact and treatment of these disorders, and the recovery process. The 

largest contract is for the National Survey on Drug Use and Health which serves as the primary 

source of information on the incidence and prevalence of substance use and related conditions, 

including co-occurring mental illness, among civilian, non-institutionalized population 12 and 

older. Some recent accomplishments of National Survey on Drug Use and Health include 

establishing Restricted Use Data Access Program for SAMHSA staff and contractors; initiation 

of National Survey on Drug Use and Health redesign activities; and the publication of several 

reports including the Analytic Report on Underage Drinking, the 2005-6 State Report, the 2004-

6 Sub-state Report, and the 2007 National Findings Report (September 2008). 

OAS is currently conducting an array of activities which will result in a comprehensive redesign 

of the 2013 National Survey on Drug Use and Health. The redesign will continue the current 

sample size and maintain unbroken data trends through the 2017 survey. In FY 2011, the 

increase of $5.8 million for NSDUH will enhance methodological and analytical work to ensure 

the final redesign is in place in a timely fashion and to increase our ability to provide accurate, 

timely, and useful data to support the President’s Health Care Reform agenda. The NSDUH 

contract will be restructured in FY 2010 to conform with the revised department guidance on the 

HHS Acquisition Regulations. 

The Drug Abuse Warning Network (DAWN) survey is another important data collection effort 

managed by SAMHSA/OAS. DAWN is a national public health surveillance system that 

monitors drug-related visits to hospital emergency departments (EDs) and drug-related deaths 

recorded by medical examiners and coroners (ME/Cs). An important feature of DAWN is that it 

provides information on the immediate consequence as well as related physical and behavioral 

health outcomes and case disposition. Some of the key accomplishments in the past year have 
SAMHSA/SA Set Aside - 6 

been the completion of estimation error correction, implementation of the new DAWN 

Operations and Analytic contracts, and revision of the DAWN ME and ED reports. 

Given the current challenges to the DAWN survey, SAMHSA has been exploring several options 

regarding this program. As part of this process, OAS undertook a focused survey of key Federal 

and non-Federal informants who use DAWN data to determine the impact of changes in the 

scope of the DAWN system. This study found clear support for DAWN as a unique and 

valuable resource and that its termination would create a real gap in the national behavioral 

health data information system. The information from this study will be incorporated into a 

larger review of current substance abuse data collection efforts within the Department of Health 

and Human Services (DHHS). This larger study is designed to identify potential overlap and 

gaps across DHHS substance abuse data collection efforts. 

Over the next several months SAMHSA will continue to engage partners in DHHS, OMB, and 

ONDCP in a broader discussion regarding DAWN and other data activities. Results from the 

broader data evaluation of this study are expected to be available in one to two years and will be 

shared with our partners and Congress to inform a dialogue within the Administration and with 

Congress on funding options for DAWN, future survey efforts, and related data activities to 

ensure that critical data is available to address emerging challenges including health care reform, 

the increased role of prevention, the needs of Veterans, and creating true parity. In addition, 

DAWN contracts will be restructured in FY 2010 to conform with the revised department 

guidance on the HHS Acquisition Regulations. 

OAS also manages the Drug Abuse Service Information System which is the primary source of 

national data on the services available for substance abuse treatment and the characteristics of 

individuals admitted to treatment. It includes the Inventory of Substance Abuse Treatment 

Services; the National Survey of Substance Abuse Treatment Services, and the Treatment 

Episode Data Set. Some of the major accomplishments of the Drug Abuse Service Information 

System include the updating of the on-line Substance Abuse Treatment Facility Locator which 

receives thousands of hits each year; the release of the National Survey of Substance Abuse 

Treatment Services and the Treatment Episode Data Set public use data files; the pre-population 

of the 2008 SAPT Block Grant performance measurement tables with National Outcome 

Measures data; the Treatment Episode Data Set Quick Statistics web page; and several analytic 

reports including several Treatment Episode Data Set reports (1995-2005 Trends Report, 2006 

Highlights, and the 2005 Discharge Report). 

The Drug Abuse Service Information System contract will continue to provide high quality data 

on substance abuse treatment. The contract will support improvements to the treatment services 

locator and the Drug Abuse Service Information System website, as well as updates to the 

questionnaire content and data systems updates. The contract also supports the infrastructure for 

optional tasks including unique analyses on treatment outcomes and services and questionnaire 

development for collaborative studies with the Department of Justice. 

The National Analytic Center provides support for additional analyses and report writing on 

policy and practice specific topics. These reports include the National Survey on Drug Use and 

Health and Drug Abuse Service Information System Short Reports, lengthier Data Analytic 
SAMHSA/SA Set Aside - 7 

Series Reports such as the Underage Drinking Report. The National Analytic Center also 

extends capacity of OAS to carry out more complex work in support of SAMHSA offices and 

Centers and other Federal Offices including the Office of the Surgeon General and the Office of 

National Drug Control Policy. In FY 2009 and FY 2010 the National Analytic Center will 

support additional analyses around specific health care reform topics with special attention to 

multiple chronic conditions. It is expected that OAS will expand its partnership with the Center 

for Mental Health Services to develop a more integrated approach to behavioral health data 

collection and analyses and the National Analytic Center contract would be one vehicle to 

advance this effort. 

OAS is in the process of improving access and quality of data for public use including 

improvement in the OAS website, bringing archive data into 508 compliance, maintenance of a 

secure data server, and pilot-testing a secure access program for restricted data. 

Funding for the Substance Abuse Prevention and Treatment Block Grant Set-aside program 

during the past five years has been as follows: 

Funding History 

FY Amount 

2006 $103,930,000 

2007 $103,930,000 

2008 $105,686,000 

2009 $110,680,000 

2010 $111,680,000 

Budget Request 

The FY 2011 President’s Budget request is $144.9 million, an increase of $33.2 million above 

the FY 2010 Appropriation level. Of this amount, $32.6 million will support OAS data 

collection activities and approximately $0.6 million will expand access to the OAS restricted-use 

data access. 

The FY 2011 President’s Budget request includes a $19 million increase to the Office of Applied 

Studies to support national data systems. SAMHSA will apply the majority of the increase to 

DAWN, which provides national and local-area estimates of drug-related emergency department 

visits and drug-related mortalities. The cost of fielding this survey has increased over the years 

due to real increases in labor and management costs. Further, there have been significant 

increases in analytic requests by other Federal, State and Local partners. Some of these costs are 

defrayed through Inter-agency Agreements, but these agreements do not fully recover the 

resources expended for these analytic studies. An increase in funding is requested to provide 

funds to continue the current contract. 

In addition, the request includes $13.6 million for a new Initiative called Community Early 

Warning and Monitoring System (C-EMS), for the design, development, and field testing of a 
 SAMHSA/SA Set Aside - 8 

 

SAMHSA/SA

community-level, early warning system to detect the emergence of new drug threats and to assist 

in the identification of public health and safety consequences of drug abuse. In addition, this 

initiative will explore how community level indicators can be used for planning and the 

measurement of progress towards improved outcomes within and across communities. The 

proposed system does not currently exist and will require substantial scientific combined with 

practical considerations to achieve the system’s intended purpose. SAMHSA will work closely 

and collaboratively with NIDA, NIAAA, and ONDCP as well State and Community 

representatives on all aspects of systems development and deployment. 

Output and Outcomes 

Measure 

Most 

Recent 

Result 

FY 2010 

Target 

FY 2011 

Target 

FY 2012 

Target1

FY 2012 

+/- FY 

2011 

4.4.01: Availability and 

timeliness of data for the National 

Survey on Drug Use and Health 

(NSDUH) (Output) 

FY 2009: 8 

months 

(Target Met) 

8 months 8 months N/A N/A 

4.4.02: Availability and 

timeliness of data for the Drug 

Abuse Warning Network 

(DAWN) (Output) 

FY 2008: 13 

months 

(Target Not 

Met but 

Improved)2

 

10 months 10 months N/A N/A 

4.4.03: Availability and 

timeliness of data for the Drug 

and Alcohol Services Information 

System (DASIS) (Output) 

FY 2009: 10 

months 

(Target Met) 

10 months 10 months N/A N/A 

1 Since SAMHSA’s grant awards are made late in the fiscal year, performance targets and results for any given fiscal year primarily reflect the 

outputs and outcomes associated with activities supported by funding from the prior fiscal year. Therefore, FY 2011 appropriated funding will be 

reflected in the targets set for FY 2012. 

2

This was erroneously reported as 22 months in the FY 2010 President's Budget. 
SAMHSA/PM-1

Program Management 

(Dollars in thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget +/- FY 2010 

Program Level $100,131 $101,947 $135,696 +$33,749

PHS Evaluation Funds (non-add) 22,750 22,750 23,399 +649

(Program Management) 471 492 496 +4

(Block Grant Set-aside) 57 57 57 0

Total, FTE 528 549 553 +4

Authorizing Legislation .............................................Section 501 of the Public Health Service Act 

FY 2011 Authorization ......................................................................................................Indefinite 

Allocation Method ....................................................... Direct Federal/Intramural, Contracts, Other 

Program Description and Accomplishments

The Program Management budget supports the majority of SAMHSA staff who plan, direct, and 

administer Agency programs and who provide technical assistance and program guidance to 

States, mental health and substance abuse professionals, clients, and the general public. Agency 

staffing represents a critical component of the budget. Staff not financed directly through the 

Program Management account provide direct State technical assistance and are funded through 

the five percent Block Grant set-asides. There are currently 57 FTEs dedicated to Block Grant 

technical assistance. This budget supports contracts for monitoring State formula and block 

grants and the National Surveys. In addition to program offsets, this budget supports the Unified 

Financial Management System, administrative activities such as Human Resources, Information 

Technology and, the centralized services provided by Program Support Center and the 

Department. 

Homeland Security Presidential Directive/HSPD-12 sets forth deadlines for background 

investigations and implementation of a new standardized badge process using Personal Identity 

Verification cards. Associated with the process are several critical new roles: these include the 

program manager, applicant, sponsor, Personal Identity Verification registrar, privacy official, 

Personal Identity Verification card applicant representative, and Personal Identity Verification 

issuer. SAMHSA processes approximately 400 badges per year, including new 

employees/contractors, renewals, and losses. 
SAMHSA/PM-2

National Surveys 

(Dollars in Thousands) 

PHS Evaluation Funds 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget 

OAS Data Collection Activities $21,750 $21,750 $21,750 

NSDUH Mental Health 1,000 1,000 1,000 

Data Archive - Restricted Use 0 0 649 

 Total, PHS Evaluation Funds $22,750 $22,750 $23,399 

Budget Authority 

OAS Data Collection Activities 0 0 32,600 

CDC National Health Interview 

Survey 2,000 2,000 2,000 

 Total, Budget Authority $2,000 $2,000 $34,600 

Funding History 

FY Amount FTEs

2006 $75,989,000 524 

2007 $76,714,000 528 

2008 $75,381,000 544 

2009 $77,381,000 528 

2010 $79,197,000 549 

Budget Request 

The FY 2011 President’s Budget request is $135.7 million, an increase of $33.7 million above 

the FY 2010 Appropriation level. Of the increase, $0.5 million is for four additional FTEs to 

support SAMHSA’s new initiatives, $32.6 million is for OAS National Survey Activities, and 

$0.6 million is for the SAMHSA Restricted-Use Data Archive. 

The FY 2011 President’s Budget request includes a $19 million increase to the Office of Applied 

Studies to support national data systems. SAMHSA will apply the majority of the increase to 

DAWN. The cost of fielding this survey has increased over the years due to real increases in 

labor and management costs. Further, there have been significant increases in analytic requests 

by other Federal, State and Local partners. Some of these costs are defrayed through Interagency Agreements, but these agreements do not fully recover the resources expended for these 

analytic studies. An increase in funding is requested to provide funds to continue the current 

contract. 

In addition, the request includes $13.6 million for a new Initiative called Community Early 

Warning and Monitoring System (C-EMS), for the design, development and field testing of a 
SAMHSA/PM-3

community-level, early warning system to detect the emergence of new drug threats and to assist 

in the identification of public health and safety consequences of drug abuse. In addition, this 

initiative will explore how community level indicators can be used for planning and the 

measurement of progress towards improved outcomes within and across communities. The 

proposed system does not currently exist and will require substantial scientific combined with 

practical considerations to achieve the system’s intended purpose. SAMHSA will work closely 

and collaboratively with NIDA, NIAAA, and ONDCP as well State and Community 

representatives on all aspects of systems development and deployment. 
SAMHSA/PM-4

Summary of Changes 

(Dollars in Thousands) 

Increases:

Built-in: 

Annualization of the 2010 civilian pay raise (2.0%) +$305 

Annualization of the 2010 Commissioned Corps pay raise (3.4%) +55 

Increase for January 2011 pay raise (1.4%) +709 

Increase in rental payments to GSA +150 

Additional FTEs (+4) +533 

Subtotal, Built-in +1,752 

Program:

OAS Data Evaluation Activities +32,600 

Service and Supply Fund Activities +614 

Joint Funding Arrangement +300 

Overseas Rightsizing +30 

SAMHSA Restricted-Use Data Archive +649 

Subtotal, Program +34,193 

Total, Increases +35,945 

Decreases:

Built-in: 0 

Subtotal, Built-in 0 

Program:

Cost Shift of Operating Expenses -2,196 

Subtotal, Program -2,196 

Total, Decreases -2,196 

Net Change +$33,749 
SAMHSA/PM-5

Saint Elizabeths Hospital

Building and Facilities 

(Dollars in thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget +/- FY 2010 

Budget Authority $772 $795 $0 -$795

Authorizing Legislation ...................................................Section 501 of Public Health Service Act 

FY 2011 Authorization ......................................................................................................Indefinite 

Allocation Method ................................................................................................................... Other 

Program Description and Accomplishments 

On December 9, 2004, the Department of Health and Human Services (DHHS) transferred the 

West Campus of the St. Elizabeths Hospital to the General Services Administration (GSA). 

Along with this transfer, the DHHS and GSA signed a Memorandum of Agreement outlining 

each agency’s responsibilities and requirements with regards to the transfer and subsequent 

associated activities. 

One such requirement was for DHHS to pay for any further actions necessary to remediate 

(clean-up) hazardous substances found on the site after the date of transfer. Following the 

transfer, GSA discovered the remnants of a former landfill. Preliminary samples collected from 

various depths showed the presence of lead, dioxins, and other hazardous substances. As a result 

of the Memorandum of Agreement, DHHS is responsible for covering the cost of actions 

required to remediate this contamination. 

Budget Request 

The FY 2011 President’s Budget does not include additional funding to support the 

Department’s environmental remediation activities at St. Elizabeths Hospital. In consultation 

with GSA, the Assistant Secretary for Administration has determined that funding through FY 

2010 is sufficient to address current remediation activities 
SAMHSA/PM-6

Page intentionally left blank 
SAMHSA/PM-7

Data Evaluation 

(Dollars in thousands) 

 

FY 2009 

Appropriation 

FY 2010 

Appropriation 

FY 2011 

President's 

Budget +/- FY 2010 

Budget Authority $2,500 $0 $0 $0

Authorizing Legislation .............................................Section 505 of the Public Health Service Act 

FY 2011 Authorization ......................................................................................................Indefinite 

Allocation Method ....................................................... Direct Federal/Intramural, Contracts, Other 

Program Description and Accomplishments 

The Data Evaluation project provides for a needs assessment and evaluation of substance abuse 

data collection activities across the Department to improve surveillance activities and avoid 

duplication of effort. Several systems at the National Institutes of Health, the Centers for 

Disease Control and Prevention, and SAMHSA collect substance abuse data on the same 

populations. Many of these systems were designed more than ten years ago or more and may not 

reflect the current need for data to improve treatment services. The purpose of the study is to 1) 

review the Systems to assess possible duplication of data and 2) identify possible data collection 

gaps. This study will examine data collected across the Department including: 

 Drug Abuse Warning Network (DAWN) 

 Health Behavior in School-Aged Children (HBSC) 

 Monitoring the Future (MTF) 

 National Co-morbidity Survey (NCS) 

 National Survey on Drug Use and Health (NSDUH) 

 National Survey of Substance Abuse Treatment Services (N-SSATS) 

 Treatment Episode Data Set (TEDS) 





Inventory of Substance Abuse Treatment Services (I-SATS) 

National Center for Health Statistics (NCHS) 

SAMHSA has developed a report focusing on the impact of the importance of the Drug Abuse 

Warning Network. This report indicated that DAWN provides a unique set of data that fills a 

significant gap in the DHHS drug abuse data collection system. SAMHSA will be exercising an 

option to continue data collection through 2011 allowing SAMHSA, DHHS/ASPE, ONDCP, and 

OMB to determine the next steps for the collection of data currently collected under DAWN. 

SAMHSA has also moved ahead with the design for the evaluation of other DHHS drug abuse 

data collection efforts. Additional tasks completed so far include the development of outlines for 

three white papers summarizing previous reviews, methodologies and current data systems. 

 Initial drafts are expected by mid-February. Finally, a panel of experts has been selected to 

provide input and the first meeting will be held in late March or early April depending on the 
SAMHSA/PM-8

participants’ availability. The final design and timeline are expected to be completed late 

February. 

Budget Request 

The FY 2011 President’s Budget request does not include funding for the evaluation of substance 

abuse data collection activities. The Data Evaluation project was fully funded in FY 2009 as a 

one year activity and funding was not requested in the FY 2010 President’s Budget. SAMHSA 

will submit its report on Data Evaluation projects to Congress in FY 2011. 
SAMHSA/DB-1

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

1. RESOURCE SUMMARY 

(Budget Authority in Millions) 

Drug Resources by Decision Unit and Function: 1 FY 2009 

Final 

FY 2010 

Enacted 

FY 2011 

Request 

Programs of Regional and National Significance 

Prevention $201.003 $202.209 $225.075 

SPF-SIG (non-add) (110.374) (111.777) (103.511)

Prevention Prepared Communities (non-add) (0.000) (0.000) (22.600) 

Treatment 412.342 452.629 501.878 

ATR (non-add) 2 (98.954) (98.954) (108.854)

SBIRT (non-add) (28.972) (29.106) (41.106) 

Treatment Drug Courts (non-add) (23.925) (43.882) (56.438) 

Ex-Offender Re-Entry (non-add) (10.092) (18.200) (23.200) 

Treatment Systems for Homeless (non-add) (42.879) (42.750) (58.556) 

Total, Programs of Regional and National Significance $613.345 $654.838 $726.953 

Prescription Drug Monitoring Program (NASPER) 

Treatment 2.000 2.000 2.000 

Total, Prescription Drug Monitoring Program (NASPER) $2.000 $2.000 $2.000 

HRSA Behavioral Health Grants/Federal Health Care Systems 3

Treatment 0.000 0.000 25.000 

 Total, HRSA Behavioral Health Grants/Federal Health Care Systems $0.000 $0.000 $25.000 

Substance Abuse Prevention and Treatment Block Grant 4

Prevention 355.718 359.718 359.718 

Treatment 1,422.873 1,438.873 1,438.873

Total, Substance Abuse Prevention and Treatment Block Grant $1,778.591 $1,798.591 $1,798.591

Program Management 5

Prevention 20.026 20.389 27.139 

Treatment 80.105 81.558 108.557 

Total, Program Management $100.131 $101.947 $135.696 

Total Funding $2,494.067 $2,557.376 $2,688.240

Drug Resources Personnel Summary 

Total FTEs (direct only) 528 549 553 

Drug Resources as a Percent of Budget 

Total Agency Budget $3,466.491 $3,563.209 $3,673.596

Drug Resources Percentage 71.9% 71.8% 73.2% 

Footnotes 1

 Includes both Budget Authority and PHS Evaluation funds. PHS Evaluation Fund levels are as follows: $110.5 

2

 Includes PHS evaluation funds for ATR in the amount of $1.4 million in FY 2009. 

3

 The $25 million in HRSA funding is included in the SAMHSA table because HRSA is not presently designated as 

4

 Consistent with ONDCP guidance, the entire Substance Abuse Block Grant, including funds expended for 

5

 Consistent with ONDCP guidance, all SAMHSA Program Management funding is included. Program Management 
SAMHSA/DB-2

II. MISSION 

The Substance Abuse and Mental Health Services Administration’s (SAMHSA) mission is to 

build resilience and facilitate recovery for people with, or at risk for, substance abuse and mental 

illness. SAMHSA supports the President’s National Drug Control Strategy through a broad 

range of programs focusing on prevention and treatment of drug use. Major programs include the 

Substance Abuse Prevention and Treatment (SAPT) Block Grant, competitive grant Programs of 

Regional and National Significance (PRNS), and a Prescription Drug Monitoring program 

(NASPER). These programs are administered through SAMHSA’s Center’s for Substance 

Abuse Prevention (CSAP), Substance Abuse Treatment (CSAT). 

III. METHODOLOGY 

SAMHSA distributes drug control funding into two functions, prevention and treatment. 

Included in prevention are SAMHSA/CSAP funds supporting Programs of Regional and 

National Significance (PRNS), 20% of the Substance Abuse Prevention and Treatment Block 

Grant (SAPTBG) funds, and 20% of SAMHSA Program Management funds. Included in 

treatment are SAMHSA/CSAT funds supporting Programs of Regional and National 

Significance (PRNS), 80% of the Substance Abuse Prevention and Treatment Block Grant 

(SAPTBG) funds, 80% of SAMHSA Program Management funds, and all funding that supports 

the Prescription Drug Monitoring Program (NASPER). In addition, in FY 2011, $25 million in 

Health Resources and Services Administration (HRSA) funding has been included in the 

SAMHSA Drug Budget display because HRSA is not presently designated as a national drug 

control agency. 

IV. BUDGET SUMMARY 

In FY 2011, SAMHSA requests a total of $2,688.240 million for drug control activities, which is 

an increase of $130.9 million over the FY 2010 level. The Budget directs resources to activities 

that have demonstrated improved health outcomes and that increase service capacity. SAMHSA 

has five major drug-related decision units: Substance Abuse Prevention PRNS, Substance Abuse 

Treatment PRNS, Prescription Drug Monitoring, the Substance Abuse Prevention and Treatment 

Block Grant, and Program Management. Each decision unit is discussed below: 

Programs of Regional and National Significance – Prevention 

Total FY 2011 Request: $225.1 million 

(Reflects $22.9 million increase from 2010) 

CSAP PRNS programs are organized into two categories: 1) Capacity, and 2) Science and 

Service. Several important drug-related programs within these categories are detailed below. 

Prevention Capacity Activities 

Capacity activities include service programs, which provide funding to implement service 

improvement using proven evidence-based approaches, and infrastructure programs, that identify 

and implement needed systems changes. A major drug-related program included in this category 

is the Strategic Prevention Framework (formerly named Strategic Prevention Framework State 

Incentive Grants). 
SAMHSA/DB-3

Strategic Prevention Framework (SPF) 

FY 2011 Request: $103.5 million 

(Reflects $8.3 million decrease from 2010) 

The FY 2010 resources of $111.8 million for SPF will support 51 Strategic Prevention 

Framework-State Incentive Grants (SPF SIG) to states, tribes, and territories; 5 Partnerships for 

Success grants (State and Community Performance Initiative); 1 CADCA Leadership grant; and 

several contracts. CSAP’s SPF SIG uses a public health approach that supports the delivery of 

effective programs, policies and practices to prevent substance use disorders. It is an approach 

that can be embraced by multiple agencies and levels of government that share common goals. It 

emphasizes developing community coalitions; assessing problems, resources, risk and protective 

factors; developing capacity in states and communities; implementing evidenced-based programs 

with fidelity; and monitoring, evaluating, and sustaining those programs. The Partnerships for 

Success program builds on the success of the SPF SIG program and adds an incentive for 

grantees that meet state-wide substance abuse prevention targets. The decreased funding in the 

FY 2011 Budget will still allow continued funding of 35 SPF SIGs (16 will come to a natural 

end) as well as 5 continuation and 10 new Partnership for Success grants. 

Prevention Prepared Communities 

FY 2011 Request: $22.6 million 

(Reflects $22.6 million increase from 2010) 

The Prevention Prepared Communities program will assist communities in developing 

community prevention systems offering evidence-based prevention of substance abuse and 

mental illness across the course of childhood and adolescence in multiple community venues. 

The program builds on scientific evidence that a) a common set of risk factors is predictive of a 

range of negative outcomes, such as academic failure (including school dropout), aggression, 

violence, delinquency, and substance use; b) mental, emotional, and behavioral problems tend to 

co-occur; c) some experiences early in development are highly predictive of later positive and 

negative outcomes; d) intervening early and throughout childhood and adolescence can reduce 

risk factors and change children’s trajectories in a positive fashion; and e) shared community 

environments can play an influential role in supporting healthy behaviors. The FY 2011 

President’s Budget request is $22.6 million, all of which is new for FY 2011. Of the total 

amount, $15 million will support approximately 30 grants to communities, $5.6 million will 

support a contract to enhance State capacity to develop and support communities through 

community prevention specialists, and $2 million will support a contract for evaluation. 

Other Prevention Capacity Programs 

FY 2011 Request: $60.9 million 

(Reflects $2.9 million decrease from 2010) 

The FY 2010 Budget includes resources of $63.8 million for existing Mandatory Drug Testing 

programs, the Center for Substance Abuse Prevention/Minority AIDS grants (SAP/MAI), STOP 

Act, Performance Management (formerly named Data Coordination and Consolidation Center), 

and Congressional projects. The FY 2011 level would maintain current contracts, supports 123 

HIV/AIDS prevention grants as well as 101 continuation and 20 new STOP Act grants. The 

reduced funding level reflects discontinuation of one-time Congressional projects. 

Prevention Science and Service Activities 

Science and Service Activities promote the identification and increase the availability of 
SAMHSA/DB-4

practices thought to have the potential for broad service improvement. A major drug-related 

program included in this category is the National Registry of Evidence-based Programs and 

Practices. 

National Registry of Evidence-based Programs and Practices 

FY 2011 Request: $0.65 million 

(Reflects no change from 2010) 

The FY 2010 resources of $0.65 million will support the National Registry of Evidence-based 

Programs and Practices (NREPP). This includes both prevention and treatment. NREPP is a 

system designed to support informed decision making and to disseminate timely and reliable 

information about interventions that prevent and/or treat mental and substance use disorders. The 

NREPP system allows users to access descriptive information about interventions, as well as 

peer-reviewed ratings of outcome-specific evidence across several dimensions. NREPP provides 

information to a range of audiences, including service providers, policy makers, program 

planners, purchasers, consumers, and researchers. The NREPP website provides an array of 

descriptive information on all reviewed interventions, as well as quantitative ratings (on zero to 

four scales) for two important dimensions -strength of evidence, and readiness for dissemination. 

In addition, the website also has the capacity to generate customized searches on one or multiple 

factors including specific types of outcomes, types of research designs, intervention costs, 

populations and/or settings, as well as the two quantitative dimensions (strength of evidence and 

readiness for dissemination). 

Other Prevention Science and Service Programs 

FY 2011 Request: $25.7 million 

(Reflects $0.2 million decrease from 2010) 

The FY 2010 Budget provides resources of $25.9 million in support of the Fetal Alcohol Spectrum Disorder program; the Center for the Application of Prevention Technologies; the 

SAMHSA Health Information Network; Science and Service Program Coordination (formerly 

named Best Practices Program Coordination); and Minority Fellowship program. The FY 2011 

budget continues all of these programs. 

Programs of Regional and National Significance – Treatment 

Total FY 2011 Request: $501.878 million 

(Reflects $49.2 million increase from 2010) 

CSAT PRNS programs are also organized into two categories: 1) Capacity, and 2) Science and 

Service. Several important drug-related programs within these categories are detailed below. 

Treatment Capacity Activities 

As stated above, capacity activities include services programs, which provide funding to 

implement service improvement using proven evidence-based approaches, and infrastructure 

programs, which identify and implement needed systems changes. Key activities included in this 

category are: Access to Recovery (ATR); Screening, Brief Intervention, Referral, and Treatment 

(SBIRT) activities; Treatment Drug Courts; Ex-Offender Re-Entry program; and Treatment 

Systems for Homeless. 
SAMHSA/DB-5

Access to Recovery 

FY 2011 Request: $108.9 million 

(Reflects $9.9 million increase from 2010) 

FY 2010 resources for ATR reflect $99.0 million to support a new Request for Applications 

(RFA) for a third cohort (approximately 30 new grants). The new RFA expanded ATR to a 4-

year program. ATR is designed to: (1) allow recovery to be pursued through personal choice and 

many pathways; (2) require grantees to manage performance based outcomes that demonstrate 

client successes; and, (3) expand capacity by increasing the number and types of providers who 

deliver clinical treatment and/or recovery support services. The program is administered through 

State Governor’s Offices, recognized Tribal Organizations, or through the Single State Authority 

overseeing substance abuse activities. ATR uses vouchers, coupled with state flexibility and 

executive discretion, to offer an opportunity to create positive change in substance abuse 

treatment and recovery service delivery across the Nation. FY 2011 funding will fully support 

the second year of the third cohort of grantees and will provide funding to support the award of 4 

new ATR grants. 

Screening, Brief Intervention and Referral to Treatment Activities 

FY 2011 Request: $41.1 million 

(Reflects $12.0 million increase from 2010) 

Substance abuse is one of our Nation’s most significant public health challenges, and the SBIRT 

approach can intervene early in the disease process before individuals become dependent and/or 

addicted, and can motivate the addicted to pursue a referral to treatment. Since the beginning of 

this program, almost one million individuals have been screened, and of those screened, 23% 

required a brief intervention, brief treatment, or referral to a specialty substance abuse treatment 

program. The FY 2010 resources of $29.1 million, supported continuation of eight State SBIRT 

grants, and continuation of eleven grants supporting SBIRT training in selected Medical 

Residency programs. The FY 2011 Budget will fully fund continuation of four State grants (four 

State grants end in FY 2010) and the eleven Medical Residency programs. In addition, in FY 

2011, CSAT will fund a new $15.0 million initiative that adds a mental health screening 

component to a new cohort of SBIRT grantees. Also in FY 2011, $3.0 million will be used to 

develop a pilot project based on the Physician Clinical Support System model to extend SBIRT 

training and general substance abuse treatment information and clinical decision making support 

to physicians and other healthcare professionals. 

Treatment Drug Courts 

FY 2011 Request: $56.4 million 

(Reflects $12.6 million increase from 2010) 

Drug courts are problem-solving courts which help reduce recidivism and substance abuse 

among offenders and increase an offender’s likelihood of successful rehabilitation through early, 

continuous, and intense judicially supervised treatment, mandatory periodic drug testing, 

community supervision, and appropriate sanctions and other habilitation services. FY 2010 

resources of $43.9 million will provide continuation funding for 64 adult drug courts and 3 

juvenile drug courts, and funding for new awards that are anticipated in FY 2010 for 8 adult 

treatment drug courts, 8 juvenile treatment drug courts, and 13 family dependency treatment 

drug courts which will focus on children who are victims of substance abuse/methamphetamine 

use in families that may also have concurrent involvement in the criminal justice system. In 

addition, a new collaborative effort in FY 2010 between SAMHSA/CSAT and the Department of 

Justice will result in funding approximately 31 new adult treatment drug court grants jointly with 
SAMHSA/DB-6

the DOJ/Office of Justice Programs/Bureau of Justice Assistance (OJP/BJA), and 3 new juvenile 

treatment drug court grants jointly with DOJ/Office of Juvenile Justice and Delinquency 

Prevention. The FY 2011 Budget will provide continuation funding for 44 adult treatment drug 

courts (20 adult drug courts end in FY 2010), 3 juvenile treatment drug courts, and will support 

continuation of all the new treatment drug courts jointly funded with DOJ elements in FY 2010. 

Also, the FY 2011 Budget will provide sufficient increased funding for award of approximately 

45 new treatment drug courts; however, the split among adult/juvenile/family courts has not yet 

been determined.

Ex-Offender Re-Entry Program 

FY 2011 Request: $23.2 million 

(Reflects $5.0 million increase from 2010) 

SAMHSA recognizes the need to continue efforts to return and reintegrate offenders back into 

the community by providing substance abuse treatment and other related re-entry services while 

also ensuring public safety for the community and family. The ex-offender re-entry grants 

provide screening, assessment and comprehensive treatment and recovery support services to 

offenders reentering the community, as well as offenders who are currently on or being released 

from probation or parole. The FY 2010 Budget of $18.2 million supports continuation of 24 

grants and award of approximately 20 grants for a new ex-offender re-entry cohort. To further 

address this population in FY 2011, an increase of $5.0 million will support a new (third) cohort 

of ex-offender reentry grants that will provide substance abuse treatment and recovery support 

services to adult and juvenile offenders returning to society from incarceration. Approximately 

12 new grants are expected to be awarded. 

Treatment Systems for Homeless Programs 

FY 2011 Request: $58.6 million 

(Reflects $15.8 million increase from 2010) 

SAMHSA/CSAT manages two grant portfolios under its Grants for the Benefit of Homeless 

Individuals (GBHI) program, both of which provide focused services to individuals with a 

substance use disorder or who have co-occurring disorders. Through a recovery and public 

health oriented system of care, grantees are encouraged to address gender, age, race, ethnicity, 

sexual orientation, disability status, veteran’s status, and criminal justice status as these issues 

relate to both substance use disorder services and co-occurring disorder services for homeless 

individuals. The FY 2010 Budget reflects resources of $42.8 million to support continuation of 

72 grants and for a new cohort of approximately 23 new grants. The FY 2010 GBHI portfolio 

includes services in supportive housing (SSH) grants that seek to expand and strengthen 

treatment services for clients already in housing that is permanent, affordable, and linked to 

health, employment, and other support services. This approach combines long-term, 

community-based housing assistance with intensive individualized treatment and recovery 

support services. In FY 2011, in addition to continuing a robust portfolio of GBHI/SSH grants, a 

new $8.4 million Homeless Initiative Program will be announced. The Homeless Initiative 

Program is a robust collaboration with the Department of Housing and Urban Development. 

This collaboration will combine health, behavioral health and other support services to move and 

maintain chronically homeless individuals with mental and substance use disorders into 

permanent housing. 
SAMHSA/DB-7

Other Treatment Capacity Programs 

FY 2011 Request: $187.6 million 

(Reflects $5.2 million decrease from 2010) 

The FY 2010 Budget includes resources of $192.8 million for several other Treatment Capacity 

programs including: the Minority AIDS Initiative; Opioid Treatment Programs and Regulatory 

Activities; Children and Families; Pregnant and Post-Partum Women; Services Accountability; 

and TCE-General, as well as others. The FY 2011 Budget includes funds for continuing grants 

and contracts in the various programs, reflects discontinuation of one-time Congressional 

projects, and includes $6.0 million in funds for a new Performance Contracting Program, funded 

within the TCE-General program line, which will enable SAMHSA to offer competitive grants to 

State or Tribal authorities. Grant funding will be used to enhance overall drug treatment quality 

by incentivizing treatment providers to achieve specific performance targets. Examples of grant 

awards could include supplements for treatment providers who are able to connect higher 

proportions of detoxified patients with continuing recovery-oriented treatment; or for outpatient 

providers who are able to successfully retain greater proportions of patients in active treatment 

participation for longer time periods. 

 

Treatment Science and Service Activities 

As stated in the Prevention section above, Science and Service Activities promote the 

identification and increase the availability of practices thought to have the potential for broad 

service improvement. A major drug-related program included in this category is the Addiction 

Technology Transfer Centers (ATTCs). 

 

Treatment Science and Service 

FY 2011 Request: $26.1 million 

(Reflects $0.9 decrease from 2010) 

The FY 2010 Budget includes resources of $27.0 million for Treatment Science and Service 

programs including: the National Registry of Evidence-Based Programs and Practices (as 

described in the Prevention section); the SAMHSA Health Information Network (a jointlyfunded effort by all SAMHSA Centers); and the Addiction Technology Transfer Center (ATTC) 

initiative (a network of fourteen regional activities and a National ATTC Office that support 

training and technology transfer activities and promotion of workforce development in the 

addiction treatment field), among others. The FY 2011 budget continues all of these programs at 

the same funding level as FY 2010. 

Prescription Drug Monitoring Program

FY 2011 Request: $2.0 million 

(Reflects no change from 2010) 

Although the latest SAMHSA survey reported a reduction in prescription drug abuse, it 

continues to be a significant public health problem, with 6.2 million people over the age of 12 

indicating current non-medical use of pain relievers, tranquilizers, sedatives, and stimulants 

(National Survey on Drug Use and Health, 2008). Under provisions of the National All 

Schedules Prescription Electronic Reporting Act of 2005 (“NASPER” P.L. 109-60), 

SAMHSA/CSAT was provided $2.0 million in FY 2010 to award formula grants to eligible 

States to foster establishment or enhancement of State-administered controlled substance 

monitoring systems, ensuring that health care providers and law enforcement officials have 

access to accurate, timely prescription history information. (In FY 2009, the first year funding 

was appropriated for this program, the thirteen States that applied were all awarded NASPER 
SAMHSA/DB-8

grants.) The expansion and establishment of prescription monitoring systems has the potential 

for assisting in early identification of patients at risk for addiction, and early identification will 

lead to enhanced substance abuse treatment interventions. The FY 2011 Budget continues 

NASPER at the same level as FY 2010. 

Enhancing Substance Abuse Care in Federal Health Care Systems

FY 2011 Request: $25.0 million 

(Reflects $25.0 million increase from 2010) 

The FY 2011 request includes $25 million to expand the integration of behavioral health into 

existing primary health care systems, which will enhance the availability and quality of addiction 

care provided by Health Centers. This will be accomplished by adding qualified and trained 

behavioral health counselors and other addiction specialists in HRSA-supported Health Centers. 

HRSA will collaborate with the Department of Veterans Affairs and the Substance Abuse Mental 

Health Services Administration by utilizing each respective agency’s technical assistance 

expertise. This initiative will include training on performing Screening, Brief Intervention and 

Referral to Treatment (SBIRT) to the health counselors and other addiction specialists. 

Substance Abuse Prevention and Treatment (SAPT) Block Grant

FY 2011 Request: $1.799 billion 

(Reflects no change from 2010) 

The overall goal of the SAPT Block Grant is to support and expand substance abuse prevention 

and treatment services, while providing maximum flexibility to states. States and territories may 

expend their funds only for the purpose of planning, carrying out, and evaluating activities 

related to these services. States may provide SAPT Block Grant funds to community and faithbased organizations to provide services. Of the amounts appropriated for the SAPT Block Grant, 

95 percent are distributed to states through a formula prescribed by the authorizing legislation. 

Factors used to calculate the allotments include total personal income; state population data by 

age groups (total population data for territories); total taxable resources; and a cost of services 

index factor. Remaining funds are used for data collection, technical assistance, and program 

evaluation, which are retained by SAMHSA for these purposes. The set-aside is distributed 

among CSAP, CSAT, and the SAMHSA Office of Applied Studies for purposes of carrying out 

the functions prescribed by the SAPT Block Grant legislation. The FY 2010 resources of $1.799 

billion will provide grant awards to 60 jurisdictions: states, territories, the District of Columbia, 

and the Red Lake Band of Chippewa Indians in Minnesota. These resources will support 

approximately 2 million treatment episodes. The SAPT Block Grant program in FY 2011 is 

funded at the same level as FY 2010, and will provide support to the current 60 jurisdictions for 

a similar level of prevention and treatment services. 
SAMHSA/DB-9

Program Management 

FY 2011 Request: $135.7 million 

(Reflects $33.7 million increase from 2010) 

The FY 2010 resources of $102.0 million support staffing and activities to administer SAMHSA 

programs. Program Management supports the majority of SAMHSA staff who plan, direct, and 

administer agency programs and who provide technical assistance and program guidance to 

states, mental health and substance abuse professionals, clients, and the general public. In 

addition, Program Management includes funding for a portion of the survey activities conducted 

by the SAMHSA Office of Applied Studies (OAS). Agency staffing represents a critical 

component of the budget. There are currently 57 members of the SAMHSA staff who provide 

direct state technical assistance and are funded through the 5% Block Grant set-asides. Program 

Management also includes: contracts for block grant investigations (monitoring); support for the 

Unified Financial Management System (UFMS); administrative activities such as Human 

Resources, Information Technology, and centralized services provided by the Program Support 

Center and the Department of Health and Human Services. The FY 2011 Budget reflects 

increased funding for current OAS National Surveys and for a new OAS initiative to design, 

develop, and field-test a community-level early warning system to detect emergence of new drug 

threats and to assist in identifying the public health and public safety consequences of drug 

abuse. SAMHSA/OAS will be working closely and collaboratively with NIDA, NIAAA, and 

ONDCP on all development and deployment aspects of this system. 
 

SAMHSA/DB-10

V. PERFORMANCE SUMMARY 

Introduction 

This section on the FY 2009 performance of SAMHSA programs is based on agency GPRA 

documents and performance assessments. The tables include performance measures, targets, and 

achievements for the latest year for which data are available. 

The Substance Abuse Treatment Programs of Regional and National Significance (PRNS) were 

reviewed in 2002 with a rating of “Adequate.” In 2003, the Substance Abuse Prevention and 

Treatment Block Grant was given a rating of “Ineffective.” The Substance Abuse Prevention 

PRNS was rated “Moderately Effective” in 2004 as was the Access to Recovery Program in 

2007 and Adult and Juvenile Drug Courts in 2008. 

Over the past several years, SAMHSA, in collaboration with the states, has identified a set of 

standardized National Outcome Measures (NOMs) that are monitored across all SAMHSA 

programs. The NOMs have been identified for both treatment and prevention programs, as well 

as common methodologies for data collection and analysis. 

SAMHSA has implemented on-line data collection and reporting systems for mental health, 

substance abuse prevention and treatment programs, and has assisted states in developing their 

data infrastructures. Efficiency measures have also been implemented for all programs. 

Substance Abuse Prevention and Treatment Block Grant (SAPTBG) 

SAPT Block Grant – Treatment Activities 

SAPTBG – Treatment Activities 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percent clients reporting abstinence from drug use at discharge 69.3% TBR November 

2010 

Number of admissions to substance abuse treatment programs receiving 

public funding1

1,881,515 TBR November 

2011 

Discussion 

SAMHSA has established a data-driven block grant mechanism which monitors the National 

Outcome Measures (NOMs) and improves data collection, analysis, and utilization. Data for the 

treatment NOMs are drawn from a combination of sources, including the Web Block Grant 

Application System (WEBBGAS). A major milestone was reached when the reporting of NOMs 

was made mandatory in the FY 2008 SAPT Block Grant Application. 

In 2005, the Center for Substance Abuse Treatment (CSAT) and the Center for Substance Abuse 

Prevention (CSAP) of the Substance Abuse and Mental Health Services Administration 

(SAMHSA) funded an Independent Evaluation of the Substance Abuse Prevention and 

Treatment Block Grant (SAPT BG) Program which was completed in December of 2008. The 

1 Data source since FY 2007 is SAMHSA’s Web Block Grant Application System.
 

SAMHSA/DB-11

purpose of the evaluation was to assess the extent to which the SAPT BG Program is effective, 

functioning as intended, and achieving desired outcomes. The evaluation resulted in a number of 

key findings which includes: a demonstrated positive effect on the health and lives of substance 

abuse treatment clients; the SAPTBG as a major impetus for improving State prevention and 

treatment systems’ infrastructure and capacity; States ability to leverage SAPTBG requirements, 

resources and Federal guidance to sustain and improve their systems; demonstration of effective 

federal and state management of the program; and, a contribution to the development and 

maintenance of successful State collaborations with other agencies and stakeholders concerned 

with preventing and treating substance abuse. 

Data on FY 2009 achievements are not yet available. For FY 2008, the Block Grant program 

exceeded the target (1,881,515) for the number of clients served; a total of 2,272,250 clients. At 

discharge, 78.2% of clients had abstained from alcohol, 73.7% had abstained from drug use, 

37.2% were employed, and 92% reported having no involvement with the criminal justice 

system. 

SAPT Block Grant – 20% Prevention Set-Aside 

SAPTBG - 20% Prevention Set-Aside 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percent of States showing an increase in State-level estimates of survey 

respondents who rate the risk of substance abuse as moderate or great (age 

12-17) 

45.1% TBR August 

2010 

Percent of States showing a decrease in State-level estimates of survey 

respondents who report 30-day use of alcohol (age 12-20)2

51% TBR August 

2010 

Percent of States showing a decrease in State-level estimates of survey 

respondents who report 30-day use of other illicit drugs (age 12-17)3

52.9% TBR August 

2010 

Number of participants served in prevention programs 17,482,060 TBR August 

2010 

Note: In 2009, the latest state estimates were found in the 2007 State estimates report. These data represent 

change from 2005/2006 and 2006/2007. Additionally, SAMHSA has changed its data reporting time periods. 

Previously, data were reported as a result for the following year. For example, results for 2008 reflected data 

collected in 2007. In order to achieve consistency across SAMHSA, reporting has been revised so that results 

reflect data actually collected in that year. 

Note: SAPT state applications vary in years these data are collected. 

Discussion 

In previous years, population-based measures taken from the National Survey on Drug Use and 

Health (NSDUH) have been used as proxy measures for the 20% set-aside. Since they do not 

reflect change at a grantee level, they have been retired and replaced with separate measures 

reflecting the percentage of States improving, based on State-level estimates from the NSDUH. 

Baseline data for FY 2007 have been identified for these new measures and targets set for FY 

2008-2012. The data used to determine the percent of States improving on each measure come 

from the NSDUH state estimates. 

2 Percent, ages 12-20, who report they have used alcohol in the last 30 days. 3 Percent, ages 12-17, who report they have used illicit drugs in the last 30 days.
 

SAMHSA/DB-12

States are placing an increased emphasis on applying the strategic prevention framework (SPF) 

to the use of SAPT funds. For example, 51 States and Territories now use SPF or the equivalent 

for conducting needs assessments, 53 for building State capacity, 53 for planning, 43 for program 

implementation, and 29 States for evaluation efforts. 

States are providing details about how SPF implementations are enhancing their infrastructure. 

In Illinois, the Illinois Commission on Children and Youth is working to develop a 5-year 

strategic plan for providing services to children, youth, and young adults. This will enhance 

coordination of existing State programs and services and develop strategies related to preventive 

health, education completion, workforce development, social and emotional development, and 

civic engagement. California’s Statewide Needs Assessment and Planning (SNAP) project will 

implement a systematic, recurring process to support ongoing State and county needs assessment 

and planning. The SNAP project will be consistent with ADP’s Strategic Plan and is guided in 

part by SAMHSA’s SPF. Michigan’s Office of Drug Control Policy (ODCP) contracts with 

regional coordinating agencies which have revised local-level prevention program planning—

funded by the Block Grant—by adopting the SPF-SIG five-step planning model. 

Data on FY 2009 achievements are not yet available. For FY 2008, the 20% Prevention SetAside program exceeded the target (17,482,060) for the number of participants reached/served 

by prevention programs, practices and strategies for a total of 70,647,674. It is important to note 

that many prevention approaches are population- rather than individual-based and include 

duplicate counts. The percent of States showing an increase in State-level estimates of survey 

respondents who rate the risk of substance abuse as moderate or great (age 12-17) was 47.1%; 

the percentage of states that reported a decrease in 30-day use of alcohol (age 12-20) was 52.9%; 

and 64.7% of states reported a decrease in 30-day use of other illicit drugs (age 12-17). 

Programs of Regional and National Significance (PRNS) 

Treatment PRNS 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percent of adult clients currently employed/engaged in productive activities 50% 44% 

Percent of adult clients with permanent place to live 49% 44% 

Percent of adult clients with no involvement with the criminal justice system 94% 96% 

Percent of adult clients with no/reduced alcohol or illegal drug-related 

health, behavioral, or social consequences 

65% 86% 

Percent adult clients with no past-month substance abuse 61% 66% 

Number of clients served4 31,659 32,939 

Discussion 

The Treatment PRNS provides funding to implement service improvements, using proven 

evidence-based approaches, system changes, and programs to promote identification and 

increase the availability of practices with potential for broad service improvement. The PRNS 

enables SAMHSA’s CSAT to address emerging issues in the field. CSAT integrates data and 

4 Total of all SAMHSA’s CSAT Capacity programs excluding Access to Recovery and the Screening, Brief Intervention, Referral, and 

Treatment program.
SAMHSA/DB-13

performance into program and management decisions via, a real-time data reporting system. 

Staff routinely monitors grantees’ progress to ensure that program goals and objectives are being 

met. 

In 2009, the PRNS programs exceeded their target (31,659) for the number of clients served – 

total number served was 32,939. The programs achieved an abstinence level of 66%, an 

employment level of 44%, a housing level of 44%, and a level of 96% for clients having no 

involvement with the criminal justice system at six-month follow-up. 

Among the PRNS programs is the Screening, Brief Intervention, Referral, and Treatment 

program (SBIRT), implemented in 2003. In FY 2009, SBIRT provided over 180,000 substance 

abuse screenings in primary care and generalist settings. 

The Access to Recovery program, implemented in 2005, is described below. 

Access to Recovery 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percentage of individuals receiving services who had no past month 

substance use 

81% 81% 

Percentage of individuals receiving services who had improved family and 

living conditions 

52% 47% 

Percentage of individuals receiving services who had no involvement with 

the criminal justice system 

96% 96% 

Percentage of adults receiving services who had improved social support 90% 91% 

Percentage of individuals receiving services who are currently employed or 

engaged in productive activities 

53% 49% 

Average cost per client through ATR $1,588 $1,071 

Number of clients gaining access to treatment 65,000 89,595 

Discussion 

The Access to Recovery (ATR) program provides grants to States, Tribes, and Tribal 

organizations to undertake voucher programs that expand substance abuse treatment capacity and 

promote choice among clinical treatment and recovery support providers. 

In 2009, the ATR program substantially exceeded its target for the number of clients served; 

89,595 clients as compared to the target of 65,000. In total, over 316,000 clients have been 

served since inception. Moreover, the program’s achievements include a number of positive 

developments measured at the time of discharge: an abstinence level of 81%, an employment 

level of 49%, an improved social support level of 91%, and a level of 96% of clients having no 

involvement with the criminal justice system. 
 

SAMHSA/DB-14

Substance Abuse Drug Courts 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percentage of juvenile clients receiving services who had a permanent place 

to live in the community 

82% 79% 

Percentage of juvenile clients that complete treatment 75% N/A5

Percentage of juvenile clients receiving services who had no involvement 

with the criminal justice system 

93% 92% 

Discussion 

The Treatment Drug Court program provides funding to address the treatment needs of substance 

using individuals involved in a Drug Court. The Program is designed to provide holistic 

treatment and wrap-around services to criminally-involved substance-using individuals in order 

to assist them in achieving and maintaining abstinence from substance use along with improving 

their overall quality of life. 

The Juvenile Drug Court Program demonstrated successful results in 2009, meeting or exceeding 

targets related to substance use, health and social consequences, employment, and criminal 

justice involvement. 

The Adult Drug Court Program is discussed in the Department of Justice – Office of Justice 

Programs section of the FY 2010 Budget Summary. 

Prevention PRNS 

Selected Measures of Performance FY 2009 

Target 

FY 2009 

Achieved 

Percent SPF SIG states with decrease in 30-day use of illicit drugs (age 12-

17)6

59.8% TBR August 

2010 

Percent SPF SIG states with increase in perception of risk from substance 

abuse (age 12-17) 

78.7% TBR August 

2010 

HIV: Percent of participants who rate the risk of substance abuse as 

moderate or great (age 12-17)

76.6% TBR August 

2010 

HIV: Percent of participants who used illicit drugs at pre-test who report a 

decrease in 30-day use at post-test (age 18 and up) 

70.6% TBR August 

2010 

Note: SAMHSA has changed its data reporting time periods. Previously, data were reported as a result for the 

following year. For example, results for 2008 reflected data collected in 2007. In order to achieve consistency 

across SAMHSA, reporting has been revised so that results reflect data actually collected in that year. 

Discussion 

The Prevention PRNS programs primarily focus on the Strategic Prevention Framework State 

Incentive Grants (SPF SIG) and the Minority Substance Abuse/HIV Prevention Initiative. The 

SPF SIG takes a public health approach for the prevention of substance abuse by requiring a 

systematic, comprehensive, prevention process, first at the State and then at the community level. 

5 The treatment completion measure for juveniles is collected upon discharge from treatment. Due to the small number of grantees during FY 

2009, this measure could not be calculated with any reliability. 6 SPF SIGs are Strategic Prevention Framework State Incentive Grants.
SAMHSA/DB-15

This State and community infrastructure and capacity building is expected to have stronger and 

longer lasting effects over time SPF SIG grantees are required to go through multiple stages of 

the SPF process before they begin implementing services. These initial steps lead to a lag 

between the time the grants are awarded and community change is observable. State-level 

percentages of use and non-use are also affected by numerous factors external to prevention 

programs, such as state-level demographic and socioeconomic changes. 

Additionally, as in the SAPT, there is lag time in the availability of NSDUH data used to 

populate these measures. The data used to determine the percent of States improving on each 

measure come from the NSDUH state estimates. In 2009, the latest state estimates were found in 

the 2007 State estimates report. These data represent change from 2005/2006 and 2006/2007. 

The goal of the HIV cohort 6 program is to increase the capacity of communities serving the 

target populations to deliver evidence-based substance abuse prevention, HIV and hepatitis 

prevention services. This program was redesigned in FY 2007 to incorporate the Strategic 

Prevention Framework model. Given these substantial program changes, we have established 

baselines for new measures including pre/post 30 day use data on participants who have 

participated in prevention interventions lasting at least 30 days. Each participant is followed up 

from program entry to program exit and to 3 to 6 months thereafter. FY 2009 actuals will be 

reported in August 2010 following the complete online submission of grantee data and review, 

correction, and analysis of data.

Data on FY 2009 achievements are not yet available. For FY 2008, the percent of SPF SIG states 

with a decrease in 30-day use of illicit drugs (age 12-17) was 67.6%, while 47.1% of States had 

an increase in the perception of risk from substance abuse (age 12-17). In the HIV program, 

90.1% of participants rated the risk of substance abuse as moderate or great (age 12-17), whilst 

59.1% of the participants who used illicit drugs at pre-test reported a decrease in 30-day use at 

post-test (age 18 and up). 

 
 SAMHSA/DB-16 SAMHSA/DB-16

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SAMHSA/ST - 1 

Substance Abuse and Mental Health Services Administration 

Object Classification Tables – Direct 

(Dollars in Thousands) 

Object Class - Direct Budget Authority 

FY 2010 

Estimate 

FY 2011 

Estimate 

FY 2011 

+/- FY 

2010 

Direct Obligations: 

Personnel Compensation: 

Full Time Permanent (11.1) $45,434 $46,449 +$1,015

Other than Full-Time Permanent (11.3) 2,184 2,233 +49

Other Personnel Compensation (11.5) 927 948 +21

Military Personnel Compensation (11.7) 4,203 4,368 +165

Special personal services payments (11.8) 224 227 +3

Subtotal Personnel Compensation: 52,972 54,225 +1,253

Civilian Personnel Benefits (12.1) 11,836 12,100 +264

Military Personnel Benefits (12.2) 2,155 2,240 +85

Benefits for Former Personnel (13.1) 0 0 ---

Subtotal Pay Costs: 66,963 68,565 +1,602

Travel (21.0) 1,685 1,757 +72

Transportation of Things (22.0) 113 116 +3

Rental Payments to GSA (23.1) 6,865 7,023 +158

Rental Payments to Others (23.2) 1 1 ---

Communications, Utilities and Misc. Charges (23.3) 662 673 +11

Printing and Reproduction (24.0) 4,571 4,644 +73

Other Contractual Services: ---

Advisory and Assistance Services (25.1) 27,840 31,485 +3,645

Other Services (25.2) 217,526 256,829 +39,303

Other Purchases of Goods & Svc from Govt Accts (25.3) 105,218 112,543 +7,325

Operation & Maintenance of Facilities (25.4) 707 718 +11

Medical Care (25.6) 0 0 ---

Operation and Maintenance of Equipment (25.7) 428 435 +7

 Subtotal Other Contractual Services: 351,719 402,010 +50,291

Supplies and Materials (26.0) 441 448 +7

Equipment (31.0) 163 166 +3

Grants, Subsidies, and Contributions (41.0) 2,997,086 3,054,604 +57,518

Insurance Claims & Indemnities (42.0) 1,355 1,355 ---

Interest & Dividends (43.0) 0 0 ---

Advance to Others (61.0) 0 0 ---

Subtotal Non-Pay Costs 3,364,661 3,472,797 +108,136

Total Direct Obligations: $3,431,624 $3,541,362 +$109,738
SAMHSA/ST - 2 

Substance Abuse and Mental Health Services Administration 

Salaries and Expenses 

(Dollars in Thousands) 

Salary and Expenses 

FY 2010 

Estimate 

FY 2011 

Estimate 

FY 2011 

+/- FY 

2010 

Personnel Compensation: 

Full Time Permanent (11.1) $45,434 $46,449 +$1,015

Other than Full-Time Permanent (11.3) 2,184 2,233 +49

Other Personnel Compensation (11.5) 927 948 +21

Military Personnel Comprensation (11.7) 4,203 4,368 +165

Special personal services payments (11.8) 224 227 +3

Subtotal Personnel Compensation: 52,972 54,225 +1,253

Civilian Personnel Benefits (12.1) 11,836 12,100 +264

Military Personnel Benefits (12.2) 2,155 2,240 +85

Benefits for Former Personnel (13.1) 0 0 ---

Subtotal Pay Costs: 66,963 68,565 +1,602

Travel (21.0) 1,685 1,757 +72

Transportation of Things (22.0) 113 116 +3

Rental Payments to Others (23.2) 1 1 ---

Communications, Utilities and Misc. Charges (23.3) 662 673 +11

Printing and Reproduction (24.0) 4,571 4,644 +73

Other Contractual Services: ---

Advisory and Assistance Services (25.1) 16,175 18,293 +2,118

Other Services (25.2) 213,611 252,206 +38,596

Other Purchases of Goods & Svc from Govt Accts (25.3) 26,571 28,420 +1,850

Operation & Maintenance of Facilities (25.4) 707 718 +11

Medical Care (25.6) 0 0 ---

Operation and Maintenance of Equipment (25.7) 428 435 +7

 Subtotal Other Contractual Services: 257,491 300,072 +42,581

Supplies and Materials (26.0) 441 448 +7

Subtotal Non-Pay Costs 264,964 307,711 +42,747

Total, Salaries and Expenses $331,927 $376,276 +$42,912

Direct FTE 494 498 +4
SAMHSA/ST - 3 

Substance Abuse and Mental Health Services Administration 

Detail of Full Time Equivalent (FTE) 

2009 

Actual 

Civilian 

2009 

Actual 

Military 

2009 

Actual 

Total 

2010 

Est. 

Civilian 

2010 

Est. 

Military 

2010 

Est. 

Total 

2011 

Est. 

Civilian 

2011 

Est. 

Military 

2011 

Est. 

Total 

CMHS 

Direct: 73 16 89 79 16 95 80 16 96 

Reimbursable: 14 6 20 14 6 20 14 6 20 

Total: 87 22 109 93 22 115 94 22 116 

CSAP 

Direct: 76 14 90 75 14 89 76 14 90 

Reimbursable: 12 --- 12 12 --- 12 12 --- 12 

Total: 88 14 102 87 14 101 88 14 102 

CSAT 

Direct: 91 12 103 94 12 106 94 13 107 

Reimbursable: --- --- --- --- --- --- --- --- --- 

Total: 91 12 103 94 12 106 94 13 107 

OA 

Direct: 33 1 34 36 1 37 36 1 37 

Reimbursable: 2 -- 2 2 --- 2 2 --- 2 

Total: 35 1 36 38 1 39 38 1 39 

OAS 

Direct: 25 3 28 25 3 28 25 3 28 

Reimbursable: --- 1 1 --- 1 1 --- 1 1 

Total: 25 4 29 25 4 29 25 4 29 

OPPB 

Direct: 34 2 36 41 2 43 41 2 43 

Reimbursable: 1 --- 1 1 --- 1 1 --- 1 

Total: 35 2 37 42 2 44 42 2 44 

OPS 

Direct: 92 2 94 94 2 96 95 2 97 

Reimbursable: 9 1 10 9 1 10 9 1 10 

Total: 101 3 104 103 3 106 104 3 107 

St. Elizabeths 

Direct: --- --- --- --- --- --- --- --- --- 

Reimbursable: --- 8 8 --- 9 9 --- 9 9 

Total: --- 8 8 --- 9 9 --- 9 9 

SAMHSA FTE 

Total: 462 66 528 482 67 549 485 68 553 

Average GS 

Grade 

FY 2006 12.5 

FY 2007 12.6 

FY 2008 12.4 

FY 2009 12.4 

FY 2010 12.4 
SAMHSA/ST - 4 

Substance Abuse and Mental Health Services Administration 

Detail of Positions 

 2009 Actual 2010 Estimate 2011 Estimate 

Executive Level I 0 0 0

Executive Level II 0 0 0

Executive Level III 0 0 0

Executive Level IV 1 1 1

Executive Level V 0 0 0

Subtotal 1 1 1

Total - Exec Level Salaries $153,321 $156,387 $158,577

SES 15 15 15

Subtotal 15 15 15

Total, SES salaries $2,522,353 $2,572,800 $2,608,819

GM/GS-15 65 70 70

GM/GS-14 125 127 127

GM/GS-13 126 129 132

GS-12 38 39 39

GS-11 17 21 21

GS-10 3 3 3

GS-09 16 18 18

GS-08 17 17 17

GS-07 16 18 18

GS-06 11 10 10

GS-05 9 9 9

GS-04 3 3 3

GS-03 0 1 1

GS-02 0 1 1

GS-01 0 0 0

Subtotal 446 466 469

Total, GS salaries $46,767,124 $49,841,591 $50,539,373

CC-08/09 1 1 1

CC-07 1 1 1

CC-06 16 14 14

CC-05 17 15 15

CC-04 17 18 19

CC-03 12 14 14

CC-02 2 4 4

CC-01 0 0 0

Subtotal 66 67 68

Total, CC salaries $6,947,253 $7,292,300 $7,394,392

Total Positions 528 549 553

Average ES level ES ES ES

Average ES salary $153,321 $156,387 $158,577

Average SES level SES SES SES

Average SES salary $168,157 $171,520 $173,921

Average GS grade 12.4 12.4 12.4

Average GS salary $104,859 $106,956 $107,760

Average CC level 4.6 4.4 4.4

Average CC salaries $105,261 $107,216 $107,118
SAMHSA/ST - 5 

Programs Proposed for Elimination 

Substance Abuse and Mental Health Services Administration 

Programs Proposed for Reduction 

The following table shows the programs proposed for elimination in the President’s 2011 Budget request. 

Following the table is a brief summary of each program and the rationale for its reduction. 

 (Dollars in Millions) 

Program (FY 2011 in millions) 

St. Elizabeths Hospital - Environmental Remediation 0.795 --- -0.795 

St. Elizabeths Hospital – Environmental Remediation (-$0.795 million) 

As GSA has indicated that they will not need funding from SAMHSA in FY 2011, there is no 

request for this activity. 
SAMHSA/ST - 6 

FY 2011 HHS Enterprise Information Technology and 

Government-Wide E-Gov Initiatives 

Allocation Statement: 

SAMHSA will use $403,188 of the FY 2011 budget request to support Department-wide 

enterprise information technology and government-wide E-Government initiatives. Operating 

Divisions help to finance specific HHS enterprise information technology programs and 

initiatives, identified through the HHS Information Technology Capital Planning and Investment 

Control process, and the government-wide E-Government initiatives. The HHS enterprise 

initiatives meet cross-functional criteria and are approved by the HHS IT Investment Review 

Board based on funding availability and business case benefits. Development is collaborative in 

nature and achieves HHS enterprise-wide goals that produce common technology, promote 

common standards, and enable data and system interoperability. 

Of the amount specified above, $66,673.57 is allocated to developmental government-wide EGovernment initiatives for FY 2011. This amount supports these government-wide EGovernment initiatives as follows: 

FY 2011 Developmental E-Gov Initiatives* 

 Line of Business - Human Resources $1,061.41 

 Line of Business - Grants Management $5,591.11 

 Line of Business - Financial $6,021.05 

 Line of Business - Budget Formulation and Execution $4,000.00 

 Disaster Assistance Improvement Plan $50,000.00 

FY 2011 Developmental E-Gov Initiatives Total $66,673.57 

* Specific levels presented here are subject to change, as redistributions to meet changes in resource demands are 

assessed.

Prospective benefits from these initiatives are: 

Lines of Business-Human Resources Management: Provides standardized and interoperable 

HR solutions utilizing common core functionality to support the strategic management of Human 

Capital. HHS has been selected as a Center of Excellence and will be leveraging its HR 

investments to provide services to other Federal agencies. 

Lines of Business-Grants Management: Supports end-to-end grants management activities 

promoting improved customer service; decision making; financial management processes; 

efficiency of reporting procedure; and, post-award closeout actions. The Administration for 

Children and Families (ACF), is a GMLOB consortia lead, which has allowed ACF to take on 

customers external to HHS. These additional agency users have allowed HHS to reduce overhead 

costs for internal HHS users. Additionally, 

NIH is an internally HHS-designated Center of Excellence. This effort has allowed HHS 

agencies using the NIH system to reduce grants management costs. Both efforts have allowed 

HHS to achieve economies of scale and efficiencies, as well as streamlining and standardization 
SAMHSA/ST - 7 

of grants processes, thus reducing overall HHS costs for grants management systems and 

processes. 

Lines of Business –Financial Management: Supports efficient and improved business 

performance while ensuring integrity in accountability, financial controls and mission 

effectiveness by enhancing process improvements; achieving cost savings; standardizing 

business processes and data models; promoting seamless data exchanges between Federal 

agencies; and, strengthening internal controls. 

Lines of Business-Budget Formulation and Execution: Allows sharing across the Federal 

government of common budget formulation and execution practices and processes resulting in 

improved practices within HHS. 

Disaster Assistance Improvement Plan (DAIP): The DAIP, managed by Department of 

Homeland Security, assists agencies with active disaster assistance programs such as HHS to 

reduce the burden on other federal agencies which routinely provide logistical help and other 

critical management or organizational support during disasters. 

In addition, $220,438.15 is allocated to ongoing government-wide E-Government initiatives for 

FY 2011. This amount supports these government-wide E-Government initiatives as follows: 

FY 2011 Ongoing E-Gov Initiatives* 

 Grants.Gov $160,135.00 

 Integrated Acquisition Environment $39,579.88 

 GovBenefits $20,723.28 

FY 2011 Ongoing E-Gov Initiatives Total $220,438.15 

* Specific levels presented here are subject to change, as redistributions to meet changes in resource demands are 

assessed.
SAMHSA/ST - 8 

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SAMHSA/ SI - 1 

Substance Abuse and Mental Health Services Administration 

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REPORTS 

FY 2010 Omnibus Appropriation Act Report Language – H.R. 3288/P.L.111-117 

Item

Child Traumatic Stress - The conference agreement includes $1,000,000 above the fiscal year 

2009 funding level to the National Center for Child Traumatic Stress for data analysis and 

reporting activities that improve evidence-based practices and raise the standard of trauma care. 

The conferees expect that any data collected using funds provided under this program shall be 

submitted to SAMHSA. The Senate proposed similar language. (p. 1032)

Action taken or to be taken

The National Center for Child Traumatic Stress Network (NCTSN) is funded through SAMHSA 

to improve access to care, treatment, and services for traumatized children and adolescents 

exposed to traumatic events. The NCTSN funds a national network of grantees that collaborate 

to develop and promote effective community practices for children and adolescents exposed to a 

wide array of traumatic events. The program provided direct services to 28,878 children in FY 

2008 and provided training or education on child trauma to over 800,000 individuals. In FY 

2010, SAMHSA will make this funding available through a supplemental grant announcement to 

the National Center for Child Traumatic Stress to provide support for data analysis and reporting 

activities. 
Substance Abuse and Mental Health Services Administration 

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Issues Addressed by Both House and Senate 

H.R.111-220 and S.R. 111-66 

Item

Minority Fellowships - The Committee notes that the demographics of our society are changing 

dramatically. Minorities represent 30 percent of the population and are projected to increase to 

40 percent by 2025. Yet only 23 percent of recent doctorates in psychology, social work and 

nursing were awarded to minorities. The Committee encourages SAMHSA to increase funding 

for the minority fellowship program in order to train an increasing number of culturally 

competent mental health professionals. Increased funding is also needed given the recent 

expansion of eligibility for this program to include additional professions. (House-p. 141 & 

Senate-p. 125) 

Action taken or to be taken

Since the start of the fellowship program in 1973, SAMHSA’s Minority Fellowship Program has 

helped to support doctoral-level training over 1,000 ethnic minority psychiatrists, psychologists, 

psychiatric nurses, social workers and marriage counselors. The purpose of the fellowship is to 

provide stipends to doctoral level minority students to increase the number of culturally 

competent behavioral health professionals who teach, administer, conduct services research, and 

provide direct mental health/substance abuse services to underserved minority populations, 

especially within the public and private non-profit sectors. SAMHSA agrees with the Committee 

that given the changing demographics of our society with minorities representing 30 percent of 

the population, SAMHSA needs to continue its ongoing support of the Minority Fellowship 

Program. Historically, the MFP program supported four grantees annually (American 

Psychological Association, American Nurses Association, American Psychiatric Association, 

Council on Social Work Education) and more recently a fifth grantee was added, the American 

Association of Marriage and Family Therapy. 

Item

Persons with Co-occurring or Multiple Disabilities - The Committee urges SAMHSA to expand 

and improve its commitment to support services for persons with co-occurring or multiple 

disabilities. In addition, SAMHSA should enhance its monitoring of compliance with the 

Americans with Disabilities Act within agencies and departments served by its block grants in 

order to ensure meaningful access to services and treatments by all individuals, including persons 

with co-occurring or multiple disabilities. (House-p.141 & Senate-p. 125) 

Action taken or to be taken

SAMHSA has a long history of providing services for persons with co-occurring or multiple 

disabilities. Although SAMHSA does not have the authority in statute to monitor Mental Health 

Block Grants and other SAMHSA Block grants on their compliance with Americans with 

Disabilities Act (ADA), SAMHSA is working with other HHS agencies on the Department’s 

“Year of Community Living” initiative. This is a cross-disability focus on promoting community 
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integration for Americans with disabilities. The agency has staff working on issues of services, 

housing, workforce, data, and communications as part of this effort. SAMHSA also participates 

on the Interagency Committee on Disability Research which is a cross-government effort – 

including Departments of Education, Housing, and HHS – to coordinate cross-disability related 

research and data collection. In addition, SAMHSA is developing educational materials for 

individuals with multiple disabilities and/or co-occurring physical health conditions. This 

includes a guide on developing self-help approaches for Americans experiencing such 

conditions. SAMHSA has launched the “10x10 Wellness Campaign” designed to reduce early 

mortality experienced by individuals with psychiatric disabilities who also experience high rates 

of co-morbid health conditions. Its goal is to reduce early mortality by 10 years over the next 10 

year time period. SAMHSA is developing informational materials based on a review of the 

mental health and related needs of individuals who are Deaf or hard of hearing and have trauma 

histories. The analysis – including a literature review as well as key informant interviews – will 

also include recommendations for further efforts in this area.

Item

Substance Abuse Prevention and Treatment Block Grant and NOMs - The Committee remains 

aware of the collaborative work by SAMHSA and State substance abuse directors to implement 

outcomes data collection and reporting through the National Outcome Measures (NOMs) 

initiative. The Committee is pleased that States continue to make progress in reporting NOMs 

data through the SAPT block grant. 

According to SAMHSA, all States voluntarily report substance abuse outcome data. State 

substance abuse agencies reported significant results in a number of areas—including abstinence 

from alcohol and illegal drug use; criminal justice involvement; employment; and stable housing. 

The Committee encourages SAMHSA to continue working with State substance abuse agencies 

in order to continue to help States address technical issues and promote State-to-State problemsolving solutions. (House-p. 148 & Senate-p. 129) 

Action taken or to be taken 

SAMHSA has continued to support the State substance abuse directors’ collaborative activities 

regarding the implementation of NOMs, as well as other critical program priorities, such as: 

women’s services issues, human immunodeficiency virus (HIV) disease issues, and opiate 

replacement therapies through the Collaborative Support Initiative Grant to the National 

Association of State Alcohol and Drug Abuse Directors (NASADAD). This grant enables 

NASADAD to convene bi-annual face to face meetings of the Performance Data Workgroup and 

bi-annual conference calls to facilitate the Association’s and individual States’ comment and 

input as States continue to implement and utilize NOMs in their performance management 

activities. The grant also provides resources for analytic studies and teleconferencing for the 

NASADAD National Treatment Network of States’ Clinical Program Directors, HIV 

Coordinators, and Methadone Treatment Authorities. Recently, NASADAD has used grant 

resources to finalize recommendations for operationalizing the remaining developmental 

measures for treatment. SAMHSA has also undertaken regional meetings with the State 
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directors to address a number of ongoing program issues including measurement of performance 

and utilization of performance data in program management. Under the SAMHSA technical 

review process, SAMHSA monitors and assesses individual States’ data collection and 

performance processes on a periodic basis. Technical assistance is provided to the States based 

on the technical review reports and individual State requests. Technical assistance has taken the 

form of information products, webinars, and off-site as well as on-site consultation. A data 

quality assurance technical review process has been piloted and is being implemented on a 

voluntary basis. 
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FY 2010 House Appropriation Committee Report Language (H.R.111-220) 

Item

Traumatic Brain Injury - The Committee urges HRSA to better align the administrative 

requirements including for reporting, monitoring and the application process of the TBI 

protection and advocacy program with the administrative requirements of the Protection and 

Advocacy for Individuals with Mental Illness (PAIMI) program operated by the Substance 

Abuse and Mental Health Services Administration. The Committee also encourages HRSA to 

provide technical assistance through a granted with established legal expertise to provide 

assistance to protection and advocacy systems on legal matters. Such assistance could address 

the complex legal matters that arise in the protection and advocacy program. (p.58) 

Action taken or to be taken

The PAIMI program is one of eight protection and advocacy (P&A) programs housed in three 

Federal departments. The different reporting and evaluation requirements translate into a 

significant paperwork burden for recipients. To help remedy this problem, HHS, along with the 

Department of Education and the Social Security Administration, is committed to improving 

federal program coordination related to the monitoring and evaluation of these programs. 

 

SAMHSA is aware that HRSA has enacted significant changes to the reporting, monitoring and 

application process in FY 2009, and these new procedures align well with the administrative 

requirement of the PAIMI Program. HRSA has also entered into a contract to provide technical 

assistance around TBI, and the new contractor has subcontracted with the well-known and 

experienced National Disability Rights Network (NDRN) to provide technical assistance specific 

to the needs of the Protection and Advocacy for Traumatic Brain Injury grantees. 

Item

SAPT Block Grant Set-Aside for Prevention — The Committee recognizes the important role 

played by the 20 percent prevention services set-aside within the SAPT Block Grant. According 

to SAMHSA, SAPT Block Grant funding represents 64 percent of primary prevention funding in 

States. This effective substance abuse prevention program helped contribute to a 25 percent 

decrease in illicit drug use by 8th, 10th and 12th graders combined between 2001 and 2008. The 

Committee urges SAMHSA to promote maximum flexibility in the use of prevention set-aside 

funds in order to allow each State to employ prevention strategies that match State and local 

circumstances (p.148) 

 

Action taken or to be taken

SAMHSA will continue to promote maximum flexibility in the use of prevention set-aside funds. 

Each state, jurisdiction, and the Red Lake Tribe that receive the SAPT Block Grant are provided 

maximum flexibility in the implementation of their respective 20% set aside for primary 

prevention efforts. The legislation provides guidance with the six strategies (Information 

Dissemination, Education, Alternatives, Problem Identification and Referral, Community based 
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process, and Environmental) but within the six strategies States are encouraged to employ 

strategies that match and can adequately address State and local circumstances. States, 

jurisdictions, and the Red Lake Tribe are encouraged to adopt the Strategic Prevention 

Framework which provides a five step planning process which includes a needs assessment, 

capacity building, planning, implementation and evaluation. This framework allows for 

maximum flexibility but it also assists States, jurisdictions and tribal organizations to make data 

driven decisions. Decisions concerning the substances used in various locales, by which groups 

and at what times allows States, jurisdictions and tribes to use the 20% set aside of the Block 

grant in the most efficient and effective manner possible while allowing maximum flexibility. 

Item

State Activities on Underage Drinking Prevention — The Committee encourages SAMHSA to 

prioritize the collection of data regarding the enforcement of underage drinking laws, including 

the development, testing, and provision of incentives for States to adopt a uniform data system 

for reporting State enforcement data. This should include data regarding State laws and 

regulations that raise the cost of underage alcohol use, as described in the Surgeon General’s 

2007 Call to Action to Prevent and Reduce Underage Drinking, including alcohol tax rates, 

restrictions on low-price, high-volume drink specials, and wholesaler pricing provisions. (p.149) 

Action taken or to be taken

As required by the STOP Act, SAMHSA, in collaboration with the Interagency Coordinating 

Committee on the Prevention of Underage drinking (ICCPUD) and interested parties, developed 

a survey instrument that is designed to collect information on a voluntary basis from the States 

on the enforcement of underage drinking laws in a uniform manner. In 2010, SAMHSA will 

again consult with the ICCPUD and interested parties before updating the survey, and will make 

the development, testing, and provision of incentives for States to adopt a uniform data system 

for reporting State enforcement data a part of this discussion. In addition, SAMHSA will 

prioritize the collection of information regarding State laws and regulations that raise the cost of 

underage alcohol use when identifying additional topics for legal research in 2010. 

Item

Underage Drinking Survey Results — The Committee commends SAMHSA for its support of 

town hall meetings on underage drinking. The Committee reiterates its request that underage 

drinking findings from Federal surveys be separately and prominently highlighted, and continues 

to request that examples of how the Committee’s directives are being accomplished be submitted 

in the fiscal year 2011 Congressional budget justification. (p.149) 

Action taken or to be taken

With the STOP Act funding and in collaboration with the Interagency Committee on the 

Prevention of Underage Drinking, over 1800 communities in all 50 States held town hall 

meetings on underage drinking prevention during 2009. Communities participating in this 
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national effort were encouraged to use the Surgeon General’s Call to Action Guide to Action for 

Communities. SAMHSA will again support Town Hall meetings in 2010. 

In addition, SAMHSA has featured underage drinking in its annual National Survey on Drug Use 

and Health (NSDUH) report, in its report on substance abuse and mental health patterns in each 

State, and in special NSDUH Short Reports focusing on underage drinking issues, all of which 

can be found on SAMHSA website http://www.oas.samhsa.gov/underage.cfm. In 2008, 

SAMHSA also release the special report based on NSDUH data: Underage Alcohol Use: 

findings from the 2002-2006 National Surveys on Drug Use and Health, and has issued NSDUH 

Short Reports on specific issues related to underage drinking. 

Item

Preventing Steroid Use — Within the funds available, the Committee urges CSAP to develop 

and implement appropriate prevention programs focused on preventing the use of steroids and 

other performance enhancing drugs by young people. In addition, the Committee urges 

SAMHSA to work with NIDA and CDC to examine the relationship between youth steroid and 

other performance enhancing drug use and suicides within this population and to develop 

evidence-based treatment protocols for helping young people abusing steroids and other 

performance enhancing drugs to safely stop using these drugs. (p.149/150) 

Action taken or to be taken

Through SAMHSA’s Strategic Prevention Framework (SPF), grantees are directed to use data to 

determine problems within their communities by conducting an in-depth needs assessment of 

their respective communities. There may be communities in which steroids or other performance 

enhancing drugs are the main issue and in those communities or pockets of a specific 

community, the epidemiological data will indicate the need. In those cases, the SPF grant funs 

will be used to implement evidence-based practices that address that issue. In addition, a number 

of practices in SAMHSA’s National Registry of Evidence-based Programs and Practices address 

steroid use that could be helpful to States and communities when they address the issue. 

SAMHSA collaborates and coordinates prevention efforts with CDC, NIDA and the Department 

of Education on a number of efforts. Steroid use will be addressed through these collaborations. 
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FY 2010 Senate Appropriation Committee Report Language (S.R.111-66) 

Item

SSI/SSDI Outreach, Access and Recovery — The Committee notes that the SSI/SSDI Outreach, 

Access and Recovery [SOAR] program has been successful in connecting people with 

disabilities experiencing homelessness with Federal disability benefits and appropriate 

supportive services, such as housing, medical benefits, and vocational training. SAMHSA is 

encouraged to continue funding the SOAR program within the programs of regional and national 

significance, to apply this approach nationally with adequate technical assistance and to share 

lessons learned to assist other disadvantaged populations. (p. 125) 

Action taken or to be taken

SAMHSA has a contract to increase access to Social Security disability benefits by supporting a 

technical assistance center that will provide training to trainers. Supplemental Security Income 

and Social Security Disability Insurance are disability income benefits that generally also 

provide either Medicaid or Medicare health insurance. Accessing these benefits is often critical 

to recovery for people who are homeless with mental health problems. SAMHSA continues to 

support the SOAR Program to apply this approach nationally to provide technical assistance to 

disadvantaged populations.

Item

HIV Testing - The Committee understands that SAMHSA has established a goal of providing 

HIV tests to 80 percent of clients accessing the services of its HIV/AIDS grantees. The 

Committee requests that SAMHSA provide an update on its progress toward meeting this goal in 

its fiscal year 2011 budget justification. (p. 128)

Action taken or to be taken

SAMHSA is committed to provide HIV tests to its clients through various activities. The purpose 

of the Targeted Capacity Expansion for Substance Abuse Treatment and HIV/AIDS Services 

(TCE/HIV) grants is to enhance and expand substance abuse treatment and/or outreach and pretreatment services in conjunction with HIV/AIDS services. The current HIV Rapid Testing 

Program, funded by SAMHSA’s Center for Substance Abuse Treatment (CSAT), is based on the 

experience gained in 2005 - 2007 when CSAT was tasked with distributing HIV rapid test kits to 

public and private agencies licensed and trained to conduct on-site rapid testing focusing on 

minority and ethnic populations at risk for contracting HIV. Populations known to be injecting 

drug users and/or using alcohol and other non-injecting illicit drugs were specifically targeted. 

Over 350,000 HIV rapid test kits were distributed during this initial testing period. CSAT built 

upon the experiences gained during the previous initiative to develop and issue a new TCE/HIV 

Request for Applications (RFA) in FY 2008 with Minority AIDS Initiative funding, which 

included the requirements of offer HIV rapid testing. 
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To ensure that grantees will conduct HIV testing according to Federal and State law, all grantees 

were required to have a Clinical Laboratory Improvement Amendments (CLIA) waiver, State 

licensure as required, and a training certificate approved by CDC, SAMHSA, and/or a State. 

SAMHSA provided States with over 90 fully funded training opportunities during which over 

1,800 clinical or substance abuse treatment front-line staff acquired the knowledge and skills to 

perform HIV rapid testing. 

Those grantees are encouraged by SAMHSA to educate their clients about the risk factors 

associated with HIV infection to ensure their clients are making an informed decision when 

asked if they want to be tested for HIV. To date, representatives from all 48 TCE/HIV 

participating grantees were trained on how to accurately complete the test form for their clients. 

SAMHSA began receiving their first completed test forms during the week of November 16, 

2009. It is expected that approximately 3,000 TCE/HIV clients will be tested for HIV annually. 

However, with the understanding that being tested for HIV is a personal choice which each 

individual must freely consent to, SAMHSA recognizes that some clients may not elect to be 

tested for HIV for a variety of reasons, including prior confirmed positive testing of HIV, prior 

recent negative HIV test, or refusal. The results of the testing initiative with the FY 2008 

grantees will be closely monitored by SAMHSA to develop additional testing opportunities for 

clients receiving substance abuse treatment interventions under both the discretionary and 

Substance Abuse Prevention and Treatment Block Grant programs. 

In addition, the Center for Substance Abuse Prevention’s Minority Education Initiative (MEI) 

continues to increase the number of minority students tested for HIV for the first time, as well as 

increase awareness of students who receive substance abuse and HIV prevention education. 

During the FY 2008-2009 funding period, Historically Black Colleges (HBCUs), Hispanic 

Serving Institutions (HIS) and Tribal Colleges and Universities (TCU) continue to test minority 

students at risk for HIV. The number of HIV Rapid Oral Tests conducted among all grantees 

funded in the first two quarters of FY 2009 was 3,053 while the number of Conventional Blood 

Tests was 831. If this trend continues, the total number of HIV tests will be higher than in FY 

2008. 

Item

Substance Abuse Testing - The Committee commends SAMHSA for its effort to revise its drug 

testing policies and update its alternative testing matrix. Advances in science may offer an 

alternative to testers including sweat, hair and oral fluid testing. The Committee requests that 

SAMHSA provide an update on the status of these policy deliberations in its fiscal year 2011 

budget justification. (p.129)

Action taken or to be taken

The past and future administrative and technical revisions to the HHS Mandatory Guidelines are 

based on sound forensic science, standards development, ongoing quality assurance or testing 

proficiency, and accurate, reliable interpretation of the drug test results. To extend the current 
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and soon to be revised Mandatory Guidelines beyond laboratory-based urine specimen testing, 

SAMHSA has established the next priority as oral fluid testing. With FY10 funding in place, 

SAMHSA is now able to evaluate the science and performance of a private sector oral fluid 

performance testing (PT) program, based on earlier proposed Federal standards that have been 

deployed in non-federally regulated drug testing laboratories for the last 2 years. Performance 

from that PT program will provide an updated knowledge of the state of the science to guide a 

full evaluation of the testing technology currently used in the oral fluid testing industry. 

Advances in oral fluid collection devices to determine the volume of oral fluid collected and the 

stability and recovery of drugs from those devices will be evaluated. Based on advances in the 

science, SAMHSA plans to re-establish its pilot oral fluid PT program during FY10, with plans 

to publish a Federal Register notice requesting public scientific input and related comments on 

the accuracy, reliability, and correct interpretation of results in forensic workplace oral fluid drug 

testing. 

SAMHSA plans to re-establish the sweat patch PT program by obtaining data from laboratories 

currently testing sweat patches for the criminal justice system, specifically to determine the 

recovery of drugs from the patches and performance as a drug testing tool as used in its current 

venue. 

SAMHSA is currently exploring opportunities to partner with other public and private sector 

entities conducting basic research on hair testing, such as evaluating the impact of hair color, 

structure, and surface contamination on interpretation of hair test results and investigating the 

effect of hair structure on permeability to and absorption of drug analysts. 

Item

Substance Use and Mental Disorders of Persons with HIV —According to the nationally 

representative HIV Cost and Services Utilization Study, almost half of persons with HIV/AIDS 

screened positive for illicit drug use or a mental disorder, including depression and anxiety 

disorder. Unfortunately, health care providers fail to notice mental disorder and substance use 

problems in almost half of patients with HIV/AIDS, and mental health and substance use 

screening is not common practice in primary care settings. Several diagnostic mental health and 

substance use screening tools are currently available for use by non-mental health staff. The 

Committee encourages SAMHSA to collaborate with HRSA to train health care providers to 

screen HIV/AIDS patients for mental health and substance use problems. (p. 129) 

Action taken or to be taken

SAMHSA has a long history of collaborating with HRSA on training for mental health and 

substance abuse treatment provision and screening in primary care settings. More recently, 

SAMHSA has worked with HRSA training medical staff and screening for mental health and 

substance abuse for individuals with HIV/AIDS. HRSA and SAMHSA continue to collaborate 

and HRSA includes information about SAMHSA-sponsored mental health resources within its 

AIDS Education and Training Centers materials. At the community level, grantees in the CMHS 

Mental Health HIV Services Collaborative Program commonly engage in outreach and 
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coordination with local HRSA-funded testing and treatment projects to foster linkages between 

mental health treatment and specialty care services for persons with HIV/AIDS. 

Strengthening SAMHSA’s partnership with HRSA is a key strategy for sustaining prevention 

and treatment capacity and supporting mental health recovery. HRSA is one of our federal 

partners on “Linking Actions for Unmet Needs in Children’s Health (Project LAUNCH)” which 

is an initiative to promote the wellness of young children, birth to 8 years old to fund activities in 

planning, policy reform, systems-building, and coordination among child serving agencies at 

State/Tribal and local levels. Additionally, HRSA is one of its federal partners on our wellness 

campaign to address recent research that found Americans with mental illness tend to die 25 

years earlier than the general population. The goal of this program is to reduce early mortality 

by 10 years over the next 10 years by providing education and awareness to treatment providers, 

consumers, administrators and researchers on how to achieve this goal. Also since 2003 

SAMHSA has collaborated with HRSA on “Residential Treatment for Pregnant and Postpartum 

Women and Residential Treatment for Women and their Children” with the goal of improving 

outcomes for children with substance use, mental health and other co-existing disorders, 

improving outcomes for their children, and increasing family involvement, reunification and 

preservation. Finally, SAMHSA has collaborated with HRSA on the “Screening, Brief 

Intervention and Referral to Treatment (SBIRT)”, to provide effective early detection and 

intervention in primary care and general medical settings. 

At SAMHSA’s Center for Substance Abuse Treatment, the TCE HIV/AIDS program has a long 

history of collaboration with other Federal agencies on a number of programs that serve 

individuals at risk for or living with HIV/AIDS who have substance use and mental health 

disorders. For example, in response to the HIV/AIDS crisis, SAMHSA, in partnership with 

HRSA and CDC, has been participating in an initiative since 2003 that focuses on the 

intersection of substance abuse, mental health, and infectious disease entitled, “Cross-Training 

for Collaborative Systems of Prevention, Treatment, and Care.” This activity has provided 

training and technical assistance to State and local public health entities, as well as mental health, 

criminal justice, and substance abuse health care delivery systems through multi-agency training 

that encourages the provision of more effective services for individuals with concurrent 

substance use and mental health disorders and/or infectious diseases. 

SAMHSA has also been involved in other federal collaborations, such as the Integrated Case 

Management Project, which is a multi-agency effort involving SAMHSA, HRSA, CDC, the 

Department of Justice, and the Department of Housing and Urban Development (HUD) that 

examines integrated case management models for serving the multiple needs of individuals 

living with HIV and AIDS. In addition, SAMHSA has participated in a HRSA-sponsored forum 

along with CDC and NIH entitled “Engaging People in Care,” which was designed to address 

challenges and opportunities for linking and retaining people with HIV into care. 
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Moreover, SAMHSA has long standing relationships with other federal agencies through the 

Federal Training Centers Collaboration. This initiative involves various federal training centers 

with overlapping or related missions. Four biennial national meetings have been held (2002, 

2004, 2006, and 2008) with the primary goals of: (1) increasing training collaboration for 

overlapping focus areas of STD/HIV prevention and treatment, family planning/reproductive 

health, and prevention of substance use and mental health disorders; and (2) maximizing the use 

of available training resources. The participating training networks include: 

• AIDS Education and Training Centers (AETCs) –HRSA 

• STD/HIV Prevention Training Centers (PTCs) –CDC 

• Regional Training Centers for Family Planning (RTCs) –Office of Population Affairs 

• Addiction Technology Transfer Centers (ATTCs) – SAMHSA 

• TB Regional Training and Consultation Centers ( RTMCCs) - CDC 

• Viral Hepatitis Education and Training Projects (VHNET) – CDC 

 Item

Programs of Regional and National Significance - The Committee recognizes the importance 

of the 20 percent prevention set-aside within the SAPT block grant. The Committee urges 

SAMHSA to promote maximum flexibility in the use of prevention set-aside funds in order to 

allow each State to employ prevention strategies that match State and local circumstances. The 

Committee expects CSAP to focus its prevention efforts on stopping substance use before it 

starts, with a major focus on environmental and population-based strategies, due to the cost 

effectiveness of these approaches. The Committee also encourages CSAP to utilize the 

community coalition enhancement grant model, pioneered in the Sober Truth on Preventing 

Underage Drinking [STOP] Act, as a guide for its prevention programs. This model builds on the 

existing, effective and data-driven community-based coalition infrastructure. It is also a costeffective way of investing Federal funds in efforts to deal with substance use prevention issues at 

the community level in order to get maximum results (p.130/31) 

Action taken or to be taken

SAMHSA supports State-level efforts that encourage communities to implement appropriate 

environmental strategies with both Block Grant and Strategic Prevention Framework State 

Incentive Grant (SPF SIG) program funds. Additionally, SAMHSA provides training and 

technical assistance to States and communities to enhance their prevention infrastructure and 

system. 

SAMHSA works with States and communities through its technical assistance providers to 

increase systemic capacity. States and communities conduct a data-driven process to identify 

specific evidence-based environmental strategies. Examples of these activities include “trainthe-trainer” sessions on incorporating environmental strategies into prevention planning and a 

learning community series on evidence-based interventions. 
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SAMHSA continues to utilize the community coalition enhancement grant model, exemplified in 

the Sober Truth on Preventing Underage Drinking Act (STOP Act) Program to prevent and 

reduce alcohol use among youth in communities throughout the United States. The coalition 

model is particularly useful when addressing public health issues that require 

community culture change, such as underage drinking. The culture around underage drinking is 

especially difficult to change because alcohol use is embedded in American society. Research 

and practice has shown that addressing the public health problem of underage drinking requires 

cooperation, coordination and collaboration among various community sectors including local 

government, criminal justice, education, business, religious or fraternal organizations, civic or 

volunteer organizations, healthcare professionals, media, and parents. Prevention research 

indicates that community coalitions are best suited to implement environmental-level strategies 

which address the broader culture and context within which decisions are made about underage 

drinking, and to create wide-scale community change, rather than implementing strategies that 

are designed to effect individual level change. Therefore, SAMHSA will continue to focus 

community grants on using coalitions to implement effective strategies for preventing and 

reducing underage drinking as well as other substance use and abuse issues. 

Item

Performance Enhancing Drugs - The Committee is aware of the use and abuse of steroids and 

other performance enhancing drugs by young people. The Committee encourages CSAP to focus 

attention on this problem and highlight prevention programs that prevent the use of these 

drugs. (p. 131) 

Action taken or to be taken

Through SAMHSA’s Strategic Prevention Framework (SPF), grantees are directed to use data to 

determine problems within their communities by conducting an in-depth needs assessment of 

their respective communities. There may be communities in which steroids or other performance 

enhancing drugs are the main issue and in those communities or pockets of a specific 

community, the epidemiological data will indicate the need. In those cases, the SPF grant funs 

will be used to implement evidence-based practices that address that issue. In addition, a number 

of practices in SAMHSA’s National Registry of Evidence-based Programs and Practices address 

steroid use that could be helpful to States and communities when they address the issue. 

SAMHSA collaborates and coordinates prevention efforts with CDC, NIDA and the Department 

of Education on a number of efforts. Steroid use will be addressed through these collaborations. 

Item

Borderline Personality Disorder - The Committee encourages SAMHSA to convene a panel of 

experts to make recommendations for expanding early detection, evidence-based treatment, and 

family education to promote resiliency and recovery for borderline personality disorder (BPD). 

The Committee again requests that SAMHSA submit a report to the Committees on 
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REPORTS 

SAMHSA/ SI - 14 

Appropriations of the House of Representatives and the Senate detailing SAMHSA’s plans to 

expand its programs for BPD by April 1, 2010. (p.141) 

Action taken or to be taken

SAMHSA agrees with the importance of early detection, development of evidence-based 

treatment, and education of families to increase resiliency and recovery for those affected by 

Borderline Personality Disorder (BPD). Although SAMHSA does not have specific programs 

that focus primarily on Borderline Personality Disorder, many of SAMHSA’s mental health 

programs support a broad array of mental health disorders and most likely provide assistance and 

treatment for persons with Borderline Personality Disorder. SAMHSA intends to convene a 

panel of experts to make recommendations and prepare a report detailing our plan to address 

Borderline Personality Disorder in our programs and submit it to the Committees on 

Appropriations of the House of Representatives and the Senate.