5/14/2009 7:14:42 PM 

DEPARTMENT 

of HEALTH 

and HUMAN 

SERVICES 

Fiscal Year 

2010 

Substance Abuse and Mental Health 

Services Administration 

Justification of 

Estimates for 

Appropriations Committees 
 5/14/2009 7:14:42 PM 

Introduction 

The FY 2010 Congressional Justification is one of several documents that fulfill the Department 

of Health and Human Services’ (HHS) performance planning and reporting requirements. HHS 

achieves full compliance with the Government Performance and Results Act of 1993 and Office 

of Management and Budget Circulars A-11 and A-136 through the HHS agencies’ FY 2010 

Congressional Justifications and Online Performance Appendices, the Agency Financial Report, 

and the HHS Citizens’ Report. These documents are available at 

http://www.hhs.gov/asrt/ob/docbudget/index.html. 

The FY 2010 Congressional Justifications and accompanying Online Performance Appendices 

contain the updated FY 2008 Annual Performance Report and FY 2010 Annual Performance 

Plan. The Agency Financial Report provides fiscal and high-level performance results. The HHS 

Citizens’ Report summarizes key past and planned performance and financial information. 

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 DEPARTMENT OF HEALTH AND HUMAN SERVICES 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 

Table of Contents 

Fiscal Year 2010 Budget Page 

A. Executive Summary 

1. Introduction and Mission ..................................................Executive Summary - 1 

2. FY 2010 Budget Overview .................................................................................. - 1 

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

B. Budget Exhibits 

1. Appropriations Language .......................................................Budget Exhibits - 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 

C. Center for Mental Health Services (CMHS) 

1. Mechanism Tables ................................................................................. CMHS - 1 

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

3. Children’s Mental Health Services Program .................................................... - 37 

4. Protection & Advocacy Program ...................................................................... - 41 

5. Projects for Assistance in Transition from Homelessness ............................... - 47 

6. Community Mental Health Services Block Grant ............................................. - 53 

D. Center for Substance Abuse Prevention (CSAP) 

1. Mechanism Tables ................................................................................... CSAP - 1 

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

3. 20% Prevention SAPT Block Grant Set-aside Activities .................................. - 29 

E. Center for Substance Abuse Treatment (CSAT) 

1. Mechanism Tables ................................................................................... CSAT - 1 

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

3. Substance Abuse Treatment Block Grant Activities......................................... - 39 

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

G. Program Management, St. Elizabeths Hospital, & Data Evaluation .............PM- 1

H. Drug Control Budget..........................................................................................DB- 1

I. Supplementary Tables 

1. Budget Authority by Object Classification ..................................................... ST -1 

2. Salary and Expenses .......................................................................................... -2 

3. Details of Full-Time Equivalent Employment ...................................................... - 3 

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

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

6. HHS Enterprise Information Technology Fund: E-Gov Initiatives ....................... - 7 

J. Significant Items ..................................................................................................SI- 1
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Executive Summary 

Agency Mission 

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). 

SAMHSA provides services indirectly through grants and contracts. SAMHSA’s resources 

enable service capacity expansion and the implementation of evidence-based practices. The 

agency seeks to engage all communities in providing effective services by facilitating access to 

the latest information on evidence-based practices and accountability standards. 

Vision 

SAMHSA’s vision is a Life in the Community for Everyone. 

Mission 

SAMHSA’s mission is to build resilience and facilitate recovery for people with or at risk for 

substance abuse and mental illness. 

In 2007, over 22 million Americans, aged 12 or older, were classified with substance abuse or 

dependence; nearly 25 million adults, aged 18 or older, in the United States with serious 

psychological distress in the past year. The economic costs of undiagnosed and untreated 

mental and substance use disorders are staggering. 

Overview of the Budget Request 

The FY 2010 President’s Budget request for SAMHSA’s Program Level is $3,525.5 million, an 

increase of $59.0 million above the FY 2009 Omnibus level. This increase includes $1.6 million 

for civilian and Commissioned Corps pay increases and $57.4 million for non-pay program 

specific increases. 

The budget continues Federal support for State and local efforts to increase the availability of 

quality prevention and treatment services for substance abuse and mental illness. This budget 

invests in evidence-based prevention, early intervention, treatment, and recovery services to 

respond to these preventable and treatable public health problems. The budget includes 

funding increases to expand treatment capacity of drug courts, protect methamphetamine’s 

youngest victims, improve children’s mental health, and reach individuals suffering from mental 

illness who are facing homelessness. 

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

Program, Community Mental Health Services Block Grant, and Prescription Drug Monitoring 

(NASPER) funding remains the same as the FY 2009 Omnibus level. SAMHSA has integrated 

discussion of key performance information in relation to budget levels in the FY 2010 Budget. 

Full details regarding performance information can be found at the On-line Performance 

Appendix (http://www.samhsa.gov/Budget/FY2010/SAMHSA_FY10CJ_OPA.pdf). 

Executive Summary - 1 
The Substance Abuse Prevention and Treatment Block Grant and the Community Mental 

Health Services Block Grant require 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 meeting the Maintenance of Effort requirement in the Federal FY 2010 grant cycle, 

and is monitoring the situation closely. 

Program Increases: 

Children’s Mental Health Services Program (+ $16.9 million)

The budget request of $125.3 million will support a total of 78 grants including 61 continuations 

and 17 new plus six contracts in the amount of $25.1 million. In FY 2010, this program will 

serve a total of 13,051 children and adolescents with serious emotional disturbance. 

Projects for the Assistance in Transition from Homelessness (+ $8.4 million)

The budget request is $68.0 million. The FY 2010 President’s Budget request for PATH is 

anticipated to serve an additional 11,000 individuals facing homelessness. 

Substance Abuse Treatment Programs of Regional and National Significance (+$45.7million)

The budget increase will expand the Treatment Drug Courts with a set-aside to protect 

methamphetamine’s youngest victims and to expand the Ex-Offender Re-entry Program. 

Funding is eliminated for the Congressional projects. All other programs, projects and activities 

remain at the same level as the FY 2009 Omnibus level. 

Program Management (+$1.8 million)

The budget increase will support the pay raise pay raise for civilian and Commissioned Corps 

personnel and administrative cost increases for direct operations. 

St. Elizabeths Hospital Buildings & Facilities (+$0.023 million)

This increase will continue support for the environmental remediation at St. Elizabeths Hospital. 

Program Decreases: 

Mental Health Programs of Regional and National Significance (- $8.6 million)

The budget request reflects the elimination of funding for the Congressional projects. All 

programs, projects and activities remain at the same level as the FY 2009 Omnibus level. 

Substance Abuse Prevention Programs of Regional and National Significance (- $2.7 million)

The budget request reflects the elimination of funding for the Congressional projects. All 

programs, projects and activities remain at the same level as the FY 2009 Omnibus level. 

Data Evaluation (-$2.5 million)

The budget request eliminates funding for the one-time evaluation of substance abuse data 

surveillance systems across the government. This evaluation will be used to identify possible 

data gaps and duplication of data and will be completed in 18 months. A report will be 

submitted to Congress in FY 2011. 

Executive Summary - 2 
Executive Summary - 3 

Discretionary All-Purpose Table 

FY 2010 Budget Submission 

(Dollars in Thousands)

Program Activities 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

 

Mental Health: 

Programs of Regional and National Significance............. $299,279 $344,438 $335,802

Children's Mental Health Services................................. 102,260 108,373 125,316

Protection & Advocacy................................................. 34,880 35,880 35,880

PATH Homeless Formula Grant.................................... 53,313 59,687 68,047

 

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

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

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

Subtotal, Mental Health............................................ 910,506 969,152 985,819

 

Substance Abuse Prevention: 

Programs of Regional and National Significance............. 194,120 201,003 198,259

Subtotal, Substance Abuse Prevention..................... 194,120 201,003 198,259

 

Substance Abuse Treatment: 

Programs of Regional and National Significance............. 395,544 403,746 449,460

PHS Evaluation Funds................................................. 4,300 8,596 8,596

Subtotal.................................................................... 399,844 412,342 458,056

 

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

 

Substance Abuse Block Grant...................................... 1,679,528 1,699,391 1,699,391

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

Subtotal, Substance Abuse Block Grant........................ 1,758,728 1,778,591 1,778,591

Subtotal, Substance Abuse Treatment...................... 2,158,572 2,192,933 2,238,647

 

TOTAL, SUBSTANCE ABUSE..................................... 2,352,692 2,393,936 2,436,906

 

Program Management.............................................. 75,381 77,381 79,197

PHS Evaluation Funds................................................. 17,750 22,750 22,750

Subtotal, Program Management.................................... 93,131 100,131 101,947

 

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

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

 

TOTAL, SAMHSA Discretionary PL............................ 3,356,329 3,466,491 3,525,467

Less PHS Evaluation Funds........................................ 122,289 131,585 131,585

TOTAL, SAMHSA Budget Authority........................... $3,234,040 $3,334,906 $3,393,882

 

FTEs 544 549 549
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Executive Summary - 4 
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, [$3,334,906,000, of which $15,666,000 shall be used for the projects, 

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

Services” in the explanatory statement described in section 4 (in the matter preceding division A 

of this consolidated Act)] $3,393,882,000: 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 $2,000,000 shall be available to establish 

State-administered controlled substance monitoring systems as authorized by Public Law 1 

109-60:] Provided further, That [$772,000] $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 [2009] 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] $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] $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] 

$22,750,000 to carry out national surveys on drug abuse and mental health; and (4) 

[$8,596,000] $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 [2009] 2010. (Department of Health and Human 

Services Appropriation Act, 2009.)

Budget Exhibits - 1 

 
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 [$772,000] $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 [2009] 2010.

To provide funds to GSA for environmental 

remediation of the St. Elizabeths Hospital 

property. 

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

the PHS Act shall not apply to funds 

appropriated under this Act for fiscal year 

[2009] 2010. 

Allows States to receive more than 1 grant 

under the Garrett Lee Smith Youth Suicide 

State-sponsored statewide program. 

Budget Exhibits - 2 

 
Amounts Available for Obligation 

Appropriation 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

 

Labor/HHS/Ed-Annual 

Appropriation................. $3,291,543,000 $3,334,906,000 $3,393,882,000

Rescission P.L. 110-

161................................. $57,503,000 $0 $0 

Subtotal, adjusted 

appropriation...................... $3,234,040,000 3,334,906,000 

 

3,393,882,000 

Comparable Transfer to: 

"HHS"......................... $0 $0 $0 

Subtotal, adjusted budget 

authority.................. $3,234,040,000 $3,334,906,000 $3,393,882,000

 

Offsetting Collections from: 

 Federal Sources........................................... $122,289,000 $131,585,000 $131,585,000

 

Unobligated balance start of 

year...................... $227,580 $227,580 $234,635

 

Unobligated balance end of 

year....................... $227,580 $234,635 $238,858

 

Unobligated balance 

expiring............................ -$535,009 $0 $0 

Total obligations.............................................. $3,356,249,151 $3,466,953,215 $3,525,940,493

Budget Exhibits - 3 

 
Summary of Changes 

2009 

Total estimated budget authority $3,334,906,000

(Obligations) $3,334,906,000

2010 

Total estimated budget authority $3,393,882,000

(Obligations) $3,393,882,000

Net Change +$58,976,000

FY 2009 Enacted Change from Base 

FTE

Budget 

Authority FTE 

Budget 

Authority1/

Increases:

A. Built-in: 

Annualization of 2009 civilian pay costs 3.9% 0 $63,420,000 0 $566,000

Annualization of 2009 Commissioned Corps pay costs 3.9% 0 63,420,000 0 +52,000

Increase for January 2010 pay raise 2/ 0 63,420,000 0 +987,000

Increase in rental payments to GSA 0 6,373,000 0 +160,000

Subtotal, Built-in Increases 0 0 0 +1,765,000

B. Program:

1. Mental Health Programs: 

a. Children's Mental Health Services 0 108,373,000 0 + 16,943,000

b. Projects for Assistance in Transition from Homelessness 0 59,687,000 0 + 8,360,000

2. Substance Abuse Treatment: 

a. Programs of Regional and National Significance 0 403,746,000 0 + 50,000,000

3. Program Management: 

a. Unified Financial Management System 0 77,381,000 0 + 90,000

b. Enterprise Service System 0 77,381,000 0 + 2,000

c. Human Resource Centers 0 77,381,000 0 + 12,000

d. Other administrative costs 0 77,381,000 0 + 67,000

4. St. Elizabeths Hospital 0 772,000 0 +23,000

Subtotal, Program Increases 0 0 0 +75,497,000

 Total Increases 0 0 0 +77,262,000

Decreases: 

A. Built-in: 0 0 0 0

Subtotal, Built-in 0 0 0 0

B. Program: 

1. Mental Health Programs: 

a. Programs of Regional and National Significance 0 344,438,000 0 - 8,636,000

2. Substance Abuse Prevention: 

a. Programs of Regional and National Significance 0 201,003,000 0 - 2,744,000

3. Substance Abuse Treatment: 

a. Programs of Regional and National Significance 0 403,746,000 0 - 4,286,000

4. Program Management: 

a. Worker's Compensation (FECA) 0 77,381,000 0 - 120,000

5. Data Evaluation 0 2,500,000 0 - 2,500,000

Subtotal, Program Decreases 0 0 0 - 18,286,000

 Total Decreases 0 0 0 - 18,286,000

 Net Change, Discretionary Budget Authority 1/ 0 0 0 +$58,976,000

1/ Excludes $131.585 million to be transferred to SAMHSA through the PHS evaluation set-aside. 

2/ FY 2010 includes a 2.0% pay raise for civilian personnel and a 2.9% pay raise for military personnel. 

Budget Exhibits - 4 

 
Budget Authority by Activity 

(Dollars in Thousands) 

Program Activities 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

 

Mental Health: 

Programs of Regional and National 

Significance.................... $299,279 $344,438 $335,802

Children's Mental Health Services............................... 102,260 108,373 125,316

Protection & Advocacy.................................................... 34,880 35,880 35,880

PATH Homeless Formula Grant.......................................... 53,313 59,687 68,047

 

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

PHS Evaluation Funds....................................................... (21,039) (21,039) (21,039)

Subtotal, Mental Health............................................. 910,506 969,152 985,819

 

Substance Abuse Prevention: 

Programs of Regional and National 

Significance..................... 194,120 201,003 198,259

Subtotal, Substance Abuse Prevention................... 194,120 201,003 198,259

 

Substance Abuse Treatment: 

Programs of Regional and National 

Significance..................... 399,844 412,342 458,056

PHS Evaluation Funds........................................................... (4,300) (8,596) (8,596)

 

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

 

Substance Abuse Block Grant................................................ 1,758,728 1,778,591 1,778,591

PHS Evaluation Funds............................................................. (79,200) (79,200) (79,200)

Subtotal, Substance Abuse Treatment........................... 2,158,572 2,192,933 2,238,647

 

TOTAL, SUBSTANCE ABUSE 2,352,692 2,393,936 2,436,906

 

Program Management .................................................... 93,131 100,131 101,947

PHS Evaluation Funds........................................................... (17,750) (22,750) (22,750)

 

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

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

 

TOTAL, SAMHSA Discretionary PL..................................... 3,356,329 3,466,491 3,525,467

PHS Evaluation 

Funds.................................................... (122,289) (131,585) (131,585)

(Obligations) 1/........................................................ ($3,356,186) ($3,466,206) ($3,525,467)

 

FTEs 544 549 549

Budget Exhibits - 5 

 
Authorizing Legislation 

Program Description/PHS Act: 

FY 2009 

Amount 

Authorized

FY 2009 

Appropriation 

Act 

FY 2010 

Amount 

Authorized

FY 2010 

President's 

Budget 

Request 

NASPER 

Sec. 399 O............................................... $10,000,000 $2,000,000$10,000,000 $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 $42,750,000

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 $16,000,000

Priority Substance Abuse Treatment Needs 

 of Regional and National Significance 

Sec. 509*................................................. Expired$324,318,000 Expired$370,032,000

Substance Abuse Treatment Services 

 for Children and Adolescents 

Sec. 514*................................................... Expired $20,678,000 Expired $20,678,000

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$182,408,000 Expired$179,664,000

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 $8,000,000 $7,000,000

 

SSAN = Such Sums as Necessary 

Budget Exhibits - 6 

 
Authorizing Legislation 

Program Description/PHS Act: 

FY 2009 

Amount 

Authorized

FY 2009 

Appropriation 

Act 

FY 2010 

Amount 

Authorized

FY 2010 

President's 

Budget 

Request 

 

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 $1,774,000 Expired $1,774,000

Priority Mental Health Needs of Regional and 

 National Significance 

Sec. 520A*................................................... Expired$165,582,000 Expired$156,946,000

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 $29,738,000

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

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 $59,687,000 Expired $68,047,000

 

SSAN = Such Sums as Necessary 

Budget Exhibits - 7 

 
Authorizing Legislation 

Program Description/PHS Act: 

FY 2009 

Amount 

Authorized

FY 2009 

Appropriation 

Act 

FY 2010 

Amount 

Authorized 

FY 2010 

President's 

Budget 

Request 

 

Community Mental Health Services for 

 Children with Serious Emotional Disturbances 

Sec. 565 (f)............................................... Expired $108,373,000 Expired $125,316,000

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 $38,000,000 Expired $38,000,000

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$1,699,391,000 Expired$1,699,391,000

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 $35,880,000 Expired $35,880,000

 

Program Management: 

Program Management, Sec. 501....................... Indefinite $76,156,000 Indefinite $78,063,000

 SEH Workers' Compensation Fund 

P.L. 98-621............................................... Indefinite $1,225,000 Indefinite $1,134,000

 $0 $77,381,000 $0 $79,197,000

 

St. Elizabeths Hospital Building & Facilities 

Sec. 501................................................... $0 $772,000 $0 $795,000

 

Data Evaluation 

Sec. 501................................................... $0 $2,500,000 $0 $0 

 

TOTAL, SAMHSA Budget Authority 

.......................................... $18,000,000$3,334,906,000$18,000,000$3,393,882,000

 

* Denotes programs that were authorized in the 

Children's Health Act of 2000. We have the authority to 

carryout 

Budget Exhibits - 8 

 
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 -$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 3,393,882,000 

Budget Exhibits - 9 

 
Budget Exhibits - 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. 
Table of Contents 

Center for Mental Health Services (CMHS) Page

1. Mechanism Tables ............................................................................................................1 

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

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

4. Mechanism Tables by Summary of Activities....................................................................6 

5. Suicide Prevention ..........................................................................................................15 

6. Youth Violence Prevention..............................................................................................19 

7. National Traumatic Stress Network.................................................................................23 

8. Other Capacity Activities .................................................................................................25

9. Science and Service Activities ........................................................................................33 

10. Children’s Mental Health Services Program ...................................................................37 

11. Protection and Advocacy for Individuals with Mental Illness...........................................41 

12. Projects for Assistance in Transition from Homelessness ..............................................47 

13. Community Mental Health Services Block Grant ..........................................................- 53 
Page intentionally left blank
Center for Mental Health Services 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- FY 

2009 

Omnibus 

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

CAPACITY: 

Grants/Cooperative Agreements: 

Continuations................................................. 239 $91,909 229 $97,341 309 $139,638 +80 +$42,297

New/Competing.............................................. 132 50,795 208 80,612 93 26,014 -115 -54,598

Supplements.................................................. 0 0 0 0 0 0 0 0

Subtotal..................................................... 371 142,704 437 177,953 402 165,652 -35 -12,301

Contracts: 

Continuations................................................. 17 100,969 21 112,503 22 127,323 +1 +14,820

New/Competing.............................................. 19 26,049 14 26,268 9 15,113 -5 -11,155

Supplements.................................................. 0 0 0 0 0 0 0 0

Subtotal..................................................... 36 127,018 35 138,771 31 142,436 -4 +3,665

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........................................... 407 269,722 472 316,724 433 308,088 -39 -8,636

 

Science and Service: 

Grants/Cooperative Agreements: 

Continuations................................................. 6 5,737 12 9,422 6 3,704 -6 -5,718

New/Competing.............................................. 10 3,842 5 418 11 7,134 +6 +6,716

Supplements.................................................. 1 972 1 972 0 0 -1 -972

Subtotal..................................................... 16 10,551 17 10,812 17 10,838 0 +26

Contracts: 

Continuations................................................. 15 12,982 7 7,851 16 16,876 +9 +9,025

New/Competing.............................................. 7 6,024 12 9,051 0 0 -12 -9,051

Supplements.................................................. 0 0 0 0 0 0 0 0

Subtotal..................................................... 22 19,006 19 16,902 16 16,876 -3 -26

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......................... 38 29,557 36 27,714 33 27,714 -3 0

 

Total, PRNS..................................................... 445 $299,279 508 $344,438 466 $335,802 -42 -$8,636

CMHS - 1 
Center for Mental Health Services 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

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

CHILDREN'S MENTAL HEALTH 

Grants/Cooperative Agreements: 

Continuations................................................. 41 $61,178 52 $69,609 61 $81,512 +9 +$11,903

New/Competing.............................................. 18 17,744 13 13,000 16 16,000 +3 +3,000

Supplements.................................................. 0 0 0 0 0 0 0 0

Subtotal..................................................... 59 78,922 65 82,609 77 97,512 +12 +14,903

Contracts: 

Continuations................................................. 2 9,180 3 12,265 2 11,022 -1 -1,243

New/Competing.............................................. 1 3,561 1 2,075 1 4,800 0 +2,725

Supplements.................................................. 0 0 0 0 0 0 0 0

Subtotal..................................................... 3 12,741 4 14,340 3 15,822 -1 +1,482

Technical Assistance......................................... 5 10,159 5 10,838 4 11,396 -1 +558

Report to Congress............................................ 0 438 0 586 0 586 0 0

Subtotal..................................................... 5 10,597 5 11,424 4 11,982 -1 +558

Total, Children's Mental Health 67 102,260 74 108,373 84 125,316 +10 +16,943

 

PROTECTION AND ADVOCACY 57 34,880 57 35,880 57 35,880 0 0

 

PATH 56 53,313 56 59,687 56 68,047 0 +8,360

 

MENTAL HEALTH BLOCK GRANT 59 420,774 59 420,774 59 420,774 0 0

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

 

TOTAL, CMHS 684 $910,506 754 $969,152 722 $985,819 -32 +$16,667

CMHS - 2 
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 evidencebased 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 President’s Budget includes a total of $335.8 million for Mental Health PRNS, including: 

• $47.1 million for Suicide Prevention to improve public and professional awareness of 

suicide and promote prevention: Garrett Lee Smith Suicide Prevention Activities in 

States and Colleges, along with supporting the National Suicide Prevention Lifeline, 

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; 

• $38.0 million for National Traumatic Stress Network to improve treatment and services 

intervention for children and adolescents exposed to traumatic events; 

• $133.4 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), Mental Health Transformation Activities ($5.9 million), Consumer and 

Family Network Grants ($6.2 million), Mental Health Transformation SIGs ($26.0 million), 

Project LAUNCH ($20.0 million), Primary and Behavioral Health Care Integration ($7.0 

million), Minority AIDS ($9.3 million), Criminal Justice ($6.7 million), Homelessness 

($32.3 million), and Older Adult Programs ($4.8 million); 

• $22.8 million for Science and Service activities, including the SAMHSA Health 

Information Network ($1.9 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 

CMHS - 3 
data to hold grantees accountable for improving outcomes. As a result of the performance 

assessment, the program is implementing an automated web-based performance system, the 

Transformation Accountability System, including development and implementation of common 

performance measures.

CMHS - 4 
Center for Mental Health Services 

Summary of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance 

FY 2008 

Appropriation

FY 2009 

Omnibus

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus

CAPACITY: 

Co-Occurring State Incentive Grant $2,113 $3,611 $3,611 $0

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

Youth Violence Prevention 93,002 94,502 94,502 0

Safe Schools/Healthy Students (non-add) 82,802 84,320 84,320 0

College Emergency Preparedness (non-add) 1,474 2,237 2,237 0

School Violence (non-add) 10,200 10,182 10,182 0

National Traumatic Stress Network 33,092 38,000 38,000 0

Children and Family Programs 7,729 9,194 9,194 0

Mental Health Transformation Activities 9,973 5,912 5,912 0

Transformation Transfer Initiative (non-add) 3,080 3,090 3,090 0

Transformation Accountability System (non-add) 2,423 2,562 2,562 0

Consumer and Family Network Grants 4,805 6,236 6,236 0

Statewide Consumer Network (non-add) 1,531 2,531 2,531 0

Mental Health Transformation State Incentive Grants 26,012 26,012 26,012 0

Project LAUNCH Wellness Initiative 7,369 20,000 20,000 0

Primary and Behavioral Health Care Integration 0 7,000 7,000 0

Suicide Lifeline 5,081 4,484 4,484 0

GLS - Youth Suicide Prevention - States 29,476 29,738 29,738 0

GLS - Youth Suicide Prevention - Campus 4,913 4,975 4,975 0

AI/AN Suicide Prevention Initiative 2,918 2,944 2,944 0

Homelessness Prevention Programs 11,083 32,250 32,250 0

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

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

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

Congressional Projects 1/ 8,926 8,636 0 -8,636

Subtotal, Capacity 269,722 316,724 308,088 -8,636

 

SCIENCE AND SERVICE: 

GLS - Suicide Prevention Resource Center 4,913 4,957 4,957 0

Adolescents at Risk 1,927 0 0 0

Mental Health Systems Transformation Activities 10,078 9,949 9,949 0

National Registry of Evidence-based 

Programs and Practices 437 544 544 0

SAMHSA Health Information Network 2,970 1,920 1,920 0

Consumer and Consumer Support 

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

Minority Fellowship Program 3,805 4,083 4,083 0

Disaster Response 204 1,054 1,054 0

Homelessness 2,322 2,306 2,306 0

HIV/AIDS Education 974 974 974 0

Subtotal, Science and Service 29,557 27,714 27,714 0

 

TOTAL, PRNS $299,279 $344,438 $335,802 -$8,636

1/ Includes $285,000 not available in FY 2009 

CMHS - 5 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- FY 

2009 Omnibus

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

CAPACITY: 

Co-Occurring SIG 

Grants 

Continuations.............................................. 8 $1,650 4 $392 0 $0 -4 -$392

New/Competing........................................... 0 0 0 0 0 0 0 0

Subtotal................................................... 8 1,650 4 392 0 0 -4 -392

Contracts 

Continuations.............................................. 1 463 0 0 1 1,866 +1 +1,866

New/Competing........................................... 0 0 1 3,219 1 1,745 0 -1,474

Subtotal................................................... 1 463 1 3,219 2 3,611 +1 +392

Total, Co-Occurring SIG................................ 9 2,113 5 3,611 2 3,611 -3 0

Seclusion & Restraint 

Grants 

Continuations.............................................. 8 1,711 8 1,669 0 0 -8 -1,669

New/Competing........................................... 0 0 0 0 0 0 0 0

Subtotal................................................... 8 1,711 8 1,669 0 0 -8 -1,669

Contracts 

Continuations.............................................. 1 598 1 308 0 0 -1 -308

New/Competing........................................... 1 140 1 472 2 2,449 +1 +1,977

Subtotal................................................... 2 738 2 780 2 2,449 0 +1,669

Total, Seclusion & Restraint......................... 10 2,449 10 2,449 2 2,449 -8 0

Youth Violence Prevention 

Grants 

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

New/Competing........................................... 1 6,000 0 0 0 0 0 0

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

Contracts 

Continuations.............................................. 3 80,735 5 86,571 4 83,321 -1 -3,250

New/Competing........................................... 2 6,267 1 1,931 1 5,181 0 +3,250

Subtotal................................................... 5 87,002 6 88,502 5 88,502 -1 0

Total, Youth Violence Prevention................. 6 93,002 7 94,502 6 94,502 -1 0

National Traumatic Stress Network 

Grants 

Continuations.............................................. 43 24,346 23 10,050 58 30,264 +35 +20,214

New/Competing........................................... 7 3,000 35 20,200 0 0 -35 -20,200

Subtotal................................................... 50 27,346 58 30,250 58 30,264 0 +14

Contracts 

Continuations.............................................. 1 4,481 1 2,651 1 7,219 0 +4,568

New/Competing........................................... 1 1,265 1 5,099 1 517 0 -4,582

Subtotal................................................... 2 5,746 2 7,750 2 7,736 0 -14

Total, National Traumatic Stress Network.... 52 $33,092 60 $38,000 60 $38,000 0 $0

CMHS - 6 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Children and Family Programs 

Grants 

Continuations.............................................. 8 $3,828 9 $3,448 15 $5,538 +6 +$2,090

New/Competing........................................... 8 2,140 7 3,360 1 1,030 -6 -2,330

Subtotal................................................... 16 5,968 16 6,808 16 6,568 0 -240

Contracts 

Continuations.............................................. 1 953 1 1,201 1 1,070 0 -131

New/Competing........................................... 1 808 2 1,185 1 1,556 -1 +371

Subtotal................................................... 2 1,761 3 2,386 2 2,626 -1 +240

Total, Children and Family Programs........... 18 7,729 19 9,194 18 9,194 -1 0

Mental Health Transformation 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.............................................. 1 1,630 3 5,912 3 5,912 0 0

New/Competing........................................... 5 8,343 0 0 0 0 0 0

Subtotal................................................... 6 9,973 3 5,912 3 5,912 0 0

Total, MH Transformation Activities.............. 6 9,973 3 5,912 3 5,912 0 0

Consumer and Family Network Grants 

Grants 

Continuations.............................................. 62 4,094 61 4,026 18 1,260 -43 -2,766

New/Competing........................................... 0 0 18 1,260 61 4,000 +43 +2,740

Subtotal................................................... 62 4,094 79 5,286 79 5,260 0 -26

Contracts 

Continuations.............................................. 1 711 0 0 1 976 +1 +976

New/Competing........................................... 0 0 1 950 0 0 -1 -950

Subtotal................................................... 1 711 1 950 1 976 0 +26

Total, Consumer & Family Network Grants... 63 4,805 80 6,236 80 6,236 0 0

Mental Health Transformation SIG 

Grants 

Continuations.............................................. 9 22,950 9 22,950 2 4,381 -7 -18,569

New/Competing........................................... 0 0 0 0 24 18,330 +24 +18,330

Subtotal................................................... 9 22,950 9 22,950 26 22,711 +17 -239

Contracts 

Continuations.............................................. 1 3,062 1 3,062 1 1,601 0 -1,461

New/Competing........................................... 0 0 0 0 1 1,700 +1 +1,700

Subtotal................................................... 1 3,062 1 3,062 2 3,301 +1 +239

Total, MH Transformation SIG...................... 10 $26,012 10 $26,012 28 $26,012 +18 $0

CMHS - 7 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Project LAUNCH 

Grants 

Continuations.............................................. 0 $0 6 $6,080 18 $16,780+12+$10,700

New/Competing........................................... 7 6,080 12 10,700 0 0 -12 -10,700

Subtotal................................................... 7 6,080 18 16,780 18 16,780 0 0

Contracts 

Continuations.............................................. 0 0 1 1,289 1 3,220 0 +1,931

New/Competing........................................... 1 1,289 1 1,931 0 0 -1 -1,931

Subtotal................................................... 1 1,289 2 3,220 1 3,220 -1 0

Total, Project LAUNCH.................................. 8 7,369 20 20,000 19 20,000 -1 0

Primary and Behavioral Health Care Integration 

Grants 

Continuations.............................................. 0 0 0 0 12 6,400+12 +6,400

New/Competing........................................... 0 0 12 6,400 0 0 -12 -6,400

Subtotal................................................... 0 0 12 6,400 12 6,400 0 0

Contracts 

Continuations.............................................. 0 0 0 0 1 600 +1 +600

New/Competing........................................... 0 0 1 600 0 0 -1 -600

Subtotal................................................... 0 0 1 600 1 600 0 0

Total, PBHCI................................................. 0 0 13 7,000 13 7,000 0 0

Suicide Lifeline 

Grants 

Continuations.............................................. 1 2,880 7 3,247 7 3,247 0 0

New/Competing........................................... 6 350 0 0 0 0 0 0

Subtotal................................................... 7 3,230 7 3,247 7 3,247 0 0

Contracts 

Continuations.............................................. 1 1,604 1 742 1 1,237 0 +495

New/Competing........................................... 1 247 1 495 0 0 -1 -495

Subtotal................................................... 2 1,851 2 1,237 1 1,237 -1 0

Total, Suicide Lifeline.................................. 9 5,081 9 4,484 8 4,484 -1 0

GLS - Youth Suicide Prevention - States 

Grants 

Continuations.............................................. 24 9,484 32 15,117 48 23,108+16 +7,991

New/Competing........................................... 30 14,319 18 8,740 0 0 -18 -8,740

Subtotal................................................... 54 23,803 50 23,857 48 23,108 -2 -749

Contracts 

Continuations.............................................. 1 2,842 1 2,737 1 5,785 0 +3,048

New/Competing........................................... 1 2,831 1 3,144 1 845 0 -2,299

Subtotal................................................... 2 5,673 2 5,881 2 6,630 0 +749

Total, GLS-Youth Suicide Prevention-States 56 $29,476 52 $29,738 50 $29,738 -2 $0

CMHS - 8 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

GLS - Youth Suicide Prevention - Campus 

Grants 

Continuations.............................................. 33 $2,120 16 $1,492 37 $3,599 +21 +$2,107

New/Competing........................................... 16 1,477 21 2,100 0 0 -21 -2,100

Subtotal................................................... 49 3,597 37 3,592 37 3,599 0 +7

Contracts 

Continuations.............................................. 1 1,081 1 712 1 1,376 0 +664

New/Competing........................................... 1 235 1 671 0 0 -1 -671

Subtotal................................................... 2 1,316 2 1,383 1 1,376 -1 -7

Total, GLS-Youth Suicide Prev.-Campus...... 51 4,913 39 4,975 38 4,975 -1 0

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.............................................. 1 188 1 2,944 1 2,944 0 0

New/Competing........................................... 1 2,730 0 0 0 0 0 0

Subtotal................................................... 2 2,918 1 2,944 1 2,944 0 0

Total, AI/AN Suicide Prevention Initiative.... 2 2,918 1 2,944 1 2,944 0 0

Homelessness Prevention Programs 

Grants 

Continuations.............................................. 19 7,467 20 7,846 55 21,827 +35 +13,981

New/Competing........................................... 5 1,975 41 16,340 5 1,980 -36 -14,360

Subtotal................................................... 24 9,442 61 24,186 60 23,807 -1 -379

Contracts 

Continuations.............................................. 1 1,118 1 1,493 1 7,323 0 +5,830

New/Competing........................................... 1 523 2 6,571 1 1,120 -1 -5,451

Subtotal................................................... 2 1,641 3 8,064 2 8,443 -1 +379

Total, Homelessness Prevention Programs.. 26 11,083 64 32,250 62 32,250 -2 0

Older Adult Programs 

Grants 

Continuations.............................................. 0 0 10 4,095 10 4,100 0 +5

New/Competing........................................... 10 4,115 0 0 0 0 0 0

Subtotal................................................... 10 4,115 10 4,095 10 4,100 0 +5

Contracts 

Continuations.............................................. 0 0 1 719 1 714 0 -5

New/Competing........................................... 1 699 0 0 0 0 0 0

Subtotal................................................... 1 699 1 719 1 714 0 -5

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

CMHS - 9 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Minority AIDS 

Grants 

Continuations.............................................. 16 $8,309 15 $7,784 16 $8,294 +1 +$510

New/Competing........................................... 0 0 1 510 0 0 -1 -510

Subtotal................................................... 16 8,309 16 8,294 16 8,294 0 0

Contracts 

Continuations.............................................. 1 865 1 989 1 989 0 0

New/Competing........................................... 1 109 0 0 0 0 0 0

Subtotal................................................... 2 974 1 989 1 989 0 0

Total, Minority AIDS...................................... 18 9,283 17 9,283 17 9,283 0 0

Criminal and Juvenile Justice Programs 

Grants 

Continuations.............................................. 8 3,070 8 3,145 12 4,840 +4 +1,695

New/Competing........................................... 6 2,413 6 2,366 2 674 -4 -1,692

Subtotal................................................... 14 5,483 14 5,511 14 5,514 0 +3

Contracts 

Continuations.............................................. 1 638 1 1,173 1 1,170 0 -3

New/Competing........................................... 1 563 0 0 0 0 0 0

Subtotal................................................... 2 1,201 1 1,173 1 1,170 0 -3

Total, Criminal & Juvenile Justice Programs 16 6,684 15 6,684 15 6,684 0 0

Congressional Projects 36 8,926 37 8,636 0 0 -37 -8,636

 

Subtotal, Capacity 407$269,722472$316,724 433$308,088 -39 -$8,636

CMHS - 10 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus

FY 2010 

President's 

Budget 

Request 

FY 2010 +/-

FY 2009 

Omnibus 

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

SCIENCE AND SERVICE: 

GLS - Suicide Resource Center 

Grants 

Continuations.............................................. 1 $3,810 1 $3,810 0 $0 -1 -$3,810

New/Competing........................................... 0 0 0 0 1 4,957 +1 +4,957

Supplements............................................... 1 1,103 1 1,147 0 0 -1 -1,147

Subtotal................................................... 1 4,913 1 4,957 1 4,957 -1 0

Contracts 

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

Total, GLS - Suicide Resource Center.......... 1 4,913 1 4,957 1 4,957 -1 0

Adolescents at Risk 

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 0 0 0 0 0 0

New/Competing........................................... 1 1,927 0 0 0 0 0 0

Subtotal................................................... 1 1,927 0 0 0 0 0 0

Total, Adolescents at Risk............................. 1 1,927 0 0 0 0 0 0

Mental Health Systems Transformation Activities 

Grants 

Continuations.............................................. 0 0 1 243 1 250 0 +7

New/Competing........................................... 5 474 5 243 5 250 0 +7

Subtotal................................................... 5 474 6 486 6 500 0 +14

Contracts 

Continuations.............................................. 10 6,279 4 2,952 8 9,449 +4 +6,497

New/Competing........................................... 4 3,325 7 6,511 0 0 -7 -6,511

Subtotal................................................... 14 9,604 11 9,463 8 9,449 -3 -14

Total, MH Sys. Transformation Activities...... 19 10,078 17 9,949 14 9,949 -3 0

National Registry of Evidence-based Programs 

and Practices (NREPP) 

Grants 

Continuations.............................................. 0 0 0 0 0 0 0 0

New/Competing........................................... 0 0 0 0 0 0 0

Subtotal................................................... 0 0 0 0 0 0 0 0

Contracts 

Continuations.............................................. 0 437 0 544 0 544 0 0

New/Competing........................................... 0 0 0 0 0 0 0 0

Subtotal................................................... 0 437 0 544 0 544 0 0

Total, NREPP................................................ 0 $437 0 $544 0 $544 0 $0

CMHS - 11 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

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 2,970 0 1,920 0 1,920 0 0

New/Competing........................................... 0 0 0 0 0 0 0 0

Subtotal................................................... 0 2,970 0 1,920 0 1,920 0 0

Total, SAMHSA Health Information Network. 0 2,970 0 1,920 0 1,920 0 0

Consumer and Consumer Support Technical 

Assistance Centers 

Grants 

Continuations.............................................. 5 1,927 5 1,927 0 0 -5 -1,927

New/Competing........................................... 0 0 0 0 5 1,927 +5 +1,927

Subtotal................................................... 5 1,927 5 1,927 5 1,927 0 0

Contracts 

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

Total, Consumer & Cons. Support TA Centers 5 1,927 5 1,927 5 1,927 0 0

Minority Fellowship Program 

Grants 

Continuations.............................................. 0 0 5 3,442 5 3,454 0 +12

New/Competing........................................... 5 3,237 0 0 0 0 0 0

Subtotal................................................... 5 3,237 5 3,442 5 3,454 0 +12

Contracts 

Continuations.............................................. 0 0 1 641 1 629 0 -12

New/Competing........................................... 1 568 0 0 0 0 0 0

Subtotal................................................... 1 568 1 641 1 629 0 -12

Total, Minority Fellowship Program............. 6 3,805 6 4,083 6 4,083 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 0 0 0 1 1,054 +1 +1,054

New/Competing........................................... 1 204 1 1,054 0 0 -1 -1,054

Subtotal................................................... 1 204 1 1,054 1 1,054 0 0

Total, Disaster Response.............................. 1 $204 1 $1,054 1 $1,054 0 $0

CMHS - 12 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

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 2,322 1 1,269 2 2,306 +1 +1,037

New/Competing........................................... 0 0 1 1,037 0 0 -1 -1,037

Subtotal................................................... 2 2,322 2 2,306 2 2,306 0 0

Total, Homelessness..................................... 2 2,322 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.............................................. 3 974 1 525 4 974 +3 +449

New/Competing........................................... 0 0 3 449 0 0 -3 -449

Subtotal................................................... 3 974 4 974 4 974 0 0

Total, HIV/AIDS Education............................ 3 974 4 974 4 974 0 0

 

Subtotal, Science and Service 38 29,557 36 27,714 33 27,714 -4 0

 

Total, PRNS 445 $299,279508$344,438 466 $335,802 -43 -$8,636

CMHS - 13 
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CMHS - 14 
Suicide Prevention 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

 

Capacity...................................... $42,388,000 $42,141,000 $42,141,000 $0

Science And Service.................... 6,840,000 4,957,000 4,957,000 0

Budget Authority........................... $49,228,000 $47,098,000 $47,098,000 $0

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

FY 2010 Authorization.........................................................................................Expired 

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

Program Description and Accomplishments

Congressional authorization in 2005 of the Garrett Lee Smith (GLS) Memorial Act allows 

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 has trained 176,855 teachers, mental health 

professionals, social service providers, police officers, advocates, coaches, and other 

individuals who frequently interact with youth in suicide prevention. Additionally, SAMHSA also 

has an innovative training and technical assistance project that helps tribal communities 

mobilize existing social and educational resources. The project supports 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. Some estimates suggest that 

unemployed individuals have up to two to four times the suicide rate of those currently 

employed. Economic strain such as loss of a home or foreclosure and personal financial crises 

are other factors which have been well documented as precipitating suicidal deaths among 

people at risk for suicide. Consistent with this finding is the anecdotal evidence from crisis 

centers across the country indicating that calls linked to financial concerns have increased in the 

last year, as well as an increase of almost 25 percent of calls answered by the National Suicide 

Prevention Lifeline in January 2009, compared to January 2008. 

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 

CMHS - 15 
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 43,000 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 

2005 $16,436,000 

2006 $31,675,000 

2007 $36,190,000 

2008 $49,228,000 

2009 $47,098,000 

Budget Request 

The FY 2010 President’s Budget request is $47.1 million, the same level of funding as the 

FY 2009 Omnibus level. The request will support 92 continuation grants, one new grant, and 

four continuation contracts. At this level of funding SAMHSA anticipates the rates at which 

individuals are trained in suicide prevention to remain constant. 

 

CMHS - 16 
Outcomes and Outputs 

Table 1: Key Performance Indicators for Suicide Prevention 

Measure Most Recent Result FY 2009 Target FY 2010 Target FY 2010 +/- 

FY 2009 

2.3.57: Reduce the number 

of suicide deaths

(Outcome) 

2.3.58: Incre

FY 2006: 33,300 

(Historical Actual) 30,784 30,684 -100 

ase the 

number of students 

exposed to mental health 

and suicide awareness 

campaigns on college 

campuses (Outcome) 

2.3.59: Increase the tota

FY 2008: 681,425 

(Target Exceeded) 662,774 681,425 +18,651 

l 

number individuals trained 

in youth suicide prevention: 

cumulative (Outcome) 

2.3.60: Increase the tota

FY 2008: 176,855 

(Target Exceeded) 127,065 212,226 +85,161 

l 

number of youth screened: 

cumulative (Output) 

2.3.61: Increase the 

FY 2008: 13,618 

(Baseline) 16,800 20,160 +3,360 

number of calls answered 

by the suicide hotline

(Output) 

FY 2008: 513,298 

(Baseline) 538,963 555,132 +16,169 

Grant Award Table 

(whole dollars) 

Number of Awar

FY 2008 FY 2009 FY 2010 

ds 

Average Award 

111

,207

95 

95 

93

87

Range of Awards

$320

3,546,000

$375,2

3,546,000 

$375,3

$15,000-$ $15,000-$ $15,000-$3,546,000

CMHS - 17 
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CMHS - 18 
Youth Violence Prevention 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $93,002,000 $94,502,000 $94,502,000 $0

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

FY 2010 Authorization........................................................................................Expired 

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

Program Description and Accomplishments

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. Data from the 1999, 2000, and 2001 cohorts indicate that Safe Schools/Healthy 

Students is an effective program. For example, the national cross-site evaluation found 

significant reductions in substance use rates, incidence of violence, and improved school 

climate. 

In FY 2008, 2,328,500 children were served by the Safe Schools/Healthy Students program. 

With a number of large school districts funded in the 2008 cohort, the target for number served 

was exceeded considerably. Sixty-Six percent of students received services following a mental 

health referral, exceeding the level in FY 2007. The performance target for number of students 

receiving services following a mental health referral was met. Additionally, the program 

instituted new output measures in FY 2007 to promote coordination between agencies and track 

percentage of grantees training school personnel on mental health topics, which are expected to 

contribute to program outcomes. Although the targets for the percentage of grantees training 

personnel were not met in FY 2008, the program anticipates meeting the FY 2009 targets. 

CMHS - 19 
The Safe Schools/Healthy Students program is expected to serve 131 communities and over 

two million children in FY 2010. SAMHSA anticipates the percentage of children showing 

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

constant in FY 2010 due to inflation and the increased cost per unit. 

Additionally, SAMHSA also has a joint initiative with the Department of Education called the 

College Emergency Preparedness program. These competitive grants provide funding to 

institutions of higher education to support mental health related activities and to develop and 

implement emergency management plans for preventing campus violence. Activities supported 

under this program include the development of written plans with emergency protocols that 

include mental health, among other needs, of individuals and to develop written plans for 

preventing violence on campus by assessing and addressing the mental health needs of 

students who may be at risk of causing campus violence. 

Funding History 

FY Amount 

2005 $94,238,000

2006 $93,156,000

2007 $93,156,000

2008 $93,002,000

2009 $94,502,000

Budget Request 

The FY 2010 President’s Budget request is $94.5 million, the same level of funding as the 

FY 2009 Omnibus level. Of this amount, $84.3 million will support the Safe Schools/Healthy 

Students Interagency Agreement with the Department of Education, the same level of funding 

as the FY 2009 Appropriation. All contract continuations will be fully funded in FY 2010. 

Outcomes and Outputs 

Table 2: Key Performance Indicators for Safe School/Healthy Students 

Measure Most Recent Result FY 2009 Target FY 2010 Target FY 2010 +/- 

FY 2009 

3.2.04: Increase the 

number of children served

(Outcome) 

FY 2008: 2,328,500 

(Target Exceeded) 2,328,500 2,328,500 Maintain 

3.2.05: Improve student 

outcomes and systems 

outcomes: a) Decrease the 

percentage of middle 

school students who have 

been in a physical fight on 

school property (Outcome) 

FY 2008: 34.4% 

(Target Exceeded) 34.4% 35% +0.6 

3.2.06: a) Decrease the 

percentage of high school 

students who have been in 

a physical fight on school 

property (Outcome) 

FY 2008: 23.7% 

(Target Exceeded) 23.7% 28% +4.3 

CMHS - 20 
FY 2010 +/- Measure Most Recent Result FY 2009 Target FY 2010 Target FY 2009 

3.2.07: b) Decrease the 

percentage of middle 

school students who report 

current substance use

(Outcome) 

FY 2008: 13.7% 

(Target Exceeded) 13.7% 15% +1.3 

3.2.08: b) Decrease the 

percentage of high school 

students who report current 

substance use (Outcome) 

FY 2008: 33% 

(Target Exceeded) 33% 34% +1 

3.2.09: c) Increase the 

percentage of student's 

attending school

(Outcome) 

FY 2008: 93% 

(Target Met) 93% N/A N/A 

3.2.10: Increase the 

percentage of students 

who receive mental health 

services (Outcome) 

FY 2008: 66% 

(Target Exceeded) 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 2008: 62.4% 

(Target Not Met) 68.1% 69% +0.9 

3.2.22: Percentage of 

grantees that provide 

training of school personnel 

on mental health topics

(Output) 

FY 2008: 64% 

(Target Not Met) 66.4% 67% +0.6 

Grant Awards Table 

(whole dollars) FY 2008 FY 2009 FY 2010 

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

CMHS - 21 
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CMHS - 22 
National Traumatic Stress Network 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $33,092,000 $38,000,000 $38,000,000 $0

Authorizing Legislation.......................................Section 582 of the Public Health Service Act 

FY 2010 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 800,000 individuals, more than 90,000 people were trained in 2008 in nearly 3,000 annual 

training/education events. In FY 2008, 69 percent of children receiving services had improved 

outcomes (percent showing clinically significant improvement). 

This program provided direct service to 28,878 children in FY 2008. While the target was not 

met for number served in FY 2008, 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. 

Funding History 

FY Amount 

2005 $29,726,000 

2006 $29,418,000 

2007 $29,418,000 

2008 $33,092,000 

2009 $38,000,000 

CMHS - 23 
Budget Request 

The FY 2010 President’s Budget request is $38.0 million, the same level of funding as the 

FY 2009 Omnibus level. The request will fully support 58 grant and one contract continuations. 

With this level of funding, the percentage of children showing clinically significant improvement 

is expected to be 69 percent and the program is expected to serve the same number of 

children. SAMHSA anticipates the dollars spent per person served by the grant program in 

FY 2010 to be $718. 

Outcomes and Outputs 

Table 3: Key Performance Indicators for National Child Traumatic Stress Initiative 

Measure Most Recent Result FY 2009 Target FY 2010 Target FY 2010 +/- 

FY 2009 

3.2.01: Increase the 

estimated number of 

children and adolescents 

receiving trauma-informed 

services (Outcome) 

FY 2008: 28,878 

(Target Not Met) 16,955 29,000 +12,045 

3.2.02: Improve children's 

outcomes (percent showing 

clinically significant 

improvement) (Outcome) 

FY 2008: 69% 

(Target Exceeded) 69% 69% Maintain 

3.2.03: Dollars spent per 

person served (Efficiency) 

FY 2008: $948 

(Target Not Met) $718 $718 Maintain 

3.2.23: Increase the 

unduplicated count of the 

number of children and 

adolescents receiving 

trauma-informed services

(Outcome) 

FY 2008: 975 

(Baseline) 2,925 3,217 +292 

3.2.24: Increase the 

number of child-serving 

professionals trained in 

providing trauma-informed 

services. (Outcome) 

FY 2008: 91,517 

(Baseline) 96,000 100,800 +4,800 

Grant Awards Table 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 50 58 58

Average Award $546,920 $521,552 $521,793

Range of Awards $300,723-$5,000,000 $300,723-$5,000,000 $300,723-$5,000,000

CMHS - 24 
Other Capacity Activities 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $101,240,000 $142,081,000 $133,445,000 -$8,636,000

Authorizing Legislation...............Sections 506, 520A and 520G of the Public Health Service Act 

FY 2010 Authorization........................................................................................Expired 

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

Program Description and Accomplishments 

The Programs of Regional and National Significance (PRNS) Capacity activities support States 

and communities in carrying out an array of activities to promote improved services for adults 

with mental illness and children with emotional disturbance. 

Primary and Behavioral Health Care Integration

Congress appropriated $7.0 million to support the Primary and Behavioral Health Care 

Integration program in FY 2009 to improve the physical health status of people with serious 

mental illnesses. The Primary and Behavioral Health Care Integration 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 

issues including chronic diseases; enhanced capacity to holistically serve those with mental 

and/or substance use disorders; and better overall health status of clients. 

Project LAUNCH Wellness Initiative 

CMHS - 25 
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. The President’s FY 2010 budget will support all grant 

and contract continuations for Project LAUNCH. 

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 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. 

The Statewide Consumer Network program, focusing on adult mental health consumers ages 

18 and older who are service recipients of public mental health systems and promotes the 

development of adult systems of care. It establishes sustainable mechanisms for integrating the 

consumer voice in state mental health systems and allied systems. The Statewide Consumer 

Network promotes skill development with an emphasis on leadership and business 

management. The technical assistance needs of consumers are identified and training and 

support is provided to ensure that they are the catalysts for transforming the mental health and 

related systems in their State. Lastly, the Statewide Consumer Network develops coalitions 

and/or partnerships that support policy and program development in mental health systems. 

During FY 2004-2007, grantees improved community services, developed tele-health education 

and other on-line supports and, 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 

CMHS - 26 
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. 

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). The FY 2010 President’s Budget will support one contract continuation 

and one new contract. 

Mental Health System Transformation 

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 Transformation 

Accountability System, Transformation Transfer Initiative, and Mental Health Transformation 

State Incentive Grants. 

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 is the CMHS centralized web-based 

Government Performance and Results Act data collection system. The data from this system is 

used to manage and monitor grantee performance. Transformation Accountability System data 

includes the collection of SAMHSA’s National Outcome Measures for programs directly affecting 

client outcomes. These include programs that address services for older adults, jail diversion, 

HIV/AIDS, supportive housing, serious emotional disturbance, and child traumatic stress. 

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, among the 24.3 million adults aged 18 or older with serious psychological distress, only 

44 percent received treatment for a mental health problem 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. 

Mental Health Transformation State Incentive Grants

The Mental Health Transformation State Incentive Grants (MHT SIG) program assists States to 

plan and implement the transformation and reform of State mental health services across 

multiple service systems in order to increase system capacity. Comprehensive State mental 

health plans will enhance the use of existing resources to serve persons with mental illnesses, 

CMHS - 27 
increase the efficient use of resources at State and local levels, and expand the options and 

effectiveness of available services and supports. Development of transformation plans require 

Statewide planning efforts across multiple service systems and State agencies to help the State 

better meet the complex needs of individuals with serious mental illnesses and children with 

serious emotional disturbances and their families. 

In the first three years of the program, the nine MHT SIG States have shown significant 

advancements toward improving health care systems and implementing much needed health 

care reforms for people with mental illness. Within these States, over 1,600 evidence-based 

mental health programs have been implemented and almost 50,000 providers have been 

trained in effective, evidence based treatment approaches facilitating improved outcomes for 

consumers. More than 130 organizations have expanded data accountability systems. 

The FY 2010 President’s Budget is $26.0 million for mental health system transformation and 

system reform activities. It will support all continuation grants and contracts and fund up to 24 

new grants. In an effort to reach a larger number of states, grant awards in FY 2010 will be 

smaller than the earlier grant awards. The program design will allow the States the flexibility to 

identify and address critical system and capacity reform needs in their respective communities. 

The new grants will build on existing infrastructure by supporting State, county and local 

activities such as workforce training, implementation of evidence-based practices, and 

improving access to quality mental health services. It will increase the grantees’ ability to 

employ a public health approach to Transformation and implement strategies that promotes 

recovery and resiliency, is consumer- and family-driven, and that reflects true statewide 

collaboration. By encouraging engagement of a broad range of State agency and community 

stakeholders, the grantees will be able to better develop and implement innovative and 

resourceful service improvements and more fully address the needs of the citizens across the 

lifespan and across cultural and ethnic groups. Necessary changes to policies and 

organizational structures necessary to support improved mental health services will also be 

supported. In addition, the FY 2010 grant announcement will provide States the opportunity to 

expand the much needed treatment capacity and allow States to identify emerging treatment 

needs, especially those emerging in the context of the economic crisis. 

Homelessness Prevention 

 

As of April 2009, the Services in Supportive Housing grantees have provided over 840 persons 

with comprehensive and coordinated mental health and related services. More than two thirds 

(69 percent) of the individuals served demonstrated improvement in behavioral functioning and 

represent an 80-100 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. 

The FY 2010 President’s Budget is $32.2 million for Homelessness Prevention and will support 

grant and contract continuations in the Services in Supportive Housing Program by providing 

grants to States and communities that reduce or eliminate chronic homelessness among 

individuals with serious mental illness, substance abuse and/or co-occurring disorders and their 

families. Services are provided in coordination with existing permanent supportive housing 

programs in the community and cover a five year funding period. Services in Supportive 

Housing 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. 

CMHS - 28 
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. HIV/AIDS cases in 2006 for Black and Hispanic populations were reported to be more 

than 67 and 25 per 100,000, respectively. Blacks accounted for 49 percent of all HIV/AIDS 

cases diagnosed in 2006 in the 33 states with name based reporting (CDC, 2008). 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. The FY 2010 

President’s Budget will fund all continuation grants and contracts funded in FY 2009. 

Criminal and Juvenile Justice Programs

Since 2002, the Jail Diversion program has awarded grants to 40 States and communities to 

build capacity for diversion and provision of community based treatment and supportive services 

such as health care, housing, and job placement. This program awards multi-year grants to 

develop, implement and sustain diversion programs for people with mental illnesses. In 2008, 

the program focused on individuals with trauma related mental disorders and prioritizing 

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. Program data indicates that diverted individuals have 

reduced symptoms of mental illness, reduced substance abuse, and improved daily living skills 

and role functioning. An emphasis on cross system collaboration has resulted in the delivery of 

comprehensive services and broad community support for sustainability. Nineteen of the 24 

earliest grantees continue their programs after SAMHSA funding ends. 

Funding History 

FY Amount 

2005 $108,957,000

2006 $85,253,000

2007 $81,726,000

2008 $101,240,000

2009 $142,081,000

Budget Request 

The FY 2010 President’s Budget request for the Other Capacity Activities is $133.4 million, a 

decrease of $8.6 million from the FY 2009 Omnibus level due to the elimination of funding for 

Congressionally-directed projects. The funding level will support 158 continuation grants, 93 

new grants, 13 continuation contracts, and six new contracts. 

CMHS - 29 
 

Outcomes and Outputs 

Table 4: Key Performance Indicators for Co-Occurring State incentive Grant 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.17: Increase the number of 

persons with co-occurring disorders 

served. (Output) 

FY 2008: 

103,679 

(Baseline) 

103,679 103,679 Maintain 

1.2.18: Increase the percentage of 

treatment programs that a) Screen for 

co-occurring disorders (Outcome) 

FY 2008: 68% 

(Baseline) 

68% 68% Maintain 

1.2.19: b) Assess for co-occurring 

disorders (Outcome) 

FY 2008: 32% 

(Baseline) 

32% 32% Maintain 

1.2.20: c) Treat co-occurring disorders 

through collaborative, consultative, and 

integrated models of care (Outcome) 

FY 2008: 53% 

(Baseline) 

53% 53% Maintain 

Table 5: Key Performance Indicators for Mental Health Programs of Regional and National 

Significance - Remaining Capacity Activities1

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.03: Rate of consumers reporting 

positively about perception of care 

(program participants) (Outcome)2

FY 2008: 

94.8% 

(Target Not 

Met) 

98% 98% Maintain 

1.2.05: Increase the percentage of 

clients receiving services who report 

improved functioning (Outcome) 

FY 2008: 

50.5% 

(Target Not 

Met) 

54% 54% Maintain 

1.2.06: Number of a) evidence based 

practices (EBPs) implemented (Output)

FY 2007: 4 per 

State 

(Target 

Exceeded) 

4 per State 4.1 per State +0.1 

1 Programs included in reporting are Jail Diversion, Older Adults, HIV/AIDS, and Services in 

Supportive Housing programs.

2 Measure has been changed from Rate of consumers/family members reporting positively 

about outcomes (program participants). 

CMHS - 30 
Measure Most Recent FY 2009 FY 2010 FY 2010 +/- FY 

Result Target Target 2009 

1.2.08: b) Adults: percentage of 

population coverage for each (reported 

as percentage of service population 

receiving any evidence based practice)

(Output) 

FY 2007: 9.4%

(Target Not 

Met) 

10.8% 10.5% -0.3 

1.2.09: c) Children: percentage of 

population coverage for each (reported 

as percentage of service population 

receiving any evidence based practice)

(Output) 

FY 2007: 3.2%

(Target 

Exceeded) 

3.5% 3.5% Maintain 

Grant Awards Table 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 210 284 251

Average Award $374,895 $390,870 $396,151

Range of Awards $60,000-$2,730,000 $60,000-$2,730,000 $60,000-$2,730,000

CMHS - 31 
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CMHS - 32 
Science and Service Activities 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $22,717,000 $22,757,000 $22,757,000 $0

Authorizing Legislation.....................Sections 520A and 520C of the Public Health Service Act 

FY 2010 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. 

Mental Health System Transformation Activities

SAMHSA addresses the need for transforming 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 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 

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 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 130 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 

CMHS - 33 
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 reinforces the Secretary’s valuedriven health care priority by leveraging 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 back-end 

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. In 

the coming year, SHIN will continue its redesign of the Web site to improve customers’ 

experience finding and ordering publications online; expand data-reporting functionality; and 

develop performance measures—including Government Performance and Results Act (GPRA) 

measures—that will help assess the reach and impact of SHIN. 

In 2008, the SHIN program responded to 623,235 public inquiries, stored 1,104 titles for 

SAMHSA Centers and partners, and shipped 10,697,934 copies. SHIN maintained and 

updated related Web site content and generated more than 6.6 million Web site visits and more 

than 1 million PDF downloads. SHIN also provided materials and promotions for SAMHSA 

programs and products; supported the media campaign of the Office of National Drug Control 

Policy (ONDCP) and managed the ONDCP’s product inventory; and supported the Office of 

Women’s Health (OWH) Inter-Agency Agreement with SAMHSA for the provision of distribution, 

added-value marketing, and evaluation services of OWH products. 

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 2007 approximately 3,000 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 10,000 Web-Ed trainings were accessed in the past 16 months 

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. 

CMHS - 34 
 

3 Programs included in reporting are the HIV/AIDS Education, the Historically Black Colleges 

and Universities National Resource Center for Substance Abuse and Mental Health, and the 

Statewide Family Network Training and Technical Assistance Center.

Funding History 

FY Amount 

2005 $24,940,000 

2006 $23,578,000 

2007 $21,773,000 

2008 $22,717,000 

2009 $22,757,000 

Budget Request 

The FY 2010 President’s Budget request is $22.8 million, the same level of funding as the 

FY 2009 Omnibus level. Funds will fully support six grant and 16 contract continuations. Ten 

new grants will be awarded. 

Outcomes and Outputs

 

Table 6: Key Performance Indicators for Mental Health Programs of Regional and National 

Significance - Science and Service Activities3

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.4.06: Number of people trained by 

CMHS Science and Service Programs

(Output) 

FY 2008: 4,036

(Historical 

Actual) 

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 2008: 76% 

(Historical 

Actual) 

80% 80% Maintain 

 

Grant Awards Table 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 15 16 16

Average Award $375,867 $365,938 $367,563

Range of Awards $34,900-$659,334 $34,900-$659,334 $34,900-$659,334

CMHS - 35 
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CMHS - 36 
Children’s Mental Health Services Program 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $102,260,000 $108,373,000 $125,316,000 +$16,943,000

Authorizing Legislation..............................Section 561 to 565 of the Public Health Service Act 

FY 2010 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. An estimated 20 percent of 

young people are diagnosed with mental, emotional and behavioral disorders 

(IOM, March 2009). 

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. Families and youth work in partnership with public and private organizations to 

design mental health services and supports that are effective, that build on the strengths of 

individuals, and that address each person's cultural and linguistic needs. Systems of Care 

communities collaborate with a legislatively-mandated national multi-site evaluation, are 

provided training and technical assistance on systems of care principles and processes, and 

develop social marketing/public education outreach programs. 

Since 1993, the program has funded 144 grantees across the country; currently, there are 59 

active grant communities and 85 former grant communities. Program funds are available 

through competitive cooperative agreements to States, political subdivisions of States, 

Territories, and Indian Tribes or tribal organizations. Funds are awarded to develop systems of 

care that deliver community-based, individualized, family-driven, youth-guided and culturally 

competent mental health services and supports for children and adolescents with serious 

mental health needs. 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. Funding is also provided to 

support evaluation, technical assistance, and communications activities. 

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: 

CMHS - 37 
• 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, systems of care are successful 

because services are delivered in the least restrictive environment, evidence-based treatments 

and interventions are emphasized, care management ensures that planned services and 

supports are delivered appropriately and effectively, and services and supports are designed to 

be responsive to families’ beliefs, traditions, values, cultures, and languages. 

The Children’s Mental Health Services program underwent a performance assessment in 2002. 

The assessment cited the fact that the program made a unique contribution, was reporting on 

outcomes, and was meeting most of its performance targets as strong attributes of the program. 

As a result of the performance assessment, the program continues to track behavioral and 

emotional outcomes of program participants, and has recently launched a continuous quality 

improvement initiative to assess the effectiveness and appropriateness of the delivery of 

technical assistance to funded grantee sites. Results of this initiative are reviewed on an annual 

basis. 

Funding History 

FY Amount 

2005 $105,112,000 

2006 $104,006,000 

2007 $104,078,000 

2008 $102,260,000 

2009 $108,373,000 

Budget Request 

The FY 2010 President’s Budget request is $125.3 million, an increase of $16.9 million above 

an FY 2009 Omnibus level. Sixty-one grant continuations and 16 new grants will be funded. 

Funding will also support for one new technical assistance grant and continue six evaluation, 

technical assistance and communications contract activities. In 2008, 16 grantees completed 

their grant funding cycle and SAMHSA awarded 18 new grants. In 2009, seven grantees will 

complete their grant funding and SAMHSA anticipates awarding 13 new grants. As this 

program’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 2010 funding will be reflected in 

the targets set for 2011. It is expected that with the increased funding for the Children’s Mental 

Health Services program, an additional 11,000 children (unduplicated count) will receive 

services over the 16 grants’ six-year cycle and provide support services to an estimated 35,000 

parents, caregivers and siblings. 

CMHS - 38 
 

4 Long-term measure only. No annual targets have been set.

5 This 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. 

6 Wording for this measure has changed slightly to make the measure more clear.

Outcomes and Outputs 

Table 7: Key Performance Indicators for Children's Mental Health Services 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

3.2.11: Increase the percent of funded 

sites that will exceed a 30 percent 

improvement in behavioral and 

emotional symptoms among children 

receiving services for 6 months

(Outcome)4

 

N/A N/A 60% N/A 

3.2.12: Improve children's outcomes 

and systems outcomes: a) Increase 

percentage of children attending 

school 80% or more of time after 12 

months (Outcome)5

 

FY 2008: 

86.3% 

(Target 

Exceeded) 

86.3% 86.3% Maintain 

3.2.13: b) Increase percentage with no 

law enforcement contacts at 6 months

(Outcome) 

FY 2008: 

71.7% 

(Target 

Exceeded) 

71.7% 71.7% Maintain 

3.2.14: Decrease average days of 

inpatient facilities among children 

served in systems of care at 6 months

(Outcome) 

FY 2008: -1.05

(Target Not 

Met) 

-2 -2 Maintain 

3.2.15: Percent of systems of care that 

are sustained 5 years post Federal 

Funding (Outcome) 

FY 2008: 

77.8% 

(Target Not 

Met) 

85% N/A N/A 

3.2.16: Increase number of children 

receiving services (Output) 

FY 2008: 

13,051 

(Target 

Exceeded) 

13,051 13,051 Maintain 

3.2.17: Increase total savings for inhospital patient care costs per 1,000 

children served (Efficiency)6

 

FY 2008: 

$1,401,750 

(Target Not 

Met) 

$2,376,000 $2,376,000 Maintain 

CMHS - 39 
Grant Awards Table 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 60 66 78

Average Award $1,347,033 $1,280,439 $1,275,795

Range of Awards $495,000-$2,000,000 $330,000-$2,000,000 $330,000-$2,000,000

CMHS - 40 
Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $34,880,000 $35,880,000 $35,880,000 $0

Authorizing Legislation...........................................................Section 102 of the PAIMI Act 

FY 2010 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. The program has conducted 

an independent evaluation of the program and is in the process of finalizing a report that 

summarizes its findings. The program is also focusing on the refinement of data reporting 

across grantees.

In 2007, the PAIMI program: 

• Provided casework to 4,721 children and adolescents and 12,973 adults and elderly 

individuals with mental illness; 

• Closed 16,188 cases, of which 4,246 were related to abuse, 3,359 to neglect, and 8,583 

to a violation of individual rights; 

• Resolved 83 percent of alleged abuse cases, 88 percent of alleged neglect cases, and 

86 percent of alleged rights violations cases that resulted in positive change for the client 

in her/his environment, community, or facility. 

The FY 2010 funding will serve over 22,000 persons in FY 2010, 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). 

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 

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. 

CMHS - 41 
Funding History 

FY Amount 

2005 $34,343,000 

2006 $34,000,000 

2007 $34,000,000 

2008 $34,880,000 

2009 $35,880,000 

Data Elements Used to Calculate FY 2010 State Allotments 

Population: July 1, 2007 Population Estimates (all ages combined) from U.S. Census Bureau 

Income: 2007 Per Capita Personal Income from Department of Commerce/Bureau of 

Economic Analysis. 

Budget Request 

The FY 2010 President’s Budget request is $35.8 million, the same level as the FY 2009 

Omnibus level. The request will support 57 grants to States and Territories. The number 

attending public education/constituency training and public awareness activities is 120,000, the 

same as the FY 2009 target. Twelve States and Territories will receive an increased allotment, 

12 States and Territories will received a decreased allotment and 33 States and Territories will 

receive the same minimum allotment as FY 2009. 

Outcomes and Outputs 

Table 8: Key Performance Indicators for Protection and Advocacy 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

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 2007: 83% 

(Target Not 

Met) 

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 2007: 88% 

(Target 

Exceeded) 

85% 88% +3 

CMHS - 42 
Measure Most Recent FY 2009 FY 2010 FY 2010 +/- FY 

Result Target Target 2009 

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 

decision-making, or elimination of other 

barriers to personal decision-making, 

as a result of PAIMI involvement

(Outcome) 

FY 2007: 86% 

(Target Not 

Met but 

Improved) 

90% 90% Maintain 

3.4.11: Percent of interventions on 

behalf of groups of PAIMI-eligible 

individuals that were concluded 

successfully (Outcome) 

FY 2007: 97% 

(Target 

Exceeded) 

95% 97% +2 

3.4.12: Increase in the number of 

people served by the PAIMI program

(Outcome) 

FY 2007: 

18,694 

(Target Not 

Met) 

22,325 22,325 Maintain 

3.4.13: Ratio of persons 

served/impacted per 

activity/intervention (Outcome) 

FY 2007: 473 

(Target 

Exceeded) 

420 430 +10 

3.4.14: Cost per 1,000 individuals 

served/impacted (Efficiency) 

FY 2007: 

$1,989 

(Target 

Exceeded) 

$2,000 $1,950 -50 

3.4.19: The number attending public 

education/constituency training and 

public awareness activities (Output) 

FY 2007: 

119,423 

(Baseline) 

120,000 120,000 Maintain 

 

CMHS - 43 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CDFA #93.138 

STATE/TERRITORY FY 2008 Actual

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference +/-

2009 Omnibus

Alabama $431,142 $447,513 $446,798 -$715

Alaska 413,000 424,900 424,900 0

Arizona 556,565 588,922 607,028 +18,106

Arkansas 413,000 424,900 424,900 0

California 3,062,063 3,138,129 3,113,610 -24,519

Colorado 413,000 424,900 424,900 0

Connecticut 413,000 424,900 424,900 0

Delaware 413,000 424,900 424,900 0

District Of Columbia 413,000 424,900 424,900 0

Florida 1,566,078 1,611,140 1,617,019 +5,879

Georgia 835,413 893,202 906,576 +13,374

Hawaii 413,000 424,900 424,900 0

Idaho 413,000 424,900 424,900 0

Illinois 1,090,492 1,118,985 1,103,113 -15,872

Indiana 577,922 600,262 605,208 +4,946

Iowa 413,000 424,900 424,900 0

Kansas 413,000 424,900 424,900 0

Kentucky 413,000 424,900 424,900 0

Louisiana 474,284 424,900 424,900 0

Maine 413,000 424,900 424,900 0

Maryland 447,277 460,344 454,093 -6,251

Massachusetts 502,230 515,059 509,576 -5,483

Michigan 909,275 936,728 943,081 +6,353

Minnesota 432,600 448,056 445,845 -2,211

Mississippi 413,000 424,900 424,900 0

Missouri 533,148 550,483 553,437 +2,954

Montana 413,000 424,900 424,900 0

Nebraska 413,000 424,900 424,900 0

Nevada 413,000 424,900 424,900 0

New Hampshire 413,000 424,900 424,900 0

New Jersey 683,451 697,603 685,673 -11,930

New Mexico 413,000 424,900 424,900 0

New York 1,570,379 1,579,588 1,559,440 -20,148

North Carolina 801,715 840,515 857,312 +16,797

North Dakota $413,000 $424,900 $424,900 $0

CMHS - 44 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CDFA #93.138 

STATE/TERRITORY FY 2008 Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference 

+/-2009 

Omnibus 

Ohio $1,044,075 $1,074,273 $1,071,016 -$3,257

Oklahoma 413,000 424,900 424,900 0

Oregon 413,000 424,900 424,900 0

Pennsylvania 1,082,602 1,107,644 1,095,594 -12,050

Rhode Island 413,000 424,900 424,900 0

South Carolina 413,145 429,192 435,433 +6,241

South Dakota 413,000 424,900 424,900 0

Tennessee 551,262 573,410 585,171 +11,761

Texas 2,057,933 2,140,710 2,154,714 +14,004

Utah 413,000 424,900 424,900 0

Vermont 413,000 424,900 424,900 0

Virginia 635,959 656,253 657,060 +807

Washington 544,728 559,347 554,256 -5,091

West Virginia 413,000 424,900 424,900 0

Wisconsin 493,495 510,279 510,256 -23

Wyoming 413,000 424,900 424,900 0

State Sub-total 32,448,233 33,374,837 33,368,509 -6,328

American Samoa 221,300 227,600 227,600 0

Guam 221,300 227,600 227,600 0

Northern Marianas 221,300 227,600 227,600 0

Puerto Rico 627,486 649,563 655,891 +6,328

Virgin Islands 221,300 227,600 227,600 0

Territory Sub-Total 1,512,686 1,559,963 1,566,291 +6,328

American Indian Consortium 221,300 227,600 227,600 0

Total States/Territories 34,182,219 35,162,400 35,162,400 0

Technical Assistance 697,781 717,600 717,600 0

TOTAL PAIMI $34,880,000 $35,880,000 $35,880,000 $0

CMHS - 45 
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CMHS - 46 
Projects for Assistance in Transition from Homelessness 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget 

Authority........................... $53,313,000 $59,687,000 $68,047,000 +$8,360,000

Authorizing Legislation.......................................Section 521 of the Public Health Service Act 

FY 2010 Authorization.......................................................................................Expired 

Allocation Method.....................................................................................Formula grant 

Program Description and Accomplishments

Established in 1991, the Projects for Assistance in Transition from Homelessness (PATH) 

formula grant program funds community-based support services to individuals with serious 

mental illnesses who are homeless or at risk of becoming homeless. The PATH program 

provides grants to 56 States and U.S. Territories. States and Territories use PATH grants to 

fund 481 local governmental agencies and private nonprofit organizations to provide support 

services, including outreach, screening and diagnostic treatment, community mental health 

services, alcohol and drug treatment, supervisory services in residential settings, and referrals 

to other needed services. Grant funds help link hard-to-reach persons who are homeless with 

mental health and substance abuse treatment and housing, regardless of the severity and 

duration of their illnesses. 

The 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 persons who have the most serious impairments. The budget will support 56 

grants to States and Territories, technical assistance, and evaluation. 

In FY 2007, the PATH program contacted 142,352 homeless persons, 9.6 percent short of the 

target of 157,500. The program will implement intensive technical assistance and monitoring 

activities to work with the states on strategies and best practices for increasing their 

performance on the National Outcome Measures. One change the program is making to 

address this issue concerns the fact that PATH programs are required to match $1 for every $3 

of Federal funds. Previously PATH providers reported on the number of persons served by 

federal PATH funds only. With a pending OMB clearance expected July 2009, providers will 

now report on all persons served using Federal and match funds. 

The PATH program is collaborating with the Department of Housing and Urban Development 

(HUD) Homeless Management Information System (HMIS) to assist in obtaining outcome data 

from PATH-funded efforts and to revise the PATH annual data collection instrument and 

procedures to align them with data elements in the HMIS. The PATH program has defined 

outreach contact and is currently defining enrollment to assure more consistent data collection. 

CMHS - 47 
Through a series of technical assistance activities and discussions with HUD the PATH data 

collection and reporting system will be redesigned and new data elements defined. 

The program established a PATH consumer-provider network that is developing a consumer 

involvement curriculum. Providers will use a web-based system to register their programs, 

collect data, post and reply to forms and identify and share resources. 

PATH underwent a performance assessment in 2002. The assessment cited strong clear 

purpose, appropriate design, and progress toward performance goals as strong attributes of the 

program. As a result of the performance assessment, the program is collaborating with the 

Department of Housing and Urban Development on performance measures, conducting an 

independent evaluation, and evaluating its technical assistance component. 

Funding History 

FY Amount 

2005 $54,809,000 

2006 $54,223,000 

2007 $54,261,000 

2008 $53,313,000 

2009 $59,687,000 

Data Elements Used to Calculate State Allotments 

PATH Formula Grant – FY 2010 

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 four Territories. 

Budget Request 

The FY 2010 President’s Budget request is $68.0 million, an increase of $8.4 million above the 

FY 2009 Omnibus level. The request will support 56 grants to States and Territories. Thirtyfour States and Territories will receive an increased allotment and 22 States and Territories will 

receive the same minimum allotment as FY 2009. A total of 160,000 persons will be served in 

FY 2010 at a targeted average cost of $668. As this program’s grants 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 2010 funding will be reflected in the targets set for 2011. The FY 

2010 President’s Budget request for PATH is anticipated to serve an additional 11,000 

homeless persons. 

CMHS - 48 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Outcomes and Outputs 

Table 9: Key Performance Indicators for Projects to Assist in the Transition from Homelessness 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

3.4.15: Increase the percentage of 

enrolled homeless persons who 

receive community mental health 

services (Outcome) 

FY 2007: 37% 

(Target Not 

Met) 

46% 47% +1 

3.4.16: Increase number of homeless 

persons contacted (Outcome) 

FY 2007: 

142,352 

(Target Not 

Met) 

151,000 160,000 +9,000 

3.4.17: Increase percentage of 

contacted homeless persons with 

serious mental illness who become 

enrolled in services (Outcome) 

FY 2007: 55% 

(Target 

Exceeded) 

55% 55% Maintain 

3.4.18: Average Federal cost of 

enrolling a homeless person with 

serious mental illness in services

(Efficiency) 

FY 2007: $674

(Target Not 

Met) 

$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 2008: 4,927

(Baseline) 

4,927 4,927 Maintain 

 

CMHS - 49 
Sub ion 

Projects for Assistance in Transition from Homelessness (PATH) 

 

STATE/TERRITORY FY 2008 Actual

FY 2009 

FY 2010 

P Difference +/-

 

labama $472,000 $535,000 $619,000 +$84,000

 

1 1 +167,0

 

7 8 9 +1,283,0

olorado 781,000 886,000 1,024,000 +138,000

a 

3 3 4 +577,0

eorgia 1,217,000 1,382,000 1,596,000 +214,000

2 2 3 +417,0

 

wa 300,000 307,000 355,000 +48,000

+

aryland 1,032,000 1,172,000 1,354,000 +182,000

 

issouri 751,000 852,000 985,000 +133,000

+72,0

 

ew Jersey 1,884,000 2,139,000 2,471,000 +332,000

3 4 4 +665,0

$

stance Abuse and Mental Health Services Administrat

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

 

CDFA # 93.150 

Omnibus 

resident's

Budget 2009 Omnibus

A

Alaska 300,000 300,000 300,000 0

Arizona 950,000 ,078,000 ,245,000 00

Arkansas 300,000 300,000 300,000 0

California ,277,000 ,261,000 ,544,000 00

 

C

Connecticut 692,000 786,000 908,000 +122,000

Delaware 300,000 300,000 300,000 0

District Of Columbi 300,000 300,000 300,000 0

Florida ,273,000 ,715,000 ,292,000 00

 

G

Hawaii 300,000 300,000 300,000 0

Idaho 300,000 300,000 300,000 0

Illinois ,366,000 ,686,000 ,103,000 00

Indiana 829,000 941,000 1,087,000 +146,000

 

Io

Kansas 300,000 333,000 385,000 +52,000

Kentucky 381,000 432,000 499,000 +67,000

Louisiana 616,000 699,000 808,000 109,000

Maine 300,000 300,000 300,000 0

 

M

Massachusetts 1,369,000 1,554,000 1,796,000 +242,000

Michigan 1,598,000 1,814,000 2,096,000 +282,000

Minnesota 659,000 748,000 864,000 +116,000

Mississippi 300,000 300,000 300,000 0

 

M

Montana 300,000 300,000 300,000 0

Nebraska 300,000 300,000 300,000 0

Nevada 407,000 462,000 534,000 00

New Hampshire 300,000 300,000 300,000 0

 

N

New Mexico 300,000 300,000 300,000 0

New York ,767,000 ,276,000 ,941,000 00

North Carolina 914,000 1,037,000 1,198,000 +161,000

North Dakota 300,000 $300,000 $300,000 $0

CMHS - 50 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Projects for Assistance in Transition from Homelessness (PATH) 

CDFA # 93.150 

STATE/TERRITORY 

FY 2008 

Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference +/-

2009 

Omnibus 

Ohio $1,776,000 $2,017,000 $2,330,000 +$313,000

Oklahoma 360,000 409,000 473,000 +64,000

Oregon 480,000 545,000 630,000 +85,000

Pennsylvania 1,995,000 2,265,000 2,616,000 +351,000

Rhode Island 300,000 300,000 300,000 0

South Carolina 455,000 517,000 597,000 +80,000

South Dakota 300,000 300,000 300,000 0

Tennessee 720,000 818,000 945,000 +127,000

Texas 3,595,000 4,081,000 4,715,000 +634,000

Utah 425,000 482,000 557,000 +75,000

Vermont 300,000 300,000 300,000 0

Virginia 1,145,000 1,300,000 1,502,000 +202,000

Washington 1,046,000 1,187,000 1,371,000 +184,000

West Virginia 300,000 300,000 300,000 0

Wisconsin 691,000 784,000 906,000 +122,000

Wyoming 300,000 300,000 300,000 0

State Sub-total 49,923,000 55,900,000 63,746,000 +7,846,000

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 845,000 959,000 1,108,000 +149,000

Virgin Islands 50,000 50,000 50,000 0

Territory Sub-Total 1,045,000 1,159,000 1,308,000 +149,000

Total States/Territories 50,968,000 57,059,000 65,054,000 +7,995,000

Set Aside 2,345,000 2,628,000 2,993,000 +365,000

TOTAL PATH $53,313,000 $59,687,000 $68,047,000 +$8,360,000

CMHS - 51 
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CMHS - 52 
Community Mental Health Services Block Grant 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Program 

Level.............................. $420,774,000 $420,774,000 $420,774,000 $0

PHS Evaluation Funds (nonadd)...... (21,039,000) (21,039,000) (21,039,000) 0

Authorizing Legislation.....................................Section 1911 of the Public Health Service Act 

FY 2010 Authorization........................................................................................Expired 

Allocation Method.....................................................................................Formula grant 

Program Description and Accomplishments

Since 1992, the Community Mental Health Services Block Grant distributes funds to 59 eligible 

States and Territories through a formula based upon specified economic and demographic 

factors. Applications for FY 2010 grants are due by 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. Major 

provisions of the current law include a Maintenance of Effort requirement for States and a 

provision that ensures that when the application of the formula results in lowered funding for a 

particular State, the allotment will not be less than that received in FY 1998. 

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 

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 five-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. 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 

CMHS - 53 
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 National Outcome Measures 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 2007 show that: 

• For the 49 States that reported data in the Employment Domain, 21 percent of the 

mental health consumers were in competitive employment. (This is an expansion of the 

reporting base by one State.) 

• For the 49 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 20 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 46 States that reported data in the Perception of Care Domain, 71 percent of 

adult mental health consumers and 75 percent of families of child/adolescent consumers 

reported that, as a direct result of the mental health services they received, they were 

doing better. 

• In addition to Uniform Reporting System, a pilot test of collection of client level outcome 

data is currently in process in nine States. 

The Mental Health Block Grant underwent a performance assessment in 2003. The 

assessment cited clear purpose and need, effective performance measures, and sound 

management as strong attributes of the program. As a result of the performance assessment, 

the program conducted an independent evaluation. 

The independent evaluation study of the program has been completed and a draft report is 

under review for tentative publication in late 2009. 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 received by all states. The second submission will be received in September which will 

allow analysis of the client level data for measurement of the National Outcome Measures. 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. 

CMHS - 54 
Funding History 

FY Amount 

2000 $356,000,000 

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 

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 and FY 2009. 

Data Elements Used to Calculate State Allotments 

Population Data: States and the District of Columbia updated July 1, 2007 Population 

Estimates (Population-At-Risk Calculations) from U.S. Census Bureau; Territories updated 

population estimates as of July 1, 2008 from U.S. Department of Commerce. 

Total Taxable Resources: 2004, 2005 and 2006 data from U.S. Department of Treasury 

Cost of Services Index: Wage Data from U.S. Census Bureau (2000 Census -16% Sample); 

Wage Data for Base Year (FY 1999) and Recent Year (FY 2005) from Centers for Medicare and 

Medicaid Services (CMS); 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 2010 President’s Budget request is $420.8 million, the same level of funding as the 

FY 2009 Omnibus level. This will support 59 grants to States and Territories. Thirty-three 

States and Territories will receive an increased allotment, 25 States and Territories will receive 

a decreased allotment and one territory will receive the same allotment as FY 2009. In 

accordance with the Authorization, no State will receive less than the amount received in 1998. 

The program expects to serve 6.3 million persons in FY 2010. The Community Mental Health 

Services 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 

meeting the Maintenance of Effort requirement in the Federal FY 2010 grant cycle, and is 

monitoring the situation closely. 

CMHS - 55 
Center for Mental Health Services Set-Aside Activities 

(Dollar in thousands) 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request

Funding Sources

Budget Authority

Program Management $990 $2,000 $2,000

National Health Interview Survey (non-add) 0 2,000 2,000

NSDUH Mental Health Surveillance (non-add) 990 0 0

PHS Evaluation Funds

Mental Health Block Grant Set-Aside 21,039 21,039 21,039

Program Management 0 1,000 1,000

NSDUH Mental Health Surveillance (non-add) 0 1,000 1,000

 

Total Program Level $22,029 $24,039 $24,039

Mental Health Block Grant Set-Aside Activities

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request

State Data Systems

State Data Infrastructure Grants $7,190 $7,259 $7,060

State Data Infrastructure Contracts 730 432 434

Data Strategy Implementation 750 0 0

Subtotal, State Data Systems 8,670 7,691 7,494

National Data Collection

National MH Data Contracts 2,678 2,822 2,675

Subtotal - National Data Collection 2,678 2,822 2,675

Technical Assistance (TA)

TA to States 7,427 8,020 8,309

FTE Support 1,888 2,133 2,133

Subtotal, Technical Assistance 9,315 10,153 10,442

Program Evaluation

Development of Spending Estimates for MH/SAT 376 373 428

 0 0 0

Subtotal, Program Evaluation 376 373 428

TOTAL, MH Block Grant Set-Aside $21,039 $21,039 $21,039

CMHS - 56 
 

7 National average of evidence-based practices per state, based on 35 states reporting. 

Excludes Medication Management and Illness Self-Management, which continue to undergo 

definitional clarification.

Outcomes and Outputs 

Table 10: Key Performance Indicators for Mental Health Block Grant 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

2.3.07: Reduce rate of adult 

readmissions to State psychiatric 

hospitals within 30 days; and within 

180 days: 1) Adults: a) 30 days

(Outcome) 

FY 2007: 9.8%

(Target Not 

Met) 

8.5% 9.3% +0.8 

2.3.08: 1) Adults: b) 180 days

(Outcome) 

FY 2007: 

20.3% 

(Target Not 

Met) 

19% 20% +1 

2.3.09: 2) Children/adolescents: a) 30 

days (Outcome) 

FY 2007: 6.7%

(Target Not 

Met) 

5.8% 6.5% +0.7 

2.3.10: 2) Children/adolescents: b) 180 

days (Outcome) 

FY 2007: 

15.3% 

(Target Not 

Met) 

13.9% 14.5% +0.6 

2.3.11: Number of a) evidence based 

practices (EBPs) implemented

(Output)7

FY 2007: 4.0 

per State 

(Target Met) 

4.0 per State 4.1 per State +0.1 

2.3.12: b) Adults-percentage of 

population coverage for each (reported 

as percentage of service population 

receiving any evidence based practice)

(Output)7

FY 2007: 9.4%

(Target Not 

Met) 

10.5% 10.5% Maintain 

2.3.13: c) Children-percentage of 

population coverage for each (reported 

as percentage of service population 

receiving any evidence-based practice)

(Output)

FY 2007: 3.2%

(Target Not 

Met but 

Improved) 

3.5% 3.5% Maintain 

2.3.15: Increase rate of 

consumers/family members reporting 

positively about outcomes (a) Adults

(Outcome) 

FY 2007: 71% 

(Target Not 

Met) 

72% 72% Maintain 

CMHS - 57 
Measure Most Recent FY 2009 FY 2010 FY 2010 +/- FY 

Result Target Target 2009 

2.3.16: (b) Children/adolescents

(Outcome) 

FY 2007: 65% 

(Target Not 

Met) 

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 2007: 6.5 

(Target 

Exceeded) 

6.5 7.0 +0.5 

2.3.14: Increase number of people 

served by the public mental health 

system (Output) 

FY 2007: 

6,121,641 

(Target 

Exceeded) 

6,250,000 6,300,000 +50,000 

 

 

CMHS - 58 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Community Mental Health Services Block Grant Program 

CFDA # 93.958 

STATE/TERRITORY FY 2008 Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference +/-

2009 Omnibus 

Alabama $6,101,396 $6,013,207 $6,030,049 +$16,842

Alaska 705,753 728,540 710,941 -17,599

Arizona 8,656,051 8,956,296 9,383,677 +427,381

Arkansas 3,646,344 3,634,304 3,687,284 +52,980

California 53,728,412 53,996,249 53,676,045 -320,204

Colorado 6,196,233 6,347,251 6,560,592 +213,341

Connecticut 4,385,316 4,323,899 4,233,212 -90,687

Delaware 767,972 733,354 730,894 -2,460

District Of Columbia 715,759 766,324 772,964 +6,640

Florida 26,755,292 26,953,073 26,711,963 -241,110

Georgia 12,612,015 12,892,617 13,141,697 +249,080

Hawaii 1,877,425 1,885,108 1,991,184 +106,076

Idaho 1,808,310 1,816,862 1,806,946 -9,916

Illinois 16,023,807 16,103,252 15,774,494 -328,758

Indiana 7,589,128 7,702,238 7,887,788 +185,550

Iowa 3,500,167 3,368,868 3,370,840 +1,972

Kansas 3,142,789 3,080,605 3,116,308 +35,703

Kentucky 5,369,455 5,358,519 5,420,187 +61,668

Louisiana 6,155,074 5,435,135 5,293,123 -142,012

Maine 1,679,381 1,659,600 1,649,042 -10,558

Maryland 7,490,939 7,558,544 7,281,807 -276,737

Massachusetts 7,889,898 7,904,060 8,050,963 +146,903

Michigan 13,088,713 13,164,191 12,810,013 -354,178

Minnesota 6,788,079 6,703,938 6,831,525 +127,587

Mississippi 4,054,984 3,930,816 3,942,229 +11,413

Missouri 6,885,783 6,842,569 6,959,268 +116,699

Montana 1,217,732 1,178,481 1,191,479 +12,998

Nebraska 1,973,901 1,925,411 1,943,546 +18,135

Nevada 3,653,450 3,698,333 3,678,154 -20,179

New Hampshire 1,587,666 1,603,631 1,510,763 -92,868

New Jersey 11,504,577 11,642,070 11,561,060 -81,010

New Mexico 2,368,183 2,326,829 2,365,487 +38,658

New York 24,677,376 24,217,281 23,725,265 -492,016

North Carolina 10,962,898 11,136,055 11,162,694 +26,639

North Dakota $779,224 $729,870 $746,161 +$16,291

CMHS - 59 
CMHS - 60 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Community Mental Health Services Block Grant Program 

CFDA # 93.958 

STATE/TERRITORY FY 2008 Actual

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference +/-

2009 Omnibus 

Ohio $13,878,013 $13,790,311 $13,695,234 -$95,077

Oklahoma 4,498,053 4,375,251 4,390,515 +15,264

Oregon 4,759,945 4,768,537 4,963,996 +195,459

Pennsylvania 14,928,203 14,812,107 14,485,712 -326,395

Rhode Island 1,506,191 1,469,007 1,387,146 -81,861

South Carolina 5,641,259 5,665,574 5,726,309 +60,735

South Dakota 848,438 838,929 863,186 +24,257

Tennessee 7,748,996 7,708,555 7,723,117 +14,562

Texas 31,081,338 31,567,780 32,209,069 +641,289

Utah 2,937,119 2,936,131 3,048,064 +111,933

Vermont 761,207 747,755 743,593 -4,162

Virginia 10,095,316 10,150,102 9,999,072 -151,030

Washington 8,339,200 8,343,715 8,463,723 +120,008

West Virginia 2,459,103 2,426,831 2,411,707 -15,124

Wisconsin 7,415,204 7,349,062 7,463,832 +114,770

Wyoming 502,354 471,948 455,056 -16,892

State Sub-total 393,739,421 393,738,975 393,738,975 0

American Samoa 78,196 78,196 84,418 +6,222

Guam 211,293 211,293 229,028 +17,735

Marshall Islands 69,392 69,391 82,265 +12,874

Micronesia 146,055 146,055 140,202 -5,853

Northern Marianas 94,480 94,480 112,792 +18,312

Puerto Rico 5,198,372 5,198,366 5,154,286 -44,080

Palau 50,000 50,000 50,000 0

Virgin Islands 148,244 148,244 143,034 -5,210

Territory Sub-Total 5,996,032 5,996,025 5,996,025 0

Total States/Territories 399,735,453 399,735,000 399,735,000 0

SAMHSA Set-Aside 21,038,547 21,039,000 21,039,000 0

TOTAL, MHBG $420,774,000 $420,774,000 $420,774,000 $0
Table of Contents 

Center for Substance Abuse Prevention (CSAP) Page 

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

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

3. Summary of Activities..............................................................................................................4 

4. Mechanism Table by Summary of Activities............................................................................5 

5. Strategic Prevention Framework State Incentive Grants ......................................................10 

6. Sober Truth on Preventing Underage Drinking Act (STOP Act)............................................14 

7. Other Capacity Activities .......................................................................................................18 

8. Science and Service Activities ..............................................................................................24 

9. SAPT Block Grant 20% Prevention Set-aside.......................................................................30 
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Center for Substance Abuse Prevention 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

CAPACITY 

Grants/Cooperative Agreements: 

Continuations..................................................... 140$112,595237 $83,963205$102,079 -32+$18,116

New/Competing................................................. 151 25,982 64 53,445 93 33,445+29 -20,000

Supplements...................................................... 0 0 12 1,186 0 0 -12 -1,186

Subtotal.......................................................... 291 138,577301 138,594298 135,524 -3 -3,070

Contracts: 

Continuations..................................................... 10 22,384 16 31,306 18 34,511 +2 +3,205

New.................................................................... 8 5,489 5 3,712 3 851 -2 -2,861

Subtotal........................................................... 18 27,873 21 35,018 21 35,362 0 +344

Technical Assistance......................................... 0 0 0 0 0 0 0 0

Review Cost....................................................... 1 479 1 800 1 782 0 -18

Subtotal.......................................................... 19 28,352 22 35,818 22 36,144 0 +326

 

Subtotal, Capacity.............................................. 310 166,929323 174,412320 171,668 -3 -2,744

 

SCIENCE AND SERVICE 

Grants/Cooperative Agreements: 

Continuations..................................................... 0 0 6 71 6 71 0 0

 New/Competing................................................ 13 260 8 200 8 200 0 0

Subtotal.......................................................... 13 260 14 271 14 271 0 0

Contracts: 

Continuations..................................................... 14 22,008 9 23,230 9 25,320 0 +2,090

 New................................................................... 2 4,923 2 3,090 1 1,000 -1 -2,090

Subtotal, Contracts...................................... 16 26,931 11 26,320 10 26,320 -1 0

Technical Assistance......................................... 0 0 0 0 0 0 0 0

Review Cost....................................................... 0 0 0 0 0 0 0 0

Subtotal.......................................................... 16 26,931 11 26,320 10 26,320 -1 0

 

Subtotal, Science and Service.......................... 29 27,191 25 26,591 24 26,591 -1 0

 

TOTAL, PRNS..................................................... 339$194,120348$201,003344$198,259 -4 -$2,744

CSAP - 1 

 
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CSAP - 2 

 
Center for 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, (a) Capacity, and (b) 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 2010 President’s Budget Request of $198.3 million for Substance Abuse Prevention 

PRNS includes: 

• $110 million for the Strategic Prevention Framework State Incentive Grant Program to 

support 47 grants to States, Territories and Tribal organizations to implement the 

Strategic Prevention Framework, and five Partnerships for Success (State and 

Community Prevention Performance) grants to encourage better State performance on 

prevention activities; 

• $7 million for Sober Truth on Preventing Underage Drinking (STOP Act) to continue 

addressing underage drinking issues; 

• $54.7 million for other Capacity activities including Mandatory Drug Testing, Minority 

AIDS, Methamphetamine, and Program Coordination/Data Coordination and 

Consolidation Center; 

• $26.6 million for Science and Service activities, including Fetal Alcohol Spectrum 

Disorder, Center for the Application of Prevention Technologies, 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 the Strategic Prevention Framework, has refined its outcome measures, and 

is improving data collection and reporting. 

CSAP - 3 

 
Center for Substance Abuse Prevention 

Programs of Regional and National Significance 

Summary of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus

 CAPACITY: 

Strategic Prevention Framework State 

Incentive Grant $103,271 $110,003 $110,003 $0

 Partnerships for Success (State and 

Community Prevention Performance) (non-add) 0 9,333 11,666 +2,333

Mandatory Drug Testing 5,467 5,206 5,206 0

Minority AIDS 39,261 41,385 41,385 0

Methamphetamine 3,967 1,774 1,774 0

Program Coordination/Data Coordination and 

Consolidation Center 5,907 6,300 6,300 0

Sober Truth on Preventing Underage Drinking 

(STOP Act) 5,404 7,000 7,000 0

 National Adult-Oriented Media Public 

Service Campaign (non-add) 983 1,000 1,000 0

 Community-based Coalition Enhancement 

Grants (non-add) 3,930 5,000 5,000 0

 Intergovernmental Coordinating Committee 

on the Prevention of Underage Drinking-ICCPUD 

(non-add) 491 1,000 1,000 0

Congressional Projects 3,652 2,744 --- -2,744

Subtotal, Capacity 166,929 174,412 171,668 -2,744

 

 SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder 9,821 9,821 9,821 0

Center for the Application of Prevention 

Technologies 8,678 8,511 8,511 0

Best Practices Program Coordination 5,233 4,789 4,789 0

National Registry of Evidence-based 

Programs and Practices 650 650 650 0

SAMHSA Health Information Network 2,749 2,749 2,749 0

Minority Fellowship Program 60 71 71 0

Subtotal, Science and Service 27,191 26,591 26,591 0

 

TOTAL, PRNS $194,120 $201,003 $198,259 -$2,744

CSAP - 4 

 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

CAPACITY: 

Strategic Prevention Framework SIG Program 

Grants 

Continuations........................................................................... 42 $86,788 21 $40,703 46 $77,031+25+$36,328

New/Competing....................................................................... 0 0 30 47,988 7 11,334 -23 -36,654

Subtotal.................................................................................... 42 86,788 51 88,691 53 88,365 +2 -326

Contracts 

Continuations........................................................................... 3 15,441 6 19,230 9 21,638 +3 +2,408

New.......................................................................................... 3 1,042 3 2,082 0 0 -3 -2,082

Subtotal.................................................................................... 6 16,483 9 21,312 9 21,638 0 +326

Total, Strategic Prevention Framework SIG Program 48 103,271 60 110,003 62 110,003 +2 0

Mandatory Drug Testing 

Grants 

Continuations........................................................................... 6 1,800 0 0 0 0 0 0

New/Competing....................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 6 1,800 0 0 0 0 0 0

Contracts 

Continuations........................................................................... 4 694 6 4,576 4 4,355 -2 -221

New.......................................................................................... 3 2,973 1 630 3 851 +2 +221

Subtotal.................................................................................... 7 3,667 7 5,206 7 5,206 0 0

Total, Mandatory Drug Testing 13 5,467 7 5,206 7 5,206 0 0

Minority AIDS 

Grants 

Continuations........................................................................... 80 20,040 135 38,737 60 20,048 -75 -18,689

New/Competing....................................................................... 55 18,400 5 1,648 80 20,337+75 +18,689

Subtotal.................................................................................... 135 38,440 140 40,385140 40,385 0 0

Contracts 

Continuations........................................................................... 1 342 1 1,000 1 1,000 0 0

New.......................................................................................... 1 479 0 0 0 0 0 0

Subtotal.................................................................................... 2 821 1 1,000 1 1,000 0 0

Total, Minority AIDS 137 39,261 141 41,385141 41,385 0 0

Methamphetamine 

Grants 

Continuations........................................................................... 12 3,967 2 588 0 0 -2 -588

New/Competing....................................................................... 0 0 0 0 6 1,774 +6 +1,774

 Supplements........................................................................ 0 0(12) 1,186 0 0(12) -1,186

Subtotal.................................................................................... 12 3,967 2 1,774 6 1,774 +4 0

Total, Methamphetamine 12 3,967 2 1,774 6 1,774 +4 0

CSAP - 5 

 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Program Coordination/Data Coordination and 

Consolidation Center 

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 5,907 3 6,300 3 6,300 0 0

New.......................................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 2 5,907 3 6,300 3 6,300 0 0

 Total, Program Coordination/Data Coordination and 

Consolidation Center 2 5,907 3 6,300 3 6,300 0 0

Sober Truth on Preventing Underage Drinking (STOP 

Act) 

Grants 

Continuations........................................................................... 0 0 79 3,935 99 5,000 20 +1,065

New/Competing....................................................................... 79 3,930 20 1,065 0 0 -20 -1,065

Subtotal.................................................................................... 79 3,930 99 5,000 99 5,000 0 0

Contracts 

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

New.......................................................................................... 2 1,474 1 1,000 0 0 -1 -1,000

Subtotal.................................................................................... 2 1,474 2 2,000 2 2,000 0 0

Total, Sober Truth on Preventing Underage Drinking 

(STOP Act) 81 5,404101 7,000101 7,000 0 0

Congressional Projects 

Grants 

Continuations........................................................................... 0 0 0 0 0 0 0 0

New/Competing....................................................................... 17 3,652 9 2,744 0 0 -9 -2,744

Subtotal.................................................................................... 17 3,652 9 2,744 0 0 -9 -2,744

Total, Congressional Projects 17 3,652 9 2,744 0 0 -9 -2,744

Subtotal, Capacity 310 166,929323 174,412320 171,668 -3 -2,744

CSAP - 6 

 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Program Coordination/Data Coordination and 

Consolidation Center 

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 5,907 3 6,300 3 6,300 0 0

New.......................................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 2 5,907 3 6,300 3 6,300 0 0

 Total, Program Coordination/Data Coordination and 

Consolidation Center 2 5,907 3 6,300 3 6,300 0 0

Sober Truth on Preventing Underage Drinking (STOP 

Act) 

Grants 

Continuations........................................................................... 0 0 79 3,935 99 5,000 20 +1,065

New/Competing....................................................................... 79 3,930 20 1,065 0 0 -20 -1,065

Subtotal.................................................................................... 79 3,930 99 5,000 99 5,000 0 0

Contracts 

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

New.......................................................................................... 2 1,474 1 1,000 0 0 -1 -1,000

Subtotal.................................................................................... 2 1,474 2 2,000 2 2,000 0 0

Total, Sober Truth on Preventing Underage Drinking 

(STOP Act) 81 5,404101 7,000101 7,000 0 0

Congressional Projects 

Grants 

Continuations........................................................................... 0 0 0 0 0 0 0 0

New/Competing....................................................................... 17 3,652 9 2,744 0 0 -9 -2,744

Subtotal.................................................................................... 17 3,652 9 2,744 0 0 -9 -2,744

Total, Congressional Projects 17 3,652 9 2,744 0 0 -9 -2,744

Subtotal, Capacity 310 166,929323 174,412320 171,668 -3 -2,744

CSAP - 7 

 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/-

FY 2009 

Omnibus

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

SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder 

Contracts 

Continuations........................................................................... 1 9,821 1 9,821 1 9,821 0 0

New.......................................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 1 9,821 1 9,821 1 9,821 0 0

Total, Fetal Alcohol Spectrum Disorder 1 9,821 1 9,821 1 9,821 0 0

Center for the Application of Prevention Technologies 

Grants 

Continuations........................................................................... 0 0 0 0 0 0 0 0

New/Competing....................................................................... 8 200 8 200 8 200 0 0

 Supplements........................................................................ 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 8 200 8 200 8 200 0 0

Contracts 

Continuations........................................................................... 3 3,555 2 8,311 2 8,311 0 0

New.......................................................................................... 2 4,923 0 0 0 0 0 0

Subtotal.................................................................................... 5 8,478 2 8,311 2 8,311 0 0

Total, Center for the Application of Prevention 

Technologies 13 8,678 10 8,511 10 8,511 0 0

Best Practices 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........................................................................... 8 5,233 4 1,699 4 3,789 0 +2,090

New.......................................................................................... 0 0 2 3,090 1 1,000 -1 -2,090

Subtotal.................................................................................... 8 5,233 6 4,789 5 4,789 -1 0

Total, Best Practices Program Coordination 8 5,233 6 4,789 5 4,789 -1 0

National Registry of Evidence-based Programs and 

Practices 

Contracts 

Continuations........................................................................... 1 650 1 650 1 650 0 0

New.......................................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 1 650 1 650 1 650 0 0

 Total, National Registry of Evidence-based Programs and 

Practices 1 650 1 650 1 650 0 0

CSAP - 8 

 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

SAMHSA Health Information Network 

Contracts 

Continuations........................................................................... 1 2,749 1 2,749 1 2,749 0 0

New.......................................................................................... 0 0 0 0 0 0 0 0

Subtotal.................................................................................... 1 2,749 1 2,749 1 2,749 0 0

Total, SAMHSA Health Information Network 1 2,749 1 2,749 1 2,749 0 0

Minority Fellowship Program 

Grants 

Continuations........................................................................... 0 0 6 71 6 71 0 0

New/Competing....................................................................... 5 60 0 0 0 0 0 0

Subtotal.................................................................................... 5 60 6 71 6 71 0 0

Total, Minority Fellowship Program 5 60 6 71 6 71 0 0

Subtotal, Science and Service 29 27,191 25 26,591 24 26,591 -1 0

TOTAL, PRNS 339$194,120348$201,003 344$198,259 -4 -$2,744

CSAP - 9 

 
Strategic Prevention Framework State Incentive Grants 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus

Budget 

Authority.................................... $103,271,000 $110,003,000 $110,003,000 $0

Authorizing Legislation.............................................................. Sections 516 of the PHS Act 

FY 2010 Authorization ........................................................................................................Expired 

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

Program Description and Accomplishments 

Established in 2004, the Strategic Prevention Framework State Incentive Grant (SPF SIG) 

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. 

For more than a century, the public health approach to prevention has enhanced the quality of 

life for millions of Americans. Today, the power of prevention is being used to help prevent, 

delay, and/or reduce disability from chronic disease and illness, including substance abuse and 

mental illnesses, which takes a toll on health, education, workplace productivity, community 

involvement, and overall quality of life. SAMHSA’s Strategic Prevention Framework takes a 

public health approach for the prevention of substance abuse. 

By the end of FY 2010, a total of 68 awards will be granted to implement the Strategic 

Prevention Framework. Since this program aims to change systems and outcomes at the State 

level, outcome data will be the percentage of States that achieve increases or reductions on 

each indicator at the State level, using State estimates from the National Survey on Drug Use 

and Health (NSDUH). 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 the extent to which programs and services may be described, 

and has served as the catalyst for data-driven assessment and decision making at all levels. 

Results from analyses of latest available data from 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 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. 

Available data also suggest that the SPF SIG program is successful in assisting States and their 

communities to improve their quality of life related to alcohol use. For example, FY 2008 data 

CSAP - 10 

 
based on 2006 NSDUH survey indicate that the percent of States with decrease in State level 

estimates of percent of respondents who report 30-day use of alcohol met its target for persons 

21 and older. Use of NSDUH data to reflect effectiveness of SPF SIG Program is limited by the 

fact that reporting of the most current data is delayed by approximately two years. 

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 (State and Community Prevention Performance program) 

In FY 2009, CSAP will fund a new five year grant program under the Strategic Prevention 

Framework that will build on the success of the SPF SIG program. The new Partnerships for 

Success: the State and Community Prevention Performance program is designed to provide 

eligible States, Tribes and U.S. Territories with grants to achieve a quantifiable decline in Statewide substance abuse rates, incorporating an incentive award to grantees that have reached or 

exceeded their prevention performance targets. Applicants are required to set a State-wide 

prevention performance target and strongly encouraged to leverage and coordinate Federal 

State-generated funding to ensure sufficient impact to meet their performance targets. Grant 

awards will be made to applicants who can demonstrate the infrastructure and demonstrated 

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. 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 SPF SIG from 

SAMHSA. In FY 2009, SAMHSA plans to fund four awards. 

Funding History 

FY Amount 

2005 $ 88,032,000 

2006 $105,844,000 

2007 $105,324,000 

2008 $103,271,000 

2009 $110,003,000 

Budget Request 

The FY 2010 President's Budget request is $110.0 million, the same level of funding as the 

FY 2009 Omnibus level. The request will fund all 46 grant and nine contract continuations, as 

well as seven new grants. 

CSAP - 11 

 
 

Outcomes and Outputs 

Table 1: Key Performance Indicators for Strategic Prevention Framework State Incentive Grants 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

2.3.20: 30-day use of other illicit drugs 

age 12 and up (Outcome) 

FY 2005: 8.6%

(Baseline) 

N/A 5% N/A 

2.3.21: Percent of SPF SIG States 

showing a decrease in state level 

estimate of percent of survey 

respondents who report 30-day use of 

alcohol a) age 12-20 (Outcome) 

FY 2008: 

47.1% 

(Target Not 

Met) 

51.8% 50.4% -1.4 

2.3.22: b) age 21 and up (Outcome) FY 2008: 

41.2% 

(Target 

Exceeded)1

 

32.3% 31.4% -0.9 

2.3.23: Percent of SPF SIG states 

showing a decrease in state level 

estimates of survey respondents who 

report 30-day use of other illicit drugs 

a) age 12-17 (Outcome) 

FY 2008: 

55.9% 

(Target Not 

Met) 

61.5% 59.8% -1.7 

2.3.24: b) age 18 and up (Outcome) FY 2008: 

29.4% 

(Target Not 

Met) 

48.5% 47.2% -1.3 

2.3.25: Percent of SPF SIG states 

showing an increase in state level 

estimates of survey respondents who 

rate the risk of substance abuse as 

moderate or great a) age 12-17

(Outcome) 

FY 2008: 50% 

(Target Not 

Met) 

80.9% 78.7% -2.2 

2.3.26: b) age 18 and up (Outcome) FY 2008: 

29.4% 

(Target Not 

Met) 

51.8% 50.4% -1.4 

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: 

67.6% 

(Target Not 

Met) 

87% 84.9% -2.1 

1 Data revised from previously reported.

CSAP - 12 

 
Measure Most Recent FY 2009 FY 2010 FY 2010 +/- FY 

Result Target Target 2009 

 

2.3.28: Number of evidence-based 

policies, practices, and strategies 

implemented: cumulative (Output) 

FY 2008: 781 

(Target 

Exceeded) 

1166 1400 +234 

2.3.29: Percent of grantee states that 

have performed needs assessments

(Output) 

FY 2008: 

100% 

(Target Met) 

100% 97%2

 -3 

2.3.30: Percent of grantee States that 

have submitted State plans (Output) 

FY 2008: 

95.2% 

(Target Not 

Met)3

 

95.2% 60%4

 -35.2 

2.3.31: Percent of grantee States with 

approved plans (Output) 

FY 2008: 

85.7% 

(Target Not 

Met) 

85.7% 54%4 -31.7 

2 Cohort 1: 100%; Cohort 2: 100%; Cohort 3: 94%

3 Includes 100% of Cohort I and 2 and 88% of Cohort 3

4 Cohort 1: 100%; Cohort 2: 100%;Cohort 3: 63%

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 42 51 53

Average Award $2,100,000 $1,700,000 $1,700,000

Range of Awards 

$400,000 - 

$2,400,000 

$500,000 - 

$2,400,000 

$500,000 - 

$2,400,000

CSAP - 13 

 
Sober Truth on Preventing Underage Drinking Act (STOP Act) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus 

Budget 

Authority..................................... $5,404,000 $7,000,000 $7,000,000 $0

Authorizing Legislation................................................................... Sections 519B of the PHS Act 

FY 2010 Authorization ..................................................................................................$8,000,000 

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 on preventing underage drinking or to add a focus on 

underage drinking prevention. This program will strengthen the collaborative efforts and 

increase participation among all stakeholders (e.g. community organizations, coalitions, local 

and State governments). The initial grants, funded in FY 2008, provided 79 four year grants to 

local communities with up to $50,000 per community per year. In FY 2009, 20 more grants will 

be awarded to strengthen the important efforts. 

Another component of the STOP Act is the National Adult-Oriented Media Public Services 

Campaign, with funding of $1 million in FY 2009. 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 10.7 million underage drinkers were provided free alcohol by adults 21 or older (2002-

2006 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 

channels, 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 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. 

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 2009. The 

Committee will support planning for the Annual Report on State Underage Drinking Prevention 

CSAP - 14 

 
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 

2005 $0 

2006 $0 

2007 $840,000 

2008 $5,404,000 

2009 $7,000,000 

Budget Request 

The FY 2010 President's Budget request is $7.0 million, the same level of funding as the 

FY 2009 Omnibus level. The request will fund 99 continuation grants and two contracts. 

Outcomes and Outputs

Table 2: Key Performance Indicators for Sober Truth on Preventing Underage Drinking 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

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) 

40% 41% +1 

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) 

62.2% 63.4% +1.2 

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) 

55.6% 56.7% +1.1 

CSAP - 15 

 
Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 79 99 99

Average Award $50,000 $50,000 $50,000

Range of Awards $32,000 - $50,000 $40,000 - $50,000 $40,000 - $50,000

CSAP - 16 

 
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CSAP - 17 

 
Other Capacity Activities 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus 

Budget 

Authority..................................... $58,254,000 $57,409,000 $54,665,000 

 -

$2,744,000

Authorizing Legislation..............516, 519B, 519E of the PHS Act and E.O. 12564 (drug testing) 

FY 2010 Authorization ........................................................................................................Expired 

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

Program Description and Accomplishments 

CSAP’s Other Capacity activities include Mandatory Drug Testing, Minority AIDS, 

Methamphetamine Prevention, and Program Coordination and Data Coordination and 

Consolidation 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 abuse, which takes a toll on health, education, workplace productivity, 

community involvement, and overall quality of life. 

Mandatory Drug Testing

The Mandatory Drug Testing program, initiated in 1998, provides funding and accreditation to 

organizations that perform mandatory drug testing for Federal and non-federal employees 

across the nation. The Lab Certification program is crucial for all national security clearance, 

pre-hire and periodic testing for over 400,000 of the approximately 1.7 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. In 

addition, the contract is critical to support employee drug testing federally mandated by the 

Department of Transportation and the Nuclear Regulatory Commission, in a total approximately 

6.8 million drug tests per year. 

Minority AIDS

Minority AIDS grants are awarded to community-based organizations in support of delivering 

and sustaining high quality and accessible substance abuse and HIV prevention. Funded 

programs target one or more of the following high-risk substance abusing populations in 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. The program was implemented in FY 

1999 and so far seven cohorts of grants have been funded, with currently 135 active grants 

funded from cohorts six and seven, and five more grants will be awarded in FY 2009. 

The Minority AIDS program succeeded in fulfilling its goal of providing prevention services to 

minority groups. The annual performance data for cohorts four, five, and six were consistent 

with the program goals. The number of persons served from communities with the greatest 

need for substance abuse/HIV/Hepatitis prevention services was 6,390. In addition, in FY 2007, 

CSAP - 18 

 
cohort six grantees implemented a total of 162 evidence-based prevention policies, practices 

and strategies. Baseline data and FY 2009 performance targets for additional performance 

measures relating to substance use and perception of harm have been established. Because 

grant awards are typically made late in the fiscal year, performance data generally are not 

reported until the fiscal year following the year of funding. Consequently, data on FY 2009 

targets will be reported in FY 2010. 

Cohort six consists of 80 five year planning and service grants (cooperative agreements) were 

awarded in September 2005 to use SAMHSA’s Strategic Prevention Framework (SPF) as the 

model on which grantees developed their long-range and annual strategic plans for delivering 

and sustainability of effective substance abuse/HIV/Hepatitis prevention services. Cohort seven 

consists of 55 five year cooperative agreements that were funded in September 2008 to 

community-based organizations to build a foundation for delivering and sustaining quality and 

accessible substance abuse/HIV prevention services. 

Methamphetamine Prevention

The Methamphetamine program, initiated in 2003, awards grants to communities that most 

need resources to combat the methamphetamine epidemic. CSAP’s Methamphetamine 

Prevention Grant program overarching goals are to: 1) provide community-based prevention 

intervention and infrastructure development; (2) increase collaboration and capacity to prevent 

methamphetamine use; (3) prevent and reduce frequency of methamphetamine use among at 

risk populations; (4) provide evidence-based culturally competent prevention programs; and, (5) 

provide information dissemination to community stakeholders about methamphetamine abuse. 

Methamphetamine prevention interventions support communities at risk for methamphetamine 

use. 

The Methamphetamine National Outcomes Measures (NOMS) preliminary results show youth 

participants ages 12-17 had lower perceptions of risk of harm at baseline compared to national 

averages (National Survey on Drug Use and Health (NSDUH) 2006) in these categories: 87 

percent of youth perceived smoking cigarettes at entry level as harmful compared to 92.6 

percent NSDUH respondents; 82 percent adult compared to 94 percent NSDUH respondents in 

the same category; 71 percent of youth perceived smoking marijuana once or twice as harmful 

compared to 82 percent NSDUH respondents; 60 percent of adults compared to 65 percent of 

NSDUH respondents in the same category; 74 percent of youth perceived having five or more 

drinks of alcohol once or twice a week as harmful compared to 77 percent of NSDUH 

respondents. Findings from participants resulted in 0.7 percent increase in knowledge of risk of 

harm; 12 percent for marijuana and 10 percent for alcohol. The program included one hundred 

twenty-two non-user matched cases at program entry for the past 30 days, with all remaining 

non-users at program exit. 

CSAP’s Methamphetamine Prevention program continues to successfully prevent the onset and 

reduce substance use including methamphetamine use in targeted communities with the 

greatest need. 

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 programs (except the 

Community Mental Health Services and Substance Abuse Prevention and Treatment Block 

Grant programs). CSAP uses the Data Information Technology Infrastructure Contract to 

CSAP - 19 

 
collection and store substance abuse prevention data and the Data Analysis, Coordination and 

Consolidation Center to conduct analyses across CSAP and external data sources on 

prevention target populations, services, outcomes, and trends for program evaluation and 

performance monitoring. 

 

Data Information Technology Infrastructure Contract

The Data Information Technology Infrastructure Contract (DITIC) serves as a centralized vehicle 

for the collection and warehousing of substance abuse prevention data. DITIC consolidates 

CSAP’s entire portfolio of data submission programs under a single contract. As such, the 

DITIC collects prevention performance data to address the CSAP performance goals of building 

capacity, enhancing effectiveness and improving accountability. Part of this effort was the 

development and implementation of an integrated system that will meet the full array of the 

agency needs. This integrated system supports the accountability and performance 

assessments of grantees by giving them the ability to report or submit information to CSAP 

through a single website. It enables the users to 1) submit data on the performance of their 

grant program and track the data as it integrated into the system; 2) maintain a historical log 

of statistics; and 3) generate or create ad hoc and canned reports. The system also provides 

CSAP senior management with ready access to data from all funded programs, which also 

facilitates effective supervision by project officers. The system also allows grantees to 

communicate more effectively with their project officer by allowing then to report their progress 

on-line. Currently this communication tool has been piloted for the Minority AIDS and 

Methamphetamine grant programs and will soon be expanded to the Strategic Prevention 

Framework State Incentive Grant program. The DITIC portal also provides access to prevention 

related training courses and publications. 

Data Analysis, Coordination and Consolidation Center

The Data Analysis, Coordination and Consolidation Center (DACCC) is CSAP’s main vehicle to 

collect prevention performance data. It serves as a centralized, comprehensive and 

coordinated data cleaning and analytic resources (for process, capacity, outcome and trend 

data for accountability, program planning and policy decisions.) Specifically, DACCC provides 

information and conducts analyses across CSAP and external data sources on prevention 

target populations, services, outcomes, and trends, including the monitoring and analysis of 

performance measurements to meet Federal reporting requirements for the Government 

Performance and Results Act (GPRA), National Outcome Measures (NOMS) and other 

demonstrations of accountability. Likewise, it tracks, monitors, performs secondary analyses 

and reports on data from other relevant studies and surveys in order to assess CSAP’s 

responsiveness to national needs and identifies important emerging issues for substance abuse 

prevention planning. DACCC also provides CSAP with a mechanism to obtain regularly 

scheduled and short turnaround, one time analytic reports. The DACCC serves as a resource 

to CSAP, its grantees and contractors to support the use and submission to CSAP of common 

valid and reliable data as determined by Federal data reporting requirements. This objective 

includes the development and/or promotion of common standards, formats, definitions, data 

collection protocols and instrument development to assure NOMs and GPRA, as well as other 

program specific requirements are met. It also serves as a mechanism through which CSAP 

can improve data quality and identify gaps in needed data. The DACCC has prepared the 

FY 2008 Trends and Directions Report and will complete the FY 2008 State NOMs Trends 

Report in July and the FY 2008 Accountability Report in August 2009. 

CSAP - 20 

 
Funding History 

FY Amount 

2005 $66,180,000 

2006 $53,274,000 

2007 $55,165,000 

2008 $58,254,000 

2009 $57,409,000 

Budget Request 

The FY 2010 President's Budget request is $54.7 million, a decrease of $2.7 million from the 

FY 2009 Omnibus level. Funding is eliminated for the Congressional projects, while keeping 

Mandatory Drug Testing, Methamphetamine and Data Coordination and Consolidation Center at 

the same level of funding as the FY 2009 Omnibus level. The request will fund 86 new and 60 

continuation grants, three new and eight continuation contracts. 

CSAP - 21 

 
6

 

5 Final FY 2007 result. Data in the 09CJ was preliminary.

6 Final FY 2007 result. Data in the 09CJ was preliminary.

Outcomes and Outputs 

Table 3: Key Performance Indicators for Minority AIDS Initiative 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

2.3.35: Percent of program participants 

that rate the risk of substance abuse as 

moderate or great a) age 12-17

(Outcome)

FY 2007: 

87.6% 

(Target Not 

Met)5

 

76.6% 87% +10.4 

2.3.38: Percent of program participants 

that rate the risk of substance abuse as 

moderate or great b) age 18 and up

(Outcome) 

FY 2007: 

94.4% 

(Baseline) 

85.1% 93% +7.9 

2.3.39: Percent of participants who 

used alcohol at pre-test who report a 

decrease in use of alcohol at post-test 

(user decrease): a) age 12-20

(Outcome) 

FY 2007: 

74.4% 

(Baseline) 

76.6% 76.6% Maintain 

2.3.40: b) age 21 and up (Outcome) FY 2007: 59% 

(Baseline) 

60.8% 60.8% Maintain 

2.3.43: Percent of participants who 

used illicit drugs at pre-test who report 

a decrease in 30-day use at post-test 

(user decrease): a) age 12-17

(Outcome) 

FY 2007: 

89.6% 

(Baseline) 

92.3% 92.3% Maintain 

2.3.44: b) age 18 and up (Outcome) FY 2007: 

68.5% 

(Baseline) 

70.6% 70.6% Maintain 

2.3.47: Percent of program participants 

(age 12-17) who somewhat disapprove 

or strongly disapprove of substance 

use (Outcome) 

FY 2007: 

70.3% 

(Baseline) 

82.8% 82.8% Maintain 

2.3.48: Number of evidence-based 

policies, practices, and strategies 

implemented by HIV program grantees: 

cumulative (Output) 

FY 2007: 162 

(Baseline) 

394 545 +151 

CSAP - 22 

 
Measure Most Recent FY 2009 FY 2010 FY 2010 +/- FY 

Result Target Target 2009 

2.3.56: Number of individuals exposed 

to substance abuse/hepatitis education 

services (Outcome) 

FY 2007: 2,260

(Baseline) 

2,305 2,327 +22 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 170 163 146

Average Award $282,000 $276,000 $289,000

Range of Awards $25,000 - $335,000 $25,000 - $335,000 $25,000 - $335,000

CSAP - 23 

 
Science and Service Activities 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus

Budget 

Authority..................................... $27,191,000 $26,591,000 $26,591,000 $0

Authorizing Legislation.............................................Sections 516 and 519D of the PHS Act 

FY 2010 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 CSAP’s Science and Service include the Fetal Alcohol Spectrum Disorder 

Center for Excellence, 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 (FASD) Center for Excellence 

The Fetal Alcohol Spectrum Disorder Center 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 Fetal Alcohol Spectrum Disorder. 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 provided more than 470 trainings, technical assistance events, 

and consultations to approximately 21,117 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 9,000 resources, including 

FASD literature, publications, posters, and public service announcements (PSAs). 

At the heart of the Center’s dissemination efforts is its Web site: 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, more 

than 20,000 products are downloaded from the site each month, and its Spanish language 

section has been greatly expanded. Complementing the Web site is the FASD Information 

Resource Center hotline (1-866-STOPFAS), through which the Center fields inquiries and 

CSAP - 24 

 
contacts from individuals around the world. In 2008, the Call Center fielded more than 400 

queries, from 42 states and five foreign countries. 

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: 

o Prevention subcontractors integrate one of the following program strategies: Alcohol 

screening and brief intervention, Project CHOICES, and Parent–Child Assistance 

Program (PCAP). For projects working with pregnant women, the goal is for female 

participants to abstain from alcohol during their pregnancies. For projects working 

with women of childbearing age in alcohol or substance abuse treatment, the goal is 

to prevent alcohol-exposed pregnancies (AEP). 

o Diagnosis and intervention subcontractors screen children in their service systems 

for FASD. Those diagnosed with an FASD will be provided interventions that include 

case management and follow-up. Other than the delinquency court projects, the 

subcontractors serve children aged zero to five or zero to seven years old. The 

goals of the delinquency court projects are to improve functioning, reduce probation 

violations, and improve school performance. The goals of the dependency court 

projects are to improve functioning and to keep the number of placements of a child 

to two (or less) in a 12-month period. 

 

Implementation of these prevention or diagnosis/intervention components is well underway in 22 

of the 23 sites. Working closely with the FASD Prevention, Diagnosis, and Intervention 

Learning Community, the Center has identified the following priorities as we move forward: 

o Implementation of evidence-based and research-based models; 

o Increased capacity to address FASD within State, local, and tribal systems and 

juvenile court settings; 

o Empowerment of leaders as change agents and peer mentors; and 

o Dissemination of findings through presentations and publications. 

The Center for the Application of Prevention Technology (CAPT)

The Centers for the Application of Prevention Technology promote 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 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 grantees and develop their prevention workforce 

skills/knowledge/expertise to support successful implementation of the Strategic Prevention 

Framework and accountability systems for performance measurement and management. 

The CAPTs’ service delivery approach shifted in 2007 to focus more on providing substantive 

and analytic technical assistance, to enhance the capacity of prevention systems to implement 

the Strategic Prevention Framework and accountability measures like National Outcome 

Measures (NOMs). The CAPTs promote a strategic approach to effective prevention 

throughout the provision of their skill-building training and capacity-building Technical 

CSAP - 25 

 
Assistance. The CAPTs have implemented a 3-tiered approach: 1) build capacity at the State 

level to implement the Strategic Prevention Framework process; 2) prepare States to roll out the 

Strategic Prevention Framework process at the local level, including selecting and implementing 

evidence based strategies; and 3) work with States to integrate the Strategic Prevention 

Framework process across their State systems and sustain these efforts. This approach has 

resulted in more CAPT services delivered to advance the Strategic Prevention Framework and 

more people receiving such services, a greater proportion of effort and intensity of services 

devoted to advancing the Strategic Prevention Framework, and greater impact of services 

devoted to advancing the Strategic Prevention Framework. 

During the first six months of FY 2008, the CAPTs provided over 849 capacity-building technical 

assistance services, 47,180 client service hours, and 11,979 staff effort hours to 2,722 

individuals representing 272 organizations. In addition, CAPTs delivered 192 total events, the 

majority of which were skill development trainings and train-the-trainer designed to advance 

SAMHSA Strategic Prevention Framework priorities; 34,511 client service hours, a measure of 

service delivery taking into account the number of training hours delivered to individual training 

participants; 1,212 hours of training (a summary of the duration of all training events with no 

reference to the actual number of participants in those events), both on-site and through 

distance learning, to 5,170 individuals from all 60 States, Territories, and jurisdictions that the 

CAPTs serve. Ninety-seven percent of participants reported satisfaction with the training 

provided and intended application of knowledge and skills gained (98 percent of participants 

reported likelihood of content/skill application). 

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 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 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 130 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 reinforces the Secretary’s valuedriven health care priority by leveraging knowledge management (KM) technology to create an 

integrated, customer-centric health information network that provides a suite of information 

CSAP - 26 

 
services to help SAMHSA discern and meet the needs of its customers. This KM project has 

allowed SAMHSA to merge the NCADI and NMHIC back-end 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. In the coming year, SHIN will 

continue its redesign of the Web site to improve customers’ experience finding and ordering 

publications online; expand data-reporting functionality; and develop performance measures—

including Government Performance and Results Act (GPRA) measures—that will help assess 

the reach and impact of SHIN. 

In 2008, the SHIN program responded to 623,235 public inquiries, stored 1,104 titles for 

SAMHSA Centers and partners, and shipped 10,697,934 copies. SHIN maintained and 

updated related Web site content and generated more than 6.6 million Web site visits and more 

than one million PDF downloads. SHIN also provided materials and promotions for SAMHSA 

programs and products; supported the media campaign of the Office of National Drug Control 

Policy (ONDCP) and managed the ONDCP’s product inventory; and supported the Office of 

Women’s Health (OWH) Inter-Agency Agreement with SAMHSA for the provision of distribution, 

added-value marketing, and evaluation services of OWH products. 

Funding History 

FY Amount 

2005 $44,513,000 

2006 $33,649,000 

2007 $32,413,000 

2008 $27,191,000 

2009 $26,591,000 

Budget Request 

The FY 2010 President's Budget request is $27.0 million, is the same level of funding as the 

FY 2009 Omnibus level. The request will continue to fully fund all 14 grants and 10 contracts. 

CSAP - 27 

 
 

7 Includes CAPTs and FASD programs

8 Includes only the CAPT program

9 Includes contract activities under the Best practices component of PRNS

Outcomes and Outputs

Table 4: Key Performance Indicators for Prevention Programs of Regional and National 

Significance - Science and Service Activities 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

2.3.71: Number of people provided 

technical assistance (TA) Services

(Output)7

 

FY 2008: 

21,117 

(Baseline) 

21,117 21,117 Maintain 

2.3.72: Percentage of TA recipients 

who reported that they are very 

satisfied with the TA received

(Outcome)8

 

FY 2008: 

69.1% 

(Baseline) 

69.1% 69.1% Maintain 

2.3.73: Percentage of TA recipients 

who reported that their ability to 

provide effective services improved a 

great deal (Outcome)8

FY 2008: 

53.4% 

(Baseline) 

53.4% 53.4% Maintain 

2.3.74: Percentage of TA recipients 

who reported that the TA 

recommendations have been fully 

implemented (Outcome)8

FY 2008: 54% 

(Baseline) 

54% 54% Maintain 

2.3.75: Number of persons receiving 

prevention information directly

(Output)9

 

FY 2008: 

120,223 

(Baseline) 

120,223 120,223 Maintain 

2.3.76: Number of persons receiving 

prevention information indirectly from 

advertising, broadcast, or website

(Output)9

FY 2008: 

906,707 

(Baseline) 

906,707 906,707 Maintain 

 

CSAP - 28 

 
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CSAP - 29 

 
Substance Abuse Prevention and Treatment (SAPT) Block Grant 20% Prevention 

Set-aside 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 

+/- FY 

2009 

Omnibus

Budget 

Authority................................... $351,745,600 $355,718,200 $355,718,200 $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 2010 Authorization ....................................................................................................Expired 

Allocation Method .................................................................................................. Block Grants

Program Description and Accomplishments 

CSAP administers the 20 percent Prevention set-aside component of the SAPT Block Grant 

which supports and expands substance abuse prevention and treatment services. States are 

heavily dependent upon SAPT Block Grant funding for urgently needed substance abuse 

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). 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 State Incentive 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 outcomes. 

In addition, a new program efficiency measure, “Percent of Program Costs Spent on Evidencebased Programs, Policies, and/or Practices (EBPs)” will be reported by the States in the FY 

2010 Block Grant application. This OMB-approved efficiency measure will be calculated as total 

prevention dollars used for EBPs divided by total prevention program dollars. The SAPT FY 

2010 Block Grant application is being revised accordingly so that States can submit these 

CSAP - 30 

 
program level efficiency data. Costs must be determined for each EBP and then summed to 

yield the total costs of these EBPs. 

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 abuse 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 abuse prevention arena. 

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 abuse 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 four years 

(FY 2006, 2007, 2008 and 2009), all States and the District of Columbia have met or exceeded 

the retailer violation rate goal. In FY 2006, the national average weighted retailer violation rate 

for the 50 States and DC (weighted by State population) was 10.8 percent. This rate steadily 

fell in FY 2007 and FY 2008, to 10.5 percent and 9.9 percent respectively. These numbers 

reflect not only a substantial change in retailers’ sales patterns but also a swift and dramatic 

change in tobacco enforcement programs, which were nonexistent in most States and 

jurisdictions prior to the Synar program. Because of such significant improvement, CSAP set a 

new program goal to increase the number of States reporting a retailer violation rate of 10 

percent or less. 

An initial review of the reported State retailer violation rates in FY 2009 shows that the national 

weighted retailer violation rate has increased slightly since FY 2008 (from a final FY 2008 

weighted national average retailer violation rate of 9.9 percent to a preliminary FY 2009 

weighted national average retailer violation rate of 10.9 percent). This increase is mainly due to 

recent economy downturn that resulted in States’ lower funding to support the enforcement 

activities, while the SAPT Block Grant’s Synar regulation specifically forbidding States from 

spending SAPT Block Grant money to fund the enforcement of State access law. States also 

cut 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). CSAP is working with States to address this issue, including planning sessions at 

the upcoming 10th National 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. 

CSAP - 31 

 
The National Outcome Measures data are comparing State-level estimates of these measures 

derived from the combined NSDUH samples for 2006 and 2007 with those derived from the 

combined samples for 2005 and 2006, the following improvements were observed: 

• Twenty-seven States (52.9 percent) showed a decrease in past-30-day alcohol use in 

the 12-17 age group. Of these States, the decrease between the 2005-2006 estimate 

and the 2006-2007 estimate was statistically significant at the 0.05 level in Mississippi 

and Texas. Twenty-eight States (54.9%) 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. Of these States, the increase between the 2005-2006 

estimate and the 2006-2007 estimate was statistically significant at the 0.05 level in 

Kentucky. 

• Twenty-five States (49.0 percent) showed a decrease in past-30-day marijuana use 

among persons aged 12-17. Of these States, the decrease between the 2005-2006 

estimate and the 2006-2007 estimate was statistically significant at the 0.05 level in no 

State. Twenty-one States (41.2%) showed an increase in perceptions of risk of harm 

from smoking marijuana once or twice per week among the same age group. Of these 

States, the increase between the 2005-2006 estimate and the 2006-2007 estimate was 

statistically significant at the 0.05 level in no State. 

• 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. Of the 29 

States reporting increased in the age of first use of marijuana, the increase between the 

2005-2006 estimate and the 2006-2007 estimate was significant at the 0.05 level in 

California, Ohio, and Vermont. Of the 31 States reporting increases in the age of first 

use of alcohol, the increase between the 2005-2006 estimate and the 2006-2007 

estimate was statistically significant at the 0.05 level in Alaska and New York. 

• 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. Of these States, the increase 

between the 2005-2006 estimate and the 2006-2007 estimate was statistically significant 

at the 0.05 level in New Jersey, New York, and Oklahoma. 

• 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. Of these States, the increase between the 2005-

2006 estimate and the 2006-2007 estimate was statistically significant at the 0.05 level 

in Alaska, Maryland, Missouri, New Mexico, New York, and South Carolina. 

• 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. Of these States, the 

increase between the 2005-2006 estimate and the 2006-2007 estimate was statistically 

significant at the 0.05 level in Idaho and New York. 

• 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. Of these States, the increase between the 

2005-2006 estimate and the 2006-2007 estimate was statistically significant at the 0.05 

level in New Jersey. 

• Twelve States showed increased percentages of persons aged 12-17 who reported 

having been exposed to substance abuse prevention messages during the past 12 

CSAP - 32 

 
months. Of these States, the increase between the 2005-2006 estimate and the 2006-

2007 estimate was not statistically significant at the 0.05 in any State. 

Funding History 

FY Amount 

2005 $355,111,000 

2006 $351,485,000 

2007 $351,718,000 

2008 $351,745,600 

2009 $355,718,200 

Budget Request 

The FY 2010 President’s Budget request is $355.7 million, the same level of funding as the 

FY 2009 Omnibus level. This funding level represents 20 percent of the Substance Abuse 

Prevention and Treatment Block Grant. 

Outcomes and Outputs 

Table 5: Key Performance Indicators for Substance Abuse Prevention and Treatment Block Grant 

– Prevention Set-Aside Activities 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

2.3.49: Increase number of States 

(including Puerto Rico) whose retail 

sales violations is at or below 20%

(Outcome) 

FY 2008: 52 

(Target Met) 

52 52 Maintain 

2.3.62: Number of States (excluding 

Puerto Rico) reporting retail tobacco 

sales violation rates below 10%

(Outcome) 

FY 2008: 26 

(Target Not 

Met but 

Improved) 

29 28 -1 

2.3.53: Number of evidence-based 

policies, practices, and strategies 

implemented (Output) 

FY 2008: 

17,056 

(Target 

Exceeded) 

24,022 37,044 +13,022 

2.3.69: Percent of program costs spent 

on evidence-based practices (EBP)

(Outcome) 

FY 2008: 69% 

(Baseline) 

70% 71% +1 

2.3.54: Number of participants served 

in prevention programs (Outcome) 

FY 2008: 

25,258,287 

(Target 

Exceeded) 

17,482,060 17,482,060 Maintain 

CSAP - 33 

 
CSAP - 34 

 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

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: 

45.1% 

(Baseline) 

45.1% 45.1% 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: 

27.4% 

(Baseline) 

27.5% 27.5% 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: 51% 

(Baseline) 

51% 51% 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: 

37.3% 

(Baseline) 

37.3% 37.3% 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: 

52.9% 

(Baseline) 

52.9% 52.9% 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: 

33.3% 

(Baseline) 

33.3% 33.3% Maintain 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 60 60 60

Average Award $7,500,000 $7,500,000 $7,500,000

Range of Awards 

$23,000 - 

$50,000,000

$23,000 - 

$50,000,000 

$23,000 - 

$50,000,000
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Table of Contents 

Center for Substance Abuse Treatment (CSAT) Page

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

2. Programs Of Regional And National Significance....................................................... 3

3. Summary Listing Of Activities................................................................................... 4

4. Mechanism Table By Summary Of Activities.............................................................. 5

5. Access To Recovery ............................................................................................. 11

6. Screening, Brief Intervention, Referral And Treatment .............................................. 15

7. Criminal Justice .................................................................................................... 19

8. Other Capacity Activities........................................................................................ 25

9. Science And Service Activities ............................................................................... 31

10. National All Schedules Prescription Electronic Reporting (Nasper) ............................ 35

11. Substance Abuse Prevention And Treatment (Sapt) Block Grant............................... 39
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CSAT-1 

Center for Substance Abuse Treatment 

Mechanism Table 

(Dollars in Thousands) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Capacity 

Grants/Cooperative Agreements: 

Continuations 297 $218,870363 $248,147400 $174,123 +37 -$74,024

New/Competing 163 69,777146 47,844239 165,671 +93+117,827

Supplements --- --- --- 6,384 --- --- --- -6,384

Subtotal 460 288,647509 302,375639 339,794+130 +37,419

Contracts: 

Continuations ....................................................... 19 48,270 25 69,701 28 81,849 +3 +12,148

New/Competing .................................................... 43 32,963 18 11,655 19 9,450 +1 -2,205

Supplements .......................................................... --- --- 1 1,648 --- --- -1 -1,648

Subtotal ................................................................. 62 81,233 43 83,004 47 91,299 + 4 +8,295

Technical Assistance............................... --- --- --- --- --- --- --- ---

Review Cost............................................ --- 1278 --- --- --- --- --- ---

 Subtotal ................................................................. 62 82,511 43 83,004 47 91,299 + 4 +8,295

 

Subtotal, Capacity 522 371,158552 385,379686 431,093+134 +45,714

 

Science and Service 

Grants/Cooperative Agreements: 

Continuations ....................................................... 15 8,430 21 8,579 21 8,579 --- ---

New/Competing .................................................... 6 836 --- --- --- --- --- ---

Supplements .......................................................... --- --- --- --- 15 1,099 +15 +1,099

Subtotal ................................................................. 21 9,266 21 8,579 21 9,678 --- +1,099

Contracts: 

Continuations ....................................................... 10 12,373 7 6,610 11 16,105 +4 +9,495

New/Competing .................................................... 26 6,197 19 10,974 14 380 -5 -10,594

Supplements .......................................................... --- --- --- --- --- --- --- ---

Subtotal ................................................................. 36 18,570 26 17,584 25 16,485 -1 -1,099

Technical Assistance............................... --- 850 1 800 1 800 --- ---

Review Cost............................................ --- --- --- --- --- --- --- ---

Subtotal...................................................................... 36 19,420 27 18,384 26 17,285 -1 -1,099

 

Subtotal, Science and Service 57 28,686 48 26,963 47 26,963 -1 ---

(PHS Evauation Funds:(Non-add) --- (4,300) --- (8,596) --- (8,596) --- ---

Total, PRNS........................................... 579 399,844600 412,342733 458,056+133 +45,714

 

Prescription Drug Monitoring (NASPER) --- --- 51 2,000 51 2,000 --- ---

 

SAPT BG................................................ 60 1,758,728 60 1,778,591 60 1,778,591 --- ---

SAPT BG Set-aside:(Non-add) --- (87,936) --- (88,930) --- (88,930) --- ---

(PHS Evauation Funds:(Non-add) --- (79,200) --- (79,200) --- (79,200) --- ---

TOTAL, CSAT......................................... 639$2,158,572711$2,192,933844$2,238,647+133+$45,714
CSAT-2 

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CSAT-3 

Substance Abuse Treatment 

Programs of Regional and National Significance 

Summary of Programs 

The 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, (a) Capacity, and (b) 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 2010 President's Budget request includes a total of $458.1 million for Substance Abuse 

Treatment PRNS, including: 

• $99.0 million for Access to Recovery to support 26 new grants to States and Tribal 

organizations to provide substance abuse treatment and recovery support services 

through a voucher-based system; 

• $29.1 million for Screening, Brief Intervention, Referral, and Treatment (SBIRT) for 

grants/cooperative agreements to add screening and brief intervention services within 

States, campuses and general medical settings, and an evaluation of the program; 

• $87.6 million for Criminal Justice activities for grants/cooperative agreements with a 

focus on Treatment Drug Courts to provide treatment, housing, vocational, and 

employment services; 

• $215.4 million for Other Capacity activities, including Minority AIDS ($66.0 million), 

Homelessness ($42.8 million), Targeted Capacity Expansion – General ($29.0 million), 

and other activities ($77.6 million); 

• $27.0 million for Science and Service activities, including Addiction Technology Transfer 

Centers ($9.1 million), the SAMHSA Health Information Network ($4.3 million), and the 

National Registry of Evidence-Based Programs and Practices ($0.9 million). 

The Substance Abuse Treatment PRNS 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 program 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 has improved the integration of the monthly tracking system of 

performance into team leader and project officer monitoring of grantees. 
CSAT-4 

Center for Substance Abuse Treatment 

Programs of Regional & National Significance

Summary Listing of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance 

FY 2008 

Appropriation

FY 2009 

Omnibus

FY 2010 

President's 

Budget 

Request 

FY 2010 +/-

FY 2009 

Omnibus 

CAPACITY: 

Co-occurring State Incentive Grants (SIGs) $4,263 $4,263 $4,263 0

Opioid Treatment Programs/Regulatory Activities 8,903 8,903 8,903 0

Screening, Brief Intervention,Referral, & 

Treatment a/ 29,106 29,106 29,106 0

TCE - General 28,989 28,989 28,989 0

Pregnant & Postpartum Women 11,790 16,000 16,000 0

Strengthening Treatment Access and Retention 3,550 1,775 1,775 0

Recovery Community Services Program 5,236 5,236 5,236 0

Access to Recovery b/ 96,777 98,954 98,954 0

Children and Families 23,921 20,678 20,678 0

Treatment Systems for Homeless 42,500 42,750 42,750 0

Minority AIDS 63,129 65,988 65,988 0

Criminal Justice Activities 23,693 37,635 87,635 +50,000

Treatment Drug Courts (non-add) 10,132 23,882 58,882 +35,000

Family Dependency/Treatment Drug Courts 

(non-add within Drug Courts) 0 0 5,000 +5,000

Ex-Offender Re-Entry (non-add) 0 8,200 23,200 +15,000

Services Accountability c/ 23,093 20,816 20,816 0

Congressional Projects 6,208 4,286 0 -4,286

Subtotal, Capacity 371,158 385,379 431,093 +45,714

 

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers 9,081 9,081 9,081 0

Seclusion and Restraint 20 20 20 0

Minority Fellowship Program 536 547 547 0

Special Initiatives/Outreach 4,469 2,400 2,400 0

Information Dissemination 4,553 4,553 4,553 0

National Registry of Evidence-Based Programs 

& Practices 500 893 893 0

SAMHSA Health Information Network 4,255 4,255 4,255 0

Program Coordination and Evaluation d/ 5,272 5,214 5,214 0

Subtotal, Science and Service 28,686 26,963 26,963 0

 

TOTAL, PRNS e/ $399,844 $412,342 $458,056 +$45,714

a/ Includes PHS evaluation funds for Screening, Brief Intervention, Referral, & Treatment evaluation in the amount 

of $2.0 million in FY 2008, FY 2009 and FY 2010. 

b/ Includes PHS evaluation funds for Access to Recovery in the amount of $1.4 million in FY 2009. 

c/ Includes PHS evaluation funds for the Services Accountability Improvement System contract which supports 

CSAT's data collection activities, in the amount of $2.3 million in FY 2008, $5.2 million in FY 2009 and $6.6 million 

in FY 2010. 

d/ Includes Partners for Recovery activities which addresses issues of national significance and is field/consumer -

driven. 

e/ The $2.0 million appropriated for Prescription Drug Monitoring (NASPER) in FY 2009 and FY 2010 is displayed 

as a separate budget line in the SAMHSA All Purpose Table. 
CSAT-5 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/-

FY 2009 

Omnibus 

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

CAPACITY: 

Co-occurring State Incentive Grants (SIGs) 

 Grants 

Continuations ......................................................................... 4 $3,199 4 $1,702 4 $1,298 0 - $404

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 4 3,199 4 1,702 4 1,298 0 -404

 Contracts 

Continuations ......................................................................... 2 1,064 1 820 1 2,965 0 + 2,145

New/Competing ...................................................................... 0 0 2 1,741 0 0 -2 -1,741

Subtotal............................................................................... 2 1,064 3 2,561 1 2,965 -2 + 404

Total, Co-occurring State Incentive Grants (SIGs)................. 6 4,263 7 4,263 5 4,263 -2 0

Opioid Treatment Programs/Regulatory Activities 

 Grants 

Continuations ......................................................................... 1 500 5 1,955 4 1,435 -1 -520

New/Competing ...................................................................... 4 1,475 0 0 1 500 +1 +500

Subtotal............................................................................... 5 1,975 5 1,955 5 1,935 0 -20

 Contracts 

Continuations ......................................................................... 4 3,556 8 6,590 6 5,208 -2 -1,382

New/Competing ...................................................................... 7 3,372 2 108 4 1,760 +2 +1,652

Supplements........................................................................... 0 0 (1) 250 0 0(-1) -250

Subtotal............................................................................... 11 6,928 10 6,948 10 6,968 0 +20

 Total, Opioid Treatment Programs/Regulatory Activities..... 16 8,903 15 8,903 15 8,903 0 0

Screening, Brief Intervention, Referral, & Treatment a/ 

 Grants 

Continuations ......................................................................... 4 11,076 19 24,564 19 23,988 0 -576

New/Competing ...................................................................... 15 13,158 0 0 0 0 0 0

Subtotal............................................................................... 19 24,234 19 24,564 19 23,988 0 -576

 Contracts 

Continuations ......................................................................... 1 2,000 0 2,442 1 5,118 +1 +2,676

New/Competing ...................................................................... 0 2,872 2 2,100 0 0 -2 -2,100

Subtotal............................................................................... 1 4,872 2 4,542 1 5,118 -1 576

Total, Screening, Brief Intervention, Referral, & Treatment . 20 29,106 21 29,106 20 29,106 -1 0

TCE - General 

 Grants 

Continuations ......................................................................... 23 11,210 39 14,827 36 11,936 -3 -2,891

New/Competing ...................................................................... 23 6,933 13 5,003 19 7,403 +6 +2,400

Subtotal............................................................................... 46 18,143 52 19,830 55 19,339 +3 -491

 Contracts 

Continuations ......................................................................... 4 10,546 4 9,109 4 9,650 0 +541

New/Competing ...................................................................... 1 300 1 50 0 0 -1 -50

Subtotal............................................................................... 5 10,846 5 9,159 4 9,650 -1 +491

Total,TCE - General............................................................... 51 $28,989 57 $28,989 59 $28,989 +2 0

a/ Includes PHS evaluation funds for Screening, Brief Intervention, Referral, & Treatment evaluation in the amount of 

$2.0 million in FY 2008, FY 2009 and FY 2010. 
CSAT-6 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/-

FY 2009 

Omnibus 

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

 

Pregnant & Postpartum Women 

 Grants 

Continuations ......................................................................... 8 $3,166 16 $7,701 26 $12,634+10+$4,933

New/Competing ...................................................................... 16 7,648 10 4,933 0 0 -10 -4,933

Subtotal............................................................................... 24 10,814 26 12,634 26 12,634 0 0

 Contracts 

Continuations ......................................................................... 0 0 0 1,366 1 3,366 +1 +2,000

New/Competing ...................................................................... 0 976 1 2,000 0 0 -1 -2,000

Subtotal............................................................................... 0 976 1 3,366 1 3,366 0 0

Total, Pregnant & Postpartum Women ................................. 24 11,790 27 16,000 27 16,000 0 0

Strengthening Treatment Access and Retention 

 Grants 

Continuations ......................................................................... 7 2,250 0 0 0 0 0 0

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 7 2,250 0 0 0 0 0 0

 Contracts 

Continuations ......................................................................... 0 0 0 377 1 1,775 +1 +1,398

New/Competing ...................................................................... 1 1,300 0 0 0 0 0 0

Supplements........................................................................... 0 0 0 1,398 0 0 0 -1,398

Subtotal............................................................................... 1 1,300 0 1,775 1 1,775 +1 0

Total, Strengthening Treatment Access and Retention......... 8 3,550 0 1,775 1 1,775 +1 0

Recovery Community Services Program 

 Grants 

Continuations ......................................................................... 15 5,136 15 5,136 8 2,686 -7 -2,450

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 15 5,136 15 5,136 8 2,686 -7 -2,450

 Contracts 

Continuations ......................................................................... 0 100 0 100 0 0 0 -100

New/Competing ...................................................................... 0 0 0 0 7 2,550 +7 +2,550

Subtotal............................................................................... 0 100 0 100 7 2,550 +7 +2,450

Total, Recovery Community Services Program..................... 15 5,236 15 5,236 15 5,236 0 0

Access to Recovery b/ 

 Grants 

Continuations ......................................................................... 24 95,963 24 91,165 0 0 -24 -91,165

New/Competing ...................................................................... 0 0 0 0 26 96,954+26+96,954

Supplements........................................................................... 0 0 0 6,384 0 0 0 -6,384

Subtotal............................................................................... 24 95,963 24 97,549 26 96,954 +2 -595

 Contracts 

Continuations ......................................................................... 1 814 1 1,405 0 0 -1 -1,405

New/Competing ...................................................................... 0 0 0 0 1 2,000 +1 +2,000

Subtotal............................................................................... 1 814 1 1,405 1 2,000 0 +595

Total, Access to Recovery..................................................... 25 $96,777 25 $98,954 27 $98,954 +2 0

b/ Includes PHS evaluation funds for Access to Recovery in the amount of $1.4 million in FY 2009. 
CSAT-7 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Children and Families 

 Grants 

Continuations ......................................................................... 39 $12,260 17 $5,036 13 $3,801 -4 -$1,235

New/Competing ...................................................................... 0 0 13 3,801 14 4,854 +1 +1,053

Subtotal............................................................................... 39 12,260 30 8,837 27 8,655 -3 -182

 Contracts 

Continuations ......................................................................... 4 8,765 4 11,541 5 12,023 +1 +482

New/Competing ...................................................................... 3 2,896 1 300 0 0 -1 -300

Subtotal............................................................................... 7 11,661 5 11,841 5 12,023 0 +182

Total, Children and Families................................................. 46 23,921 35 20,678 32 20,678 -3 0

Treatment Systems for Homeless 

 Grants 

Continuations ......................................................................... 77 30,589 68 28,435 66 26,512 -2 -1,923

New/Competing ...................................................................... 25 9,780 22 7,614 24 9,787 +2 +2,173

Subtotal............................................................................... 102 40,369 90 36,049 90 36,299 0 + 250

 Contracts 

Continuations ......................................................................... 1 2,131 1 2,420 2 6,451 +1 +4,031

New/Competing ...................................................................... 0 0 2 4,281 0 0 -2 -4,281

Subtotal............................................................................... 1 2,131 3 6,701 2 6,451 -1 -250

Total, Treatment Systems for Homeless................................ 103 42,500 93 42,750 92 42,750 -1 0

Minority AIDS 

 Grants 

Continuations ......................................................................... 76 36,705126 57,838 133 60,697 +7 +2,859

New/Competing ...................................................................... 50 21,082 7 2,859 0 0 -7 -2,859

Subtotal............................................................................... 126 57,787133 60,697 133 60,697 0 0

 Contracts 

Continuations ......................................................................... 0 2,411 1 5,291 1 5,291 0 0

New/Competing ...................................................................... 1 2,931 0 0 0 0 0 0

Subtotal............................................................................... 1 5,342 1 5,291 1 5,291 0 0

Total, Minority AIDS.............................................................. 127 63,129134 65,988 134 65,988 0 0

Criminal Justice Activities 

 Grants 

Continuations ......................................................................... 19 6,816 30 9,788 91 29,136 +61 +19,348

New/Competing ...................................................................... 30 9,701 61 19,348 155 46,173 +94 +26,825

Subtotal............................................................................... 49 16,517 91 29,136 246 75,309+155 +46,173

 Contracts 

Continuations ......................................................................... 2 3,868 4 7,424 5 9,186 +1 +1,762

New/Competing ...................................................................... 4 3,308 7 1,075 7 3,140 0 +2,065

Subtotal............................................................................... 6 7,176 11 8,499 12 12,326 +1 +3,827

Total, Criminal Justice Activities........................................... 55 $23,693102 $37,635 258 $87,635+156+$50,000
CSAT-8 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Services Accountability c/ 

 Contracts 

Continuations ......................................................................... 0 14,293 1 20,816 1 20,816 0 0

New/Competing ...................................................................... 1 8,800 0 0 0 0 0 0

Subtotal............................................................................... 1 23,093 1 20,816 1 20,816 0 0

Total, Services Accountability............................................... 1 23,093 1 20,816 1 20,816 0 0

Congressional Projects 

 Grants 

Continuations ......................................................................... 0 0 0 0 0 0 0 0

New/Competing ...................................................................... 25 6,208 20 4,286 0 0 -20 -4,286

Supplements........................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 25 6,208 20 4,286 0 0 -20 -4,286

Total, Congressional Projects............................................... 25 6,208 20 4,286 0 0 -20 -4,286

 

Subtotal, Capacity 522 $371,158552$385,379686$431,093+134+$45,714

c/ Includes PHS evaluation funds for the Services Accountability Improvement System contract which supports CSAT's data 

collection activities, in the amount of $2.3 million in FY 2008, $5.2 million in FY 2009 and $6.6 million in FY 2010. 
CSAT-9 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers 

 Grants 

Continuations ......................................................................... 15 $8,430 15 $7,732 15 $7,732 0 0

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Supplements........................................................................... 0 0 0 0 (15) 1,099(+15) +1,099

Subtotal............................................................................... 15 8,430 15 7,732 15 8,831 0 +1,099

 Contracts 

Continuations ......................................................................... 2 651 2 1,349 1 250 -1 -1,099

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 2 651 2 1,349 1 250 -1 -1,099

Total, Addiction Technology Transfer Centers...................... 17 9,081 17 9,081 16 9,081 -1 0

Seclusion and Restraint 

 Contracts 

Continuations ......................................................................... 0 20 0 20 0 20 0 0

New/Competing ...................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 0 20 0 20 0 20 0 0

Total, Seclusion and Restraint.............................................. 0 20 0 20 0 20 0 0

Minority Fellowship Program 

 Grants 

Continuations ......................................................................... 0 0 5 547 5 547 0 0

New/Competing ...................................................................... 5 536 0 0 0 0 0 0

Subtotal............................................................................... 5 536 5 547 5 547 0 0

 Contracts 

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

Total, Minority Fellowship Program...................................... 5 536 5 547 5 547 0 0

Special Initiatives/Outreach 

 Grants 

Continuations ......................................................................... 0 0 1 300 1 300 0 0

New/Competing ...................................................................... 1 300 0 0 0 0 0 0

Subtotal............................................................................... 1 300 1 300 1 300 0 0

 Contracts 

Continuations ......................................................................... 5 2,019 2 1,157 5 2,100 +3 +943

New/Competing ...................................................................... 9 2,150 3 943 0 0 -3 -943

Subtotal............................................................................... 14 4,169 5 2,100 5 2,100 0 0

Total, Special Initiatives/Outreach ....................................... 15 $4,469 6 $2,400 6 $2,400 0 0
CSAT-10 

Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

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

Information Dissemination 

 Contracts 

Continuations ......................................................................... 1 4,553 0 450 2 4,553 +2 +4,103

New/Competing ...................................................................... 0 0 2 4,103 0 0 -2 -4,103

Subtotal............................................................................... 1 4,553 2 4,553 2 4,553 0 0

Total, Information Dissemination.......................................... 1 4,553 2 4,553 2 4,553 0 0

National Registry of Evidence-Based 

Programs & Practices 

 Contracts 

Continuations ......................................................................... 0 500 0 0 0 893 0 +893

New/Competing ...................................................................... 0 0 0 893 0 0 0 -893

Supplements........................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 0 500 0 893 0 893 0 0

Total, National Registry of Evidence-Based.......................... 0 500 0 893 0 893 0 0

Programs & Practices 

SAMHSA Health Information Network 

 Contracts 

Continuations ......................................................................... 0 4,255 0 0 0 4,255 0 +4,255

New/Competing ...................................................................... 0 0 0 4,255 0 0 0 -4,255

Supplements........................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 0 4,255 0 4,255 0 4,255 0 0

Total, SAMHSA Health Information Network......................... 0 4,255 0 4,255 0 4,255 0 0

Program Coordination and Evaluation 

 Contracts 

Continuations ......................................................................... 2 1,225 3 4,084 4 4,834 +1 +750

New/Competing ...................................................................... 17 4,047 15 1,130 14 380 -1 -750

Supplements........................................................................... 0 0 0 0 0 0 0 0

Subtotal............................................................................... 19 5,272 18 5,214 18 5,214 0 0

Total, Program Coordination and Evaluation d/.................... 19 5,272 18 5,214 18 5,214 0 0

 

Subtotal , Science and Service 57 28,686 48 26,963 47 26,963 -1 0

 

Total, PRNS e/579 $399,844 600 $412,342 733 $458,056 +133+$45,714

 d/ Includes Partners for Recovery activities which addresses issues of national significance and is field/consumer -driven. 

 e/ The $2.0 million appropriated for Prescription Drug Monitoring (NASPER) in FY 2009 and FY 2010 is displayed as a separate 

budget line in the SAMHSA All Purpose Table. 
CSAT-11 

Access to Recovery 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Program Level............................. $96,777,000 $98,954,000 $98,954,000 $0

PHS Evaluation Funds (non-add)...... ($0) (1,405,000) ($0) (-1,405,000)

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2010 Authorization...........................................................................................Expired 

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

Program Description and Accomplishments 

Access to Recovery (ATR) provides grants to States, Tribes, and Tribal organizations to 

carryout 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. By placing vouchers for services in the hands of consumers, 

these programs are able to draw in a broad and diverse set of service providers, including some 

that would not be eligible to participate with the government to deliver services under traditional 

grant arrangements. The population served through ATR varies by grantee. Examples of 

populations targeted by grantees include: youth, methamphetamine users, individuals involved 

with the criminal justice system, and women with dependent children. Individuals that abuse 

methamphetamine will be included as a priority population in the Request for Application for the 

FY 2010 ATR cohort.

ATR is a consumer-driven mechanism that: 1) expands capacity, 2) promotes choice, and 3) 

enhances accountability within substance abuse treatment systems. ATR expands substance 

abuse treatment capacity by increasing the number and types of providers who deliver clinical 

treatment and/or recovery support services such as medical detoxification, residential services, 

peer support, case management, housing, job training and placement, daily living skills, 

childcare, and transportation. ATR promotes choice by facilitating the pursuit of recovery via 

many different and personal pathways and allows people in need of treatment to choose from a 

wide array of clinical treatment and recovery support services providers, including faith- and 

community-based providers. ATR enhances accountability by measuring outcomes and 

monitoring data to deter fraud and abuse. 

Fifteen three-year ATR grants were awarded in 2004. These grants were supported by total 

appropriations of $296.0 million during FY 2004 ($99.0 million), FY 2005 ($99.0 million) and FY 

2006 ($98.0 million). This program exceeded its targets for number of clients served, increasing 

the percentage of adults receiving services who had no past month substance use, and 

increasing the percentage of clients who were currently employed or engaged in productive 

activities. The first cohort of ATR grantees served 199,000 clients in 3 years. The second ATR 

cohort (which included a carve-out for the evaluation and a carve-out for the more expensive-toserve clients using methamphetamine) served 50,000 clients in its first year. CSAT 

recommends a target of 225,000 clients for the forthcoming 4-year cohort (with no-carve-outs) 

scheduled to begin in FY 2010, with roughly 33,000 to be served in the first year and 70,000 to 

be served in the extra full-capacity year. FY 2008 outcomes data show that 82 percent of the 
CSAT-12 

clients had success achieving and maintaining abstinence from substance use. In addition, 

over 59 percent report being employed and 53 percent report being housed by six month followup. 

A second cohort of 24 three-year ATR grants was awarded in September 2007. This 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. 

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 a result of the 

program assessment, the program is refining the efficiency measure, providing guidelines and 

targeted technical assistance to grantees to further define the most appropriate recovery 

support services, and establishing formal linkages with the Departments of Justice, Housing and 

Urban Development, and other relevant agencies as appropriate. 

Funding History 

FY Amount

2005 $99,200,000 

2006 $98,208,000 

2007 $98,703,000 

2008 $96,777,000 

2009 $98,954,000 

Budget Request 

The FY 2010 President's Budget request is $99.0 million, the same level of funding as the 

FY 2009 Omnibus level. This represents funding for a third cohort of grantees and an 

opportunity to fine tune the program based on lessons learned from the first two cohorts of 

grantees. The program will prioritize funding to treat individuals with methamphetamine 

addictions. Average grant awards will be reduced to approximately $3.7 million and the project 

period will be increased to four years. 

As this program’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 2010 funding will be 

reflected in the targets set for 2011. It is expected that with the funds available for reinvestment 

in the ATR Program, the 2011 target for number of clients served will be approximately 33,500. 

A total of 225,000 clients will be served over four years. 
CSAT-13 

 

Outcomes and Outputs 

Table 1: Key Performance Indicators for Access to Recovery 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.32: Increase the number of clients 

gaining access to treatment (Output)a

 

FY 2008: 

50,845 

(Target 

Exceeded) 

65,000 65,000 Maintain 

1.2.33: Increase the percentage of 

adults receiving services who a) had 

no past month substance use

(Outcome) 

FY 2008: 

82.3% 

(Target 

Exceeded) 

81% 82% +1 

1.2.34: Increase the percentage of 

adults receiving services who b) had 

improved family and living conditions

(Outcome) 

FY 2008: 

52.9% 

(Target 

Exceeded) 

52% 53% +1 

1.2.35: Increase the percentage of 

adults receiving services who c) had 

no/reduced involvement with the 

criminal justice system (Outcome) 

FY 2008: 96.0 

(Target Met) 

96.0 96.0 Maintain 

1.2.36: Increase the percentage of 

adult receiving services who d) had 

improved social support (Outcome) 

FY 2008: 

91.7% 

(Target 

Exceeded) 

90% 91% +1 

1.2.37: Increase the percentage of 

adults receiving services who e) were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2008: 

59.1% 

(Target 

Exceeded) 

53% 54% +1 

1.2.39: Cost per client served

(Efficiency) 

FY 2008: 

$1,888 

(Target Not 

Met) 

$1,588 $1,572 -16 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 24 24 26

Average Award $3,998,458 $4,064,542 $3,729,000

Range of Awards $1,650,000-$4,830,000 $1,650,000-$5,071,500 $1,600,000-$4,000,000

a Initial 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.
CSAT-14 

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CSAT-15 

Screening, Brief Intervention, Referral and Treatment

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Program Level............................. $29,106,000 $29,106,000 $29,106,000 $0

PHS Evaluation Funds (non-add)...... (2,000,000) (2,000,000) (2,000,000) ($0)

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2010 Authorization...........................................................................................Expired 

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

Program Description and Accomplishments 

Screening, Brief Intervention, Referral and Treatment (SBIRT) was initiated in the Center for 

Substance Abuse Treatment 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 

2007 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 12 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. As shown in the 

data, SBIRT has greatly expanded capacity by serving more than 192,000 clients in FY 2008. 

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 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 has great future potential for promoting changes to the entire primary care medical 

service delivery system. Continued expansion of the SBIRT program is expected to include 
CSAT-16 

dentistry, pediatrics and adolescent care organizations, community health and mental health 

agencies, and other locations where primary care services are offered. 

In FY 2007, seven of the eleven grantees were in the last year of funding and were expected to 

serve fewer clients. Performance for programs funded with 2009 funds, which will be awarded 

at the end of FY 2009, will be reflected in FY 2010 performance data. 

Funding History 

FY Amount

2005 $25,909,000 

2006 $29,624,000 

2007 $29,624,000 

2008 $29,106,000 

2009 $29,106,000 

Budget Request 

The FY 2010 President's Budget request is $29.1million, the same level of funding as the 

FY 2009 Omnibus level. The request will support 19 continuation grants and one continuation 

contract. 
CSAT-17 

Outcomes and Outputs 

Table 2: Key Performance Indicators for Screening, Brief Intervention, Referral, and Treatment 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.40: Increase the number of clients 

served (Output) 

FY 2008: 

192,840 

(Target 

Exceeded) 

139,650 139,650 Maintain 

1.2.41: Increase the percentage of 

clients receiving services who had no 

past month substance use (Outcome) 

FY 2008: 

46.5% 

(Target Not 

Met but 

Improved) 

50% 50% Maintain 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 19 19 19

Average Award $1,275,474 $1,292,842 $1,262,526

Range of Awards $280,781 -$2,800,000 $280,781 -$2,800,000 $274,651 -$2,800,000
Page intentionally left blank 

CSAT-18
Criminal Justice 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- 

FY 2009 

Omnibus 

 

Budget Authority ............................................ $23,693,000 $37,635,000 $87,635,000 +$50,000,000

Treatment Drug Courts (non-add) .................... 10,132,000 23,882,000 58,882,000 +35,000,000

Family Dependency/Treatment Drug Courts 

(non-add within Drug Courts)............................ 0 0 5,000,000 +5,000,000

Ex-Offender Re-Entry (non-add)....................... 0 8,200,000 23,200,000 +15,000,000

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2010 Authorization...........................................................................................Expired 

Allocation Method............................................Competitive Grants/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 

created at a high rate, creating a challenge to support sufficient substance abuse treatment 

options for people referred by the court. 

Treatment Drug Courts have 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 to adult, juvenile, and family drug courts and treatment providers. 

In 2005 and 2006, funding was offered to juvenile and family drug courts and treatment 

providers. In 2008, funding was available for individual Adult Treatment Drug Courts only; a 

total of 20 new grants were awarded. In 2009, $24 million is available for Adult and Juvenile 

Drug Courts with the award of more than 40 grants. 

CSAT-19
SAMHSA juvenile drug courts served 783 clients in 2008, while adult courts served 357 clients 

in 2006. Both adult and juvenile drug court clients had positive outcomes in the most recent year 

that data was available. About 70 percent of both juvenile and adult clients reported no past 

month substance use (juvenile, 2008: 69 percent; adult, 2006: 68 percent) six months after 

intake and about 90 percent of clients (juvenile, 2008: 92 percent; adult, 2006: 89 percent) 

experienced no/reduced alcohol or illegal drug related health, behavioral or social, 

consequences six months after intake. 

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 program assessment, the program is improving the linkage between DOJ and 

SAMHSA including collaboration on a joint performance measure. In FY 2008, a contract was 

awarded for a cross-site evaluation. 

Ex-offender Re-entry Program 

The justice system is seen as the nexus of public health and public safety, given the numbers of 

individuals involved in both drugs and crime causing 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. CSAT 

participated as a federal partner in both of these initiatives. In FY 2004, CSAT’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 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 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 Bureau of Justice 

Assistance will continue to plan and coordinate relevant activities. SAMHSA’s FY 2009 

Offender Re-entry Program grantees are expected to seek out and coordinate with local 

CSAT-20
federally-funded offender re-entry initiatives, including Bureau of Justice Assistance’s Prisoner 

Re-entry Initiative or “Second Chance Act” offender re-entry programs, as appropriate. 

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. 

Funding History 

FY Amount

2005 $26,300,000 

2006 $24,114,000 

2007 $23,243,000 

2008 $23,693,000 

2009 $37,635,000 

Budget Request 

The FY 2010 President's Budget request is $87.6 million, an increase of $50.0 million above the 

FY 2009 Omnibus level. Of the increase, $35.0 million will expand the Treatment Drug Courts 

program for a total of $58.9 million of which $5.0 million is focused on protecting the youngest 

victims of families affected by methamphetamine abuse. The remaining $15.0 million will 

expand the Ex-offender Re-entry program for a total of $23.0 million. 

In FY 2010, Treatment Drug Courts anticipates funding 61 new adult drug court grants for three 

years at an average cost of $350,000 and 40 new juvenile and family drug court grants for four 

years at an average cost of $200,000. These funds will provide services supporting substance 

abuse treatment, assessment, case management, and program coordination to those in need of 

treatment drug court services. Priority for the use of funding will be given to addressing gaps in 

the continuum of treatment. 

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, CSAT will utilize $5.0 

million to fund 25 grants for Family Dependency/Treatment Drug Courts. 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 

issues/methamphetamine use in the family and concurrent criminal justice involvement. This 

program will provide a collaborative approach including the judges, treatment providers, child 

welfare specialists, and attorneys, providing child case coordination of services for these 

children of methamphetamine-addicted parents. 

In FY 2010, the new Ex-Offender Re-entry program will build on previous and ongoing SAMHSA 

adult and juvenile criminal justice initiatives, and provide an increase of $15 million to support 

CSAT-21
the award of an estimated 29 new re-entry grants, provide grantee technical assistance, and 

allow initiation of a cross-site evaluation of the program. 

As this program’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 2010 funding will be 

reflected in the targets set for 2011. The increase in funds in the Criminal Justice portfolio will 

result in an approximate target of 7,000 clients, including Drug Courts and Ex-offender Re-entry. 

CSAT-22
Outcomes and Outputs 

Table 3: Key Performance Indicators for Criminal Justice - Juvenile and Adult Drug Courts 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.62: Juvenile: Percentage of clients 

that complete treatment (Outcome) 

FY 2008: 

75.1% 

(Target 

Exceeded) 

75% N/A N/A 

1.2.63: Juvenile: Increase percentage of 

clients receiving services who: a) Were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2008: 

86% 

(Target Not 

Met) 

88% N/A N/A 

1.2.64: Juvenile: Increase percentage of 

clients receiving services who: b) Had a 

permanent place to live in the 

community (Outcome) 

FY 2008: 

81% 

(Target Met) 

82% N/A N/A 

1.2.65: Juvenile: Increase percentage of 

clients receiving services who: c) Had 

no involvement with the criminal justice 

system (Outcome) 

FY 2008: 

94.3% 

(Target 

Exceeded) 

93% N/A N/A 

1.2.66: Juvenile: Increase percentage of 

clients receiving services who: d) 

Experienced no/reduced alcohol or 

illegal drug related health, behavioral or 

social consequences (Outcome) 

FY 2008: 

92% 

(Target Met) 

93% N/A N/A 

1.2.67: Juvenile: Increase percentage of 

clients receiving services who: e) Had 

no past month substance use

(Outcome) 

FY 2008: 

69% 

(Target Not 

Met) 

73% N/A N/A 

1.2.68: Juvenile: Percent of drug court 

participants who exhibit a reduction in 

substance use while in the drug court 

program. Measured in conjunction with 

DOJ. (Outcome) 

N/A N/A N/A N/A 

1.2.69: Juvenile: Reduce cost-per-client 

served (Outcome) 

FY 2008: 

$6,790 

(Target Not 

Met) 

$5,610 N/A N/A 

1.2.70: Juvenile: Increase number of 

clients served (Output) 

FY 2008: 783

(Target Not 

Met) 

449 N/A N/A 

1.2.71: Adult: Percentage of clients that 

complete treatment (Outcome) 

FY 2006: 

66% 

(Historical 

Actual) 

67% 67% Maintain 

1.2.72: Adult: Increase percentage of 

clients receiving services who: a) Were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2006: 

86% 

(Historical 

Actual) 

88% 89% +1 

CSAT-23
Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 FY 2010 +/- FY 

Target 2009 

1.2.73: Adult: Increase percentage of 

clients receiving services who b) Had a 

permanent place to live in the 

community (Outcome) 

FY 2006: 

77% 

(Historical 

Actual) 

82% 82% Maintain 

1.2.74: Adult: Increase percentage of 

clients receiving services who: c) Had 

no involvement with the criminal justice 

system (Outcome) 

FY 2006: 

90.3% 

(Historical 

Actual) 

93% 93% Maintain 

1.2.75: Adult: Increase percentage of 

clients receiving services who: d) 

Experienced no/reduced alcohol or 

illegal drug related health, behavioral or 

social, consequences (Outcome) 

FY 2006: 

89% 

(Historical 

Actual) 

93% 93% Maintain 

1.2.76: Adult: Increase percentage of 

clients receiving services who: e) Had 

no past month substance use

(Outcome) 

FY 2006: 

68% 

(Historical 

Actual) 

73% 73% Maintain 

1.2.77: Adult: Percent of drug court 

participants who exhibit a reduction in 

substance use while in the drug court 

program. Measured in conjunction with 

DOJ. (Outcome) 

N/A N/A N/A N/A 

1.2.78: Adult: Reduce cost-per-client 

served (Outcome) 

N/A $5,610 $5,554 -56 

1.2.79: Adult: Increase number of clients 

served (Output) 

FY 2006: 357

(Historical 

Actual) 

960 2832 +1,872 

 

Table 4: Key Performance Indicators for Criminal Justice - Ex-Offender Re-Entry Program 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.80: Number of clients served

(Outcome) 

N/A N/A 1,312 N/A 

1.2.81: Percentage of clients who had 

no past month substance use

(Outcome) 

N/A N/A 68.9% N/A 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 49 91 246

Average Award $337,082 $320,176 $306,134

Range of Awards $76,316 - $450,000 $235,529 -$400,000 $289,253 -$400,000

CSAT-24
Other Capacity Activities 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Program Level............................. $221,582,000 $219,684,000 $215,398,000 -$4,286,000

PHS Evaluation Funds (non-add)...... (2,300,000) (5,191,000) (6,596,000) (-1,405,000)

Authorizing Legislation............Section 506, 508, 509 and 514 of the Public Health Service Act 

2010 Authorization...........................................................................................Expired 

Allocation Method............................................Competitive Grants/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 Minority AIDS, 

Homelessness, and Targeted Capacity Expansion- General. 

Performance results for all capacity programs except Access to Recovery and Screening, Brief 

Intervention, Referral, and Treatment are reported in aggregate. The targets for number of 

clients served and for percentage of adults receiving services who are currently employed or 

engaged in productive activities were slightly exceeded and improved from the previous year. 

The target for reducing substance use was slightly missed and declined slightly from the 

previous year. Performance for programs funded with 2009 funds, which will be awarded at the 

end of FY 2009, will be reflected in FY 2010 performance data. 

Data for CSAT's Capacity Programs show that, collectively the Program has been successful in 

achieving its Program goals. In FY 2008, 33,446 clients were served. Positive outcomes were 

also seen for these clients from intake to six months, including an abstinence from substance 

use rate of 62 percent and an employment rate of 54.3 percent. Performance is not reported 

individually for each Capacity activity. 

Opioid Treatment Programs/Regulatory Activities

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 OTP accreditation support program is to reduce the 

cost of basic accreditation education and the required accreditation surveys. 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 

CSAT-25
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. 

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 in 

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. 

From 2000 to November 2008, CSAT’s TCE/HIV program served approximately 115,800 

individuals. Of these individuals, approximately 56 percent were males, 43 percent females and 

one percent transgender individuals; and about 76 percent were between the ages of 25 and 54 

years. Approximately 27 percent identified themselves as Hispanic/Latino in ethnicity; 54 

percent as non-Hispanic Blacks, 20 percent white, 2.9 percent Asian, Native Hawaiian or Pacific 

Islander, and 2.7 percent as American Indian. 

Services Accountability and Improvement System (SAIS)

SAMHSA uses multiple systems for performance monitoring and measurement. Each SAMHSA 

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. 

Homelessness

The Grants for the Benefit of Homeless Individuals (GBHI) program’s purpose is to enable 

communities to expand and strengthen their treatment services for homeless (including 

chronically homeless) individuals with substance abuse disorders, mental illness, or with cooccurring substance abuse disorders and mental illness. Through this grant program, grantees 

link treatment services with housing programs and other services (e.g., primary care). Funds 

CSAT-26
support direct services, including the following types of activities: conducting outreach and preservice 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 treatment 

services and costs. 

 

In FY 2008, consistent with congressional intent, CSAT began allocating part of its GBHI funds 

for grants that address services in supportive housing. Like 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 mental disorders and other support 

services. 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, mental 

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, mental 

disorders, or co-occurring substance use and mental disorders. It is a cost-effective 

combination of affordable housing with supportive services that helps people live more stable, 

productive lives and leads to reductions in substance use and psychiatric symptoms. 

The GBHI General and SSH grants are complementary approaches that provide a 

comprehensive response to homeless persons living with substance use, mental or co-occurring 

substance use and mental disorders. Both support the implementation of effective, evidencebased practices, and the combination of the two approaches allows SAMHSA to support 

communities in reaching their homeless populations in need of substance use disorders and 

mental health services wherever they are found, whether in supportive housing or other 

community-based settings. 

 

In FY 2009, CSAT allocated $4.5 million to fund as many as 13 new GBHI General grants, and 

$3.1 million to fund as many as nine new SSH grants (approximately $350,000 each year for up 

to five years, in both the GBHI General and SSH programs). The amount for SSH represents 41 

percent of the available new GBHI funding in FY 2009 appropriated to CSAT, the same 

proportion as allocated in 2008, to provide treatment services for homeless populations under 

Section 506 of the Public Health Service Act. 

 

Performance Data: Since the inception of the GBHI program, CSAT homeless grants have 

served 33,171 individuals. The currently active portfolio has served over 22,000 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 91 active GBHI grantees show that 

individuals demonstrate: 

• 122 percent increase in employment or engaging in productive activities; 

• 166 percent increase in persons with a permanent place to live in the community; 

• 52 percent increase in no past months substance use; 

• 36 percent improvement in no/reduced alcohol or illegal drug related health, 

behavioral or social consequences. 

CSAT-27
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, welldocumented 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. 

Funding History 

FY Amount

2005 $234,246,000 

2006 $217,439,000 

2007 $217,770,000 

2008 $221,582,000 

2009 $219,684,000 

Budget Request 

The FY 2010 President's Budget request is $215.4 million, a decrease of $4.3 million from the 

FY 2009 Omnibus. The request will support 273 continuation grants, 58 new grants, 22 

continuation contracts, and 11 new contracts; and will eliminate $4.3 million in Congressionallydirected projects. 

CSAT-28
 

2 Includes 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. 

Outcomes and Outputs 

Table 5: Key Performance Indicators for Treatment Programs of Regional and National 

Significance – Other Capacity Activities2

 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.25: Increase percentage of adults 

receiving services who: Had no past 

month substance use (Outcome) 

FY 2008: 62% 

(Target Not 

Met but 

Improved) 

61% 62% +1 

1.2.26: Increase the number of clients 

served (Output) 

FY 2008: 

33,446 

(Target Not 

Met) 

31,659 34,784 +3,125 

1.2.27: Increase percentage of adults 

receiving services who: a) Were 

currently employed or engaged in 

productive activities (Outcome) 

FY 2008: 

54.3% 

(Target 

Exceeded) 

50% 51% +1 

1.2.28: b) Had a permanent place to 

live in the community (Outcome) 

FY 2008: 47% 

(Target Not 

Met but 

Improved) 

49% 49% Maintain 

1.2.29: c) Had no involvement with the 

criminal justice system (Outcome) 

FY 2008: 96% 

(Target Met) 

94% 95% +1 

1.2.30: d) Experienced no/reduced 

alcohol or illegal drug related health, 

behavioral or social, consequences

(Outcome) 

FY 2008: 68% 

(Target 

Exceeded) 

65% 66% +1 

1.2.31: Increase the percentage of 

grantees in appropriate cost bands

(Outcome) 

FY 2007: 80% 

(Target Met) 

78% 79% +1 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 368 375 348

Average Award $412,861 $403,003 $412,480

Range of Awards $187,782-$550,000 $187,782-$550,000 $200,000-$550,000

CSAT-29
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CSAT-30
Science and Service Activities 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget Authority.......................... $28,686,000 $26,963,000 $26,963,000 $0

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2010 Authorization...........................................................................................Expired 

Allocation Method.............................................Competitive Grants/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 and fourteen geographically dispersed 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. The Network works to shorten the gap in time between 

the release of new scientific findings and evidence-based practices and the implementation of 

new evidence-based treatment 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 practice by the 

substance use disorders treatment workforce. The ATTCs are highly responsive to emerging 

challenges in the field. 

Data show that over 21,000 people were trained in 2008. Approximately 92 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, 

CSAT-31
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 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 improves 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 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 130 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 reinforces the Secretary’s valuedriven health care priority by leveraging knowledge management (KM) 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 KM project has 

allowed SAMHSA to merge the NCADI and NMHIC back-end 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. In the coming year, SHIN will 

continue its redesign of the Web site to improve customers’ experience finding and ordering 

publications online; expand data-reporting functionality; and develop performance measures—

including Government Performance and Results Act (GPRA) measures—that will help assess 

the reach and impact of SHIN. 

In 2008, the SHIN program responded to 623,235 public inquiries, stored 1,104 titles for 

SAMHSA Centers and partners, and shipped 10,697,934 copies. SHIN maintained and 

updated related Web site content and generated more than 6.6 million Web site visits and more 

than 1 million PDF downloads. SHIN also provided materials and promotions for SAMHSA 

programs and products; supported the media campaign of the Office of National Drug Control 

CSAT-32
Policy (ONDCP) and managed the ONDCP’s product inventory; and supported the Office of 

Women’s Health (OWH) Inter-Agency Agreement with SAMHSA for the provision of distribution, 

added-value marketing, and evaluation services of OWH products. 

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. 

Funding History 

FY Amount 

2005 $36,710,000 

2006 $29,290,000 

2007 $29,609,000 

2008 $28,686,000 

2009 $26,963,000 

Budget Request 

The FY 2010 President's Budget request is $27.0 million, the same level of funding as the 

FY 2009 Omnibus level. The request will support 16 continuation grants, 12 continuation 

contracts and 14 new contracts. 

CSAT-33
 

3 Includes Knowledge Application Program, Faith Based Initiatives, Strengthening Treatment 

Access and Retention, Addiction Technology Transfer Centers, and SAMHSA Conference 

Grants. 

Outcomes and Outputs 

Table 6: Key Performance Indicators for Treatment Programs of Regional and National 

Significance – Science and Service Activities3

 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.4.01: Report implementing 

improvements in treatment methods on 

the basis of information and training 

provided by the program (Outcome) 

FY 2008: 92% 

(Target 

Exceeded) 

90% 90% Maintain 

1.4.02: Increase the number of 

individuals trained per year (Output) 

FY 2008: 

21,490 

(Target 

Exceeded) 

20,516 20,516 Maintain 

1.4.03: Increase the percentage of 

drug treatment professionals trained by 

the program who a) Would rate the 

quality of the events as good, very 

good, or excellent (Outcome) 

FY 2008: 95% 

(Target Not 

Met) 

96% 96% Maintain 

1.4.04: b) Shared any of the 

information from the events with others

(Outcome) 

FY 2008: 

93.5% 

(Target 

Exceeded) 

92% 92% Maintain 

1.4.05: Increase the percentage of 

grantees in appropriate cost bands

(Outcome) 

FY 2007: 

100% 

(Target Met) 

100% 100% Maintain 

Size of Awards 

(whole dollars) FY 2008 FY 2009 FY 2010 

Number of Awards 21 21 21

Average Award $441,238 $408,524 $460,857

Range of Awards $300,000- $550,000 $300,000- $550,000 $300,000- $550,000

CSAT-34
Prescription Drug Monitoring 

National All Schedules Prescription Electronic Reporting (NASPER) 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Budget Authority.......................... $0 $2,000,000 $2,000,000 $0

Authorizing Legislation Section..................................399O of the Public Health Service Act 

2010 Authorization.....................................................................................$10,000,000 

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 fist 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) establish, 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. 

The intent of this program is to foster the establishment or enhancement 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. 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. 

PMPs have been in place in some States for several years. 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. 

The allocation formula 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. 

CSAT-35
The Secretary must approve grants to all States (defined as the 50 States and the District of 

Columbia) that are qualified. 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. 

The table on the next page shows State allotments under NASPER assuming all States were 

qualified to receive an award. The hypothetical awards range from $21,000 to $117,000. 

According to the National Alliance of Model State Drug Laws (NAMSDL), as of February 2009, 

thirty-two States have operational PMPs. An additional six States have enacted legislation and 

five States have pending legislation to start a PMP. While it is conceivable that all 50 States 

and the District of Columbia could qualify and be approved for a NASPER grant, SAMHSA 

anticipates that 10-25 States will seek NASPER awards. 

Funding History 

FY Amount 

2005 $0 

2006 $0 

2007 $0 

2008 $0 

2009 $2,000,000 

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 website (March 2009). 

Budget Request 

The President’s Budget request is $2.0 million, the same level of funding as the FY 2009 

Omnibus. Grants will be awarded to all States with approved applications. 

Outputs and Outcomes 

SAMHSA is in the process of identifying appropriate performance measures for this program. 

CSAT-36
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Prescription Drug Monitoring (NASPER) 

CFDA # Pending 

STATE 

FY 2008 

Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference 

+/- FY 2009 

Omnibus 

Alabama $0 $40,450 $40,450 $0 

Alaska 0 21,467 21,467 0 

Arizona 0 36,351 36,351 0 

Arkansas 0 31,677 31,677 0 

California 0 113,129 113,129 0 

Colorado 0 32,116 32,116 0 

Connecticut 0 29,802 29,802 0 

Delaware 0 23,010 23,010 0 

District Of Columbia 0 21,951 21,951 0 

Florida 0 87,249 87,249 0 

Georgia 0 54,578 54,578 0 

Hawaii 0 23,192 23,192 0 

Idaho 0 24,674 24,674 0 

Illinois 0 55,621 55,621 0 

Indiana 0 38,816 38,816 0 

Iowa 0 31,949 31,949 0 

Kansas 0 29,953 29,953 0 

Kentucky 0 37,455 37,455 0 

Louisiana 0 37,818 37,818 0 

Maine 0 24,356 24,356 0 

Maryland 0 37,879 37,879 0 

Massachusetts 0 37,138 37,138 0 

Michigan 0 56,801 56,801 0 

Minnesota 0 37,894 37,894 0 

Mississippi $0 $32,630 $32,630 $0 

CSAT-37
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Prescription Drug Monitoring (NASPER) 

CFDA # Pending 

STATE 

FY 2008 

Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference 

+/- FY 2009 

Omnibus 

Missouri $0 $39,512 $39,512 $0 

Montana 0 23,887 23,887 0 

Nebraska 0 27,487 27,487 0 

Nevada 0 27,608 27,608 0 

New Hampshire 0 23,857 23,857 0 

New Jersey 0 50,736 50,736 0 

New Mexico 0 24,523 24,523 0 

New York 0 88,641 88,641 0 

North Carolina 0 50,463 50,463 0 

North Dakota 0 22,738 22,738 0 

Ohio 0 56,620 56,620 0 

Oklahoma 0 33,780 33,780 0 

Oregon 0 31,042 31,042 0 

Pennsylvania 0 65,211 65,211 0 

Rhode Island 0 23,751 23,751 0 

South Carolina 0 36,775 36,775 0 

South Dakota 0 23,161 23,161 0 

Tennessee 0 44,504 44,504 0 

Texas 0 87,885 87,885 0 

Utah 0 27,593 27,593 0 

Vermont 0 22,223 22,223 0 

Virginia 0 43,127 43,127 0 

Washington 0 39,301 39,301 0 

West Virginia 0 28,380 28,380 0 

Wisconsin 0 37,304 37,304 0 

Wyoming 0 21,936 21,936 0 

 

Total NASPER $0 $2,000,000 $2,000,000 $0 

CSAT-38
Substance Abuse Prevention and Treatment (SAPT) Block Grant 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus

 

Program Level............................. $1,758,728,000 $1,778,591,000 $1,778,591,000 $0

PHS Evaluation Funds (non-add)...... (79,200,000) (79,200,000) (79,200,000) ($0)

Authorizing Legislation................................Section 1921 of the Public Health Services Act 

2010 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 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. 

CSAT-39
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 2007) by supporting over 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 (80.9 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: 

• 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. Forty-three 

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. 

Funding History 

Funding FTEs

 2005 a/.....................$1,775,555,000 40 

 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 

a/ Includes $79.2 million from the PHS evaluation funds. 

CSAT-40
 

4 Formerly Number of Clients Served. Wording change approved by OMB 12/4/07

5 Prior to FY 2007, the data for this measure came from the Treatment Episode Data Set 

component of the SAMHSA Drug and Alcohol Services Information System. Beginning in FY 

2007, the data source is the State data repository of the Web Block Grant Application System.

Data Elements Used to Calculate State Allotments

Population Data: States and the District of Columbia updated July 1, 2007 Population 

Estimates (Population-At-Risk Calculations) from U.S. Census Bureau; Territories updated 

population estimates as of July 1, 2008 from U.S. Department of Commerce. 

Total Taxable Resources: 2004, 2005 and 2006 data from U.S. Department of Treasury 

Cost of Services Index: Wage Data from U.S. Census Bureau (2000 Census -16% Sample); 

Wage Data for Base Year (FY 1999) and Recent Year (FY 2005) from Centers for Medicare and 

Medicaid Services (CMS); FY 2009 Median Fair Market Rent Estimates from Department of 

Housing and Urban Development; July 1, 2007 Population Estimates by County/Sub county 

from U.S. Census Bureau. 

Budget Request 

The FY 2010 President's Budget request for the Substance Abuse Prevention and Treatment 

Block Grant is $1,778.6 million, the same level as the FY 2009 Omnibus. In accordance with 

the authorization, when the appropriation remains the same, the States and District of Columbia 

allotments are the same as the prior year. The Territories are not subject to the same funding 

requirement as the States. They receive funding based on updated population estimates as of 

July 1, 2008 and therefore the distribution of funds change among the Territories. 

Outcomes and Outputs 

Table 7: Key Performance Indicators for Substance Abuse Prevention and Treatment Block Grant 

– Treatment Activities 

Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 

Target 

FY 2010 +/- FY 

2009 

1.2.43: Number of admissions to 

substance abuse treatment programs 

receiving public funding (Output)4

 

FY 2007: 

2,372,302 

(Target 

Exceeded)5

1,881,515 1,881,515 Maintain 

1.2.45: Increase the percentage of 

States and Territories that express 

satisfaction with Technical Assistance 

(TA) provided (Output) 

FY 2007: 92% 

(Target Not 

Met but 

Improved) 

97% 97% Maintain 

1.2.47: Increase the percentage of 

States in appropriate cost bands

(Outcome) 

FY 2007: 65% 

(Target Not 

Met) 

68% 68% Maintain 

1.2.48: Percentage of clients reporting 

abstinence from drug use at discharge

(Outcome) 

FY 2007: 

73.7% 

(Target 

Exceeded) 

69.3% 70.3% +1 

CSAT-41
Measure Most Recent 

Result 

FY 2009 

Target 

FY 2010 FY 2010 +/- FY 

Target 2009 

1.2.49: Percentage of clients reporting 

abstinence from alcohol at discharge

(Outcome) 

FY 2007: 

80.9% 

(Target 

Exceeded) 

74.7% 74.7% Maintain 

1.2.50: Percentage of clients reporting 

being employed/in school at discharge

(Outcome) 

FY 2007: 

42.9% 

(Historical 

Actual) 

42.9% 43.9% +1 

1.2.51: Percentage of clients reporting 

no involvement with the Criminal 

Justice System (Outcome) 

FY 2007: 

88.9% 

(Historical 

Actual) 

88.9% 88.9% Maintain 

CSAT-42
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Substance Abuse and Prevention Treatment Block Grant 

CFDA # 93.959 

STATE/TERRITORY FY 2008 Actual 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

 Difference 

+/-2009 

Omnibus 

Alabama $23,767,733 $23,850,008 $23,850,008 $0

Alaska 4,639,286 4,796,474 4,796,474 0

Arizona 31,538,913 34,764,203 34,764,203 0

Arkansas 13,289,209 13,335,211 13,335,211 0

California 249,929,564 250,794,726 250,794,726 0

Colorado 23,736,475 24,858,461 24,858,461 0

Connecticut 16,750,919 16,808,904 16,808,904 0

Delaware 6,595,230 6,669,716 6,669,716 0

District Of Columbia 6,595,230 6,669,716 6,669,716 0

Florida 94,338,783 98,102,522 98,102,522 0

Georgia 50,349,727 50,524,018 50,524,018 0

Hawaii 7,146,459 7,171,197 7,171,197 0

Idaho 6,883,638 6,907,466 6,907,466 0

Illinois 69,632,849 69,873,891 69,873,891 0

Indiana 33,193,305 33,308,207 33,308,207 0

Iowa 13,477,961 13,524,616 13,524,616 0

Kansas 12,249,212 12,291,614 12,291,614 0

Kentucky 20,593,780 20,665,068 20,665,068 0

Louisiana 25,761,575 25,850,751 25,850,751 0

Maine 6,595,230 6,669,716 6,669,716 0

Maryland 31,869,681 31,980,001 31,980,001 0

Massachusetts 33,913,335 34,030,730 34,030,730 0

Michigan 57,699,389 57,899,122 57,899,122 0

Minnesota 22,377,974 23,968,851 23,968,851 0

Red Lake Indians 551,535 590,744 590,744 0

Mississippi 14,209,039 14,258,225 14,258,225 0

Missouri 26,068,220 26,158,458 26,158,458 0

Montana 6,595,230 6,669,716 6,669,716 0

Nebraska 7,865,700 7,892,928 7,892,928 0

Nevada 12,866,603 13,751,877 13,751,877 0

New Hampshire 6,595,230 6,669,716 6,669,716 0

New Jersey 46,779,531 46,941,463 46,941,463 0

New Mexico 8,684,844 8,714,908 8,714,908 0

New York 115,115,033 115,513,516 115,513,516 0

North Carolina $38,487,034 $38,620,261 $38,620,261 $0

CSAT-43
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

FY 2010 DISCRETIONARY STATE/FORMULA GRANTS 

Substance Abuse and Prevention Treatment Block Grant 

CFDA # 93.959 

STATE/TERRITORY FY 2008 Actual FY 2009 Omnibus FY 2010 

President's Budget 

 Difference 

+/-2009 

Omnibus 

North Dakota $5,146,990 $5,321,380 $5,321,380 $0

Ohio 66,431,453 66,661,413 66,661,413 0

Oklahoma 17,653,098 17,714,206 17,714,206 0

Oregon 16,218,090 16,861,926 16,861,926 0

Pennsylvania 58,884,025 59,087,858 59,087,858 0

Rhode Island 6,595,230 6,669,716 6,669,716 0

South Carolina 20,503,970 20,574,947 20,574,947 0

South Dakota 4,759,531 4,920,793 4,920,793 0

Tennessee 29,645,795 29,748,417 29,748,417 0

Texas 135,518,381 135,987,493 135,987,493 0

Utah 17,075,866 17,134,976 17,134,976 0

Vermont 5,088,950 5,261,374 5,261,374 0

Virginia 42,940,170 43,088,812 43,088,812 0

Washington 34,857,640 34,978,304 34,978,304 0

West Virginia 8,680,387 8,710,435 8,710,435 0

Wisconsin 25,679,888 27,078,689 27,078,689 0

Wyoming 3,306,749 3,418,788 3,418,788 0

State Sub-Total 1,645,729,669 1,664,316,528 1,664,316,528 0

American Samoa 328,149 331,855 358,177 +26,322

Guam 886,685 896,699 971,741 +75,042

Northern Marianas 396,481 400,959 478,563 +77,604

Puerto Rico 21,814,775 22,061,150 21,869,115 -192,035

Palau 109,566 110,804 116,541 +5,737

Marshall Islands 291,199 294,488 349,044 +54,556

Micronesia 612,915 619,838 594,862 -24,976

Virgin Islands 622,103 629,129 606,879 -22,250

Territory Sub-Total 25,061,873 25,344,922 25,344,922 0

Total States/Territories 1,670,791,542 1,689,661,450 1,689,661,450 0

SAMHSA Set-Aside 87,936,458 88,929,550 88,929,550 0

Performance Grant 0 0 0 0

TOTAL SAPTBG $1,758,728,000 $1,778,591,000 $1,778,591,000 $0

CSAT-44
Table of Contents 

Substance Abuse Prevention and Treatment Block Grant (Set-aside) Page 

1. Summary Table..................................................................................Set-aside - 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 
Substance Abuse Prevention and Treatment Block Grant (Set-aside) 

(Dollars in Thousands) 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request

 Funding Sources 

 Budget Authority: 

 SAPT Block Grant 5% Set-aside $8,736 $9,730 $9,730

 PHS Evaluation Funds: 

 SAPT Block Grant 79,200 79,200 79,200

 Program Management 17,750 21,750 21,750

 

 Total Program Level $105,686 $110,680 $110,680

 SAMHSA Component 

 Office of Applied Studies $80,018 $81,699 $81,699

 Budget Authority (non-add) 3,561 4,343 4,343

 PHS Evaluation SAPTBG (non-add) 58,707 55,606 55,606

 PHS Evaluation Program Mgmt (non-add) 17,750 21,750 21,750

 Center for Substance Abuse Prevention 8,880 12,193 12,193

 Budget Authority (non-add) ( 1,654) ( 1,967) ( 1,967)

 PHS Evaluation SAPTBG (non-add) ( 7,226) ( 10,226) ( 10,226)

 PHS Evaluation Program Mgmt (non-add) (0) (0) (0)

 Center for Substance Abuse Treatment 16,788 16,788 16,788

 Budget Authority (non-add) ( 3,521) ( 3,420) ( 3,420)

 PHS Evaluation SAPTBG (non-add) ( 13,267) ( 13,368) ( 13,368)

 PHS Evaluation Program Mgmt (non-add) 0 0 0

 

 Total, SAMHSA $105,686 $110,680 $110,680

Set-aside-1
Center for Substance Abuse Treatment 

(Dollars in thousands) 

CSAT Set-Aside Activities

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request

State Data Systems

Block Grant Management Information $ 865 $ 925 $ 925

NASADAD 500 500 500

State Outcomes Measurement and 

Management System (SOMMS) 3,500 3,500 0

Subtotal, State Data Systems 4,865 4,925 1,425

Technical Assistance

TA to States 3,101 3,118 6,618

Treatment Improvement Exchange 2,000 1,200 1,200

Analyses Medicaid/Medicare/CMS 925 1,252 1,252

TA to States -Recovery/Faith-based Programs 2,000 2,500 2,500

 FTE Support 3,521 3,420 3,420

Subtotal, Technical Assistance 11,547 11,490 14,990

Program Evaluation

Dev. of Spending Estimates for MH/SAT 376 373 373

Subtotal, Program Evaluation 376 373 373

 

TOTAL CSAT $16,788 $16,788 $16,788

Set-aside-2
Center for Substance Abuse Prevention 

(Dollars in thousands) 

CSAP Set-Aside Activities

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

State Data Systems

BGAS $150 $100 $100

Data Collection Coordinating Center 472 1,192 1,192

Subtotal, State Data Systems 622 1,292 1,292

Technical Assistance

SPFAS/ Synar 2,522 3,318 3,318 

NASADAD 200 362 362 

CAPTs 3,526 3,180 3,180 

Materials Development Media Support 356 496 496 

Health Communications and Marketing 0 1,080 1,080 

UAD 498 498 

FTE Support 1,654 1,967 1,967

Subtotal, Technical Assistance 8,258 10,901 10,901

 

TOTAL CSAP $8,880 $12,193 $12,193

Office of Applied Studies 

(Dollars in thousands) 

OAS Set-Aside Activities

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

National Data Collection

DAWN $17,000 $19,000 $17,000

NSDUH 44,650 45,000 47,000

National Analytic Center 2,339 2,500 2,500

DASIS 9,243 11,743 11,743

SOMMS - Central Services 3,900 0 0

Data Archive 851 851 851

FTE/Operations 2,035 2,605 2,605

 

TOTAL OAS $80,018 $81,699 $81,699

Set-aside-3
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 (SOMMs) which subcontracts with 

the States to collect National Outcome Measures data through the Drug Abuse Service 

Information System contract. 

The phase-out of the SOMMs payment to States will be completed in FY 2010, 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. 

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 Advancement 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. The largest contract is for the 

National Survey on Drug Use and Health which serves as the primary source of information on 

Set-aside-4
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 moving forward to carry out a comprehensive re-design of the National Survey on Drug 

Use and Health and plans to extend the current contract to 2012 with an option year for 2013. 

SAMHSA will maintain the current design and trends during the redesign period. The result of 

the redesign activity will be several different options for future surveys. SAMHSA will work 

toward identification of these redesign options and their respective costs, using the best 

available information to inform the FY 2011 budget request, which will support the first year of a 

multi-year plan to support the 2013 and subsequent surveys. 

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 prepopulation 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. 

Another important public health data contract managed by OAS is the Drug Abuse Warning 

Network which is a national surveillance system that monitors drug-related emergency 

department visits and deaths investigated by medical examiners and coroners. 

Accomplishments include the Drug Abuse Warning Network 2006: National Estimates of DrugRelated Emergency Department Visits and the Drug Abuse Warning Network, 2004: Area 

Profiles of Drug-Related Mortality publications. In FY 2009, OAS will be increasing the Analytic 

and Operational contracts for one-year to address transition costs between the current and new 

contracts implemented in FY 2009. 

OAS also managed the State Outcomes Measurement and Management System Central 

Services contract, which provides technical assistance to the states to develop their capacity to 

improve reporting of performance measures and assists in the standardization of the 

performance domains. Some of the key accomplishments in the past year include the 

completion of 13 Technical Assistance subcontracts on information technology; the planning 

and implementation of three Technical Assistance Groups (Setting Benchmarks, Efficiency 

Set-aside-5
Set-aside-6

Measure, Performance Management Federal Pre-meeting); and supporting the Electronic 

Health Records Initiatives. FY 2008 was the last year of funding for this activity. 

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 

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 

2005 $104,778,000 

2006 $103,930,000 

2007 $103,930,000 

2008 $105,686,000 

2009 $110,680,000 

Budget Request 

The FY 2010 President’s Budget request is $110.7 million, the same level of funding as the 

FY 2009 Omnibus level. Within this total, funding is realigned to complete the phase-out of 

SOMMS State payments and increase technical assistance activities to States. Funding for 

one-time transition costs for DAWN is also redirected to NSDUH to address the increased costs 

of this national survey. 
Program Management 

 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget 

Request 

FY 2010 +/- FY 

2009 Omnibus

Program Level.............................. $93,131,000 $100,131,000 $101,947,000 +$1,816,000

PHS Evaluation Funds (non-add)... 17,750,000 22,750,000 22,750,000 0

 

(Program Management)................... 497 492 492 0

(Block Grant Set-aside)................... 47 57 57 0

Total, FTE..................................... 544 549 549 0

Authorizing Legislation.......................................Section 501 of the Public Health Service Act 

FY 2010 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, 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. 

PM-1
National Surveys 

(Dollars in Thousands) 

PHS Evaluation Funds: FY 2008 FY 2009 FY 2010 

Drug Abuse Warning Network $16,250 $19,000 $17,000

National Analytic Center 750 0 0

NSDUH Substance Abuse 750 2,750 4,750

NSDUH Mental Health Questions 0 1,000 1,000

 Total, PHS Evaluation Funds $17,750 $22,750 $22,750

Budget Authority: FY 2008 FY 2009 FY 2010 

CDC National Health Interview Survey $0 $2,000 $2,000

NSDUH Mental Health Questions 990 0 0

 Total, PHS Evaluation Funds $990 $2,000 $2,000

Funding History 

FY Amount FTEs 

2005 $75,806,000 511 

2006 $75,989,000 524 

2007 $76,714,000 528 

2008 $75,381,000 544 

2009 $77,381,000 549 

Budget Request 

The FY 2010 President’s Budget request is $79.2 million, an increase of $1.8 million above an 

FY 2009 Omnibus level. Of the increase, $1.6 million is for civilian and Commissioned Corps 

pay and $0.2 million for non-pay. 

PM-2
Summary of Changes 

(Dollars in Thousands) 

Increases: FY10 CSB 

Built-in: 

Annualization of the 2009 civilian pay raise (3.9%) +$566

Annualization of the 2009 Commissioned Corps pay raise (3.9%) +52

Increase for January 2010 pay raise 1/ +987

Increase in rental payments to GSA +160

Subtotal, Built-in +1,765

 

Program:

Unified Financial Management System +90

Enterprise Service System +2

Human Resource Centers +12

Other administrative costs +67

Subtotal, Program +171

Total, Increases +1,936

Decreases:

Built-in: 0

Subtotal, Built-in 0

Program:

Decrease in Worker's Compensation -120

Subtotal, Program -120

Total, Decreases -120

Net Change +$1,816

Note: 

1/ FY 2010 includes a 2.0% pay raise for civilian personnel and a 2.9% pay raise for military personnel. 

PM-3
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. 

PM-4
PM-5

Saint Elizabeths Hospital 

Building and Facilities 

FY 2008 

Appropriation

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus 

Budget Authority........................ $772,000 $795,000 +$23,000

Authorizing Legislation....................................................Section 501 of Public Health Service Act 

FY 2010 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 2010 President’s Budget request is $0.795 million, an increase of $0.023 million above 

the FY 2009 Omnibus level. This funding increase will fully fund the current requirement for 

environmental remediation activities. 
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. 

PM-6
PM-7

Data Evaluation 

 

FY 2008 

Appropriation 

FY 2009 

Omnibus 

FY 2010 

President's 

Budget Request 

FY 2010 +/- FY 

2009 Omnibus 

Budget Authority........................... $0 $2,500,000 $0 -$2,500,000

Authorizing Legislation..............................................Section 505 of the Public Health Service Act 

FY 2010 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) 

Budget Request 

The FY 2010 President’s Budget eliminates funding for the evaluation of substance abuse data 

collection activities across the Department. The Data Evaluation project was fully funded in FY 

2009 as a one year activity to be used to identify possible data gaps and duplication of data and 

completed in 18 months. A report will be submitted to Congress in FY 2011. 
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PM-8
DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration

RESOURCE SUMMARY 

(Budget Authority in millions) 

FY 2008 FY 2009 FY 2010

Final Enacted Request

Drug Resources by Drug Control Function: 

 Prevention $564.492 $576.747 $574.367

 Treatment 1,881.331 1,917.320 1,964.486

 Total Drug Resources by Function $2,445.823 $2,494.067 $2,538.853

Drug Resources by Budget Decision Unit /1

 PRNS Prevention $194.120 $201.003 $198.259

 Strategic Prevention Framework – State 

Incentive Grants (SPF-SIG) (non-add) 103.271 110.003 110.003

 PRNS Treatment 399.844 412.342 458.056

 Access to Recovery (ATR) (non-add) /2 96.777 98.954 98.954

 Screening, Brief Intervention, Referral, and Treatment 

 (SBIRT) (non-add) 29.106 29.106 29.106

 Adult, Juvenile, and Family Drug Courts (non-add) 10.132 23.882 58.882

 Prescription Drug Monitoring Program (NASPER) 0.000 2.000 2.000

 Substance Abuse Prevention & Treatment Block Grant /3 1,758.728 1,778.591 1,778.591

 Program Management /4 93.131 100.131 101.947

Total Drug Resources by Decision Unit $2,445.823 $2,494.067 $2,538.853

Drug Resources Personnel Summary 

 Total FTEs 544 549 549

Drug Resources as a Percent of Budget 

 Total Agency Budget $3,356.329 $3,466.491 $3,525.467

 Drug Resources Percentage 72.9% 71.9% 72.0%

/1 

Includes both Budget Authority and PHS Evaluation funds. PHS Evaluation Fund levels are as 

follows: $101.3 million in FY 2008, $110.5 million in FY 2009, and $110.5 million in FY 2010. 

/2 Includes PHS evaluation funds for ATR in the amount of $1.4 million in FY 2009. 

/3 

Consistent with ONDCP guidance, the entire Substance Abuse Block Grant, including funds 

expended for activities related to alcohol is included in the Drug Budget. The Block Grant is 

distributed 20 percent to prevention and 80 percent to treatment. 

/4 

Consistent with ONDCP guidance, all SAMHSA Program Management funding is included. Program 

Management is distributed 20 percent to prevention and 80 percent to treatment. 

DB-1 
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DB-2 
Substance Abuse and Mental Health Services Administration 

Object Classification Tables – Direct 

(Dollars in Thousands) 

Object Class - Direct Budget Authority FY 2009 FY 2010 

 

Direct Obligations: 

Personnel Compensation: 

Full Time Permanent (11.1)............................................ $42,343 $43,391

Other than Full-Time Permanent (11.3).......................... 3,391 3,475

Other Personnel Compensation (11.5)........................... 864 886

Military Personnel Comprensation (11.7)........................ 3,627 3,742

Special personal services payments (11.8).................... 137 141

Subtotal Personnel Compensation: 50,362 51,635

Civilian Personnel Benefits (12.1)................................... 11,327 11,607

Military Personnel Benefits (12.2).................................... 1,731 1,786

Benefits for Former Personnel (13.1)............................. 0 0

Subtotal Pay Costs: 63,420 65,028

Travel (21.0)....................................................................... 1,724 1,732

Transportation of Things (22.0).......................................... 113 113

Rental Payments to GSA (23.1)......................................... 6,373 6,533

Rental Payments to Others (23.2)..................................... 1 1

Communications, Utilities and Misc. Charges (23.3)......... 754 755

Printing and Reproduction (24.0)....................................... 3,438 3,325

Other Contractual Services: 

Advisory and Assistance Services (25.1)....................... 21,771 21,730

Other Services (25.2)...................................................... 221,230 230,001

Other Purchases of Goods & Svc from Govt Accts (25.3) 106,406 106,819

Operation & Maintenance of Facilities (25.4).................. 20 20

Medical Care (25.6)......................................................... 0 0

Operation and Maintenance of Equipment (25.7)........... 555 558

 Subtotal Other Contractual Services:........................ 349,982 359,128

Supplies and Materials (26.0)............................................. 312 314

Equipment (31.0)................................................................ 347 349

Grants, Subsidies, and Contributions (41.0)...................... 2,907,114 2,955,249

Insurance Claims & Indemnities (42.0).............................. 1,328 1,355

Interest & Dividends (43.0)................................................. 0 0

Advance to Others (61.0)................................................... 0 0

Subtotal Non-Pay Costs.................................................. 3,271,486 3,328,854

Total Budget Authority: .................................................. $3,334,906 $3,393,882

ST - 1 
Substance Abuse and Mental Health Services Administration 

Salaries and Expenses 

(Dollars in Thousands) 

Salaries and Expenses- Direct Object Authority: FY 2009 FY 2010 

Personnel Compensation: 

Full Time Permanent (11.1)............................................ $42,343 $43,391

Other than Full-Time Permanent (11.3).......................... 3,391 3,475

Other Personnel Compensation (11.5)........................... 864 886

Military Personnel Comprensation (11.7)........................ 3,627 3,742

Special personal services payments (11.8).................... 137 141

Subtotal Personnel Compensation: 50,362 51,635

Civilian Personnel Benefits (12.1)................................... 11,327 11,607

Military Personnel Benefits (12.2).................................... 1,731 1,786

Benefits for Former Personnel (13.1)............................. 0 0

Subtotal Pay Costs: 63,420 65,028

Travel (21.0)....................................................................... 1,724 1,732

Transportation of Things (22.0).......................................... 113 113

Rental Payments to Others (23.2)..................................... 1 1

Communications, Utilities and Misc. Charges (23.3)......... 754 755

Printing and Reproduction (24.0)....................................... 3,438 3,325

Other Contractual Services: 

Advisory and Assistance Services (25.1)....................... 12,649 12,625

Other Services (25.2)...................................................... 217,248 225,861

Other Purchases of Goods & Svc from Govt Accts (25.3) 26,871 26,975

Operation & Maintenance of Facilities (25.4).................. 20 20

Medical Care (25.6)......................................................... 0 0

Operation and Maintenance of Equipment (25.7)........... 555 558

 Subtotal Other Contractual Services:........................ 257,343 266,039

Supplies and Materials (26.0)............................................. 312 314

Subtotal Non-Pay Costs.................................................. 263,685 272,279

Total, Salaries and Expenses......................................... $327,105 $337,307

ST - 2 
Substance Abuse and Mental Health Services Administration 

Detail of Full Time Equivalent (FTE) 

2008 

Actual 

Civilian

2008 

Actual 

Military

2008 

Actual

Total

2009 

Estimate

Civilian

2009 

Estimate

Military

2009 

Estimate

Total 

2010 

Estimate

Civilian 

2010 

Estimate

Military

2010 

Estimate 

Total 

CMHS 

Direct:........................................ 80 13 93 80 13 93 80 13 93

Reimbursable:........................... 15 5 20 15 5 20 15 5 20

Total: ...................................... 95 18 113 95 18 113 95 18 113

CSAP 

Direct:........................................ 75 14 89 75 14 89 75 14 89

Reimbursable:........................... 14 0 14 18 0 18 18 0 18

Total: ...................................... 89 14 103 93 14 107 93 14 107

CSAT 

Direct:........................................ 95 11 106 95 11 106 95 11 106

Reimbursable:........................... 0 0 0 0 0 0 0 0 0

Total: ...................................... 95 11 106 95 11 106 95 11 106

OA 

Direct:........................................ 36 1 37 36 1 37 36 1 37

Reimbursable:........................... 0 0 0 0 0 0 0 0 0

Total: ...................................... 36 1 37 36 1 37 36 1 37

OAS 

Direct:........................................ 25 4 29 25 4 29 25 4 29

Reimbursable:........................... 0 0 0 0 0 0 0 0 0

Total: ...................................... 25 4 29 25 4 29 25 4 29

OPPB 

Direct:........................................ 42 2 44 42 2 44 42 2 44

Reimbursable:........................... 0 0 0 0 0 0 0 0 0

Total: ...................................... 42 2 44 42 2 44 42 2 44

OPS 

Direct:........................................ 94 2 96 94 2 96 94 2 96

Reimbursable:........................... 5 0 5 5 0 5 5 0 5

Total: ...................................... 99 2 101 99 2 101 99 2 101

St. Elizabeths 

Direct:........................................ 0 0 0 0 0 0 0 0 0

Reimbursable:........................... 0 11 11 0 12 12 0 12 12

Total: ...................................... 0 11 11 0 12 12 0 12 12

SAMHSA FTE Total: .................. 481 63 544 485 64 549 485 64 549

ST - 3 
Substance Abuse and Mental Health Services Administration 

Detail of Positions 

 2008 2009 2010 

 Actual Estimate 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 $145,400 $153,321 $156,387

SES 14 15 15

Subtotal 14 15 15

Total, SES salaries $2,231,492 $2,522,353 $2,572,800

GM/GS-15 73 73 73

GM/GS-14 125 127 127

GM/GS-13 136 136 136

GS-12 32 34 34

GS-11 22 22 22

GS-10 3 3 3

GS-09 25 22 22

GS-08 13 16 16

GS-07 28 21 21

GS-06 13 11 11

GS-05 3 5 5

GS-04 3 1 1

GS-03 0 1 1

GS-02 1 1 1

GS-01 0 0 0

Subtotal 477 473 473

Total, GS salaries $45,904,096 $48,168,275 $49,131,641

CC-08/09 1 1 1

CC-07 0 1 1

CC-06 16 14 14

CC-05 8 14 14

CC-04 13 13 13

CC-03 7 11 11

CC-02 6 6 6

CC-01 0 0 0

Subtotal 51 60 60

Total, CC salaries $5,746,391 $5,970,449 $6,143,592

Total Positions 543 549 549

Average ES level ES ES ES

Average ES salary $145,400 $153,321 $156,387

Average SES level SES SES SES

Average SES salary $159,392 $168,157 $171,520

Average GS grade 12.4 12.5 12.5

Average GS salary $96,235 $101,836 $103,872

Average CC level 4.4 4.4 4.4

Average CC salaries $112,674 $99,507 $102,393

ST - 4 
Programs Proposed for Elimination 

The following narrative provides a brief summary of each program and the rationale for its 

elimination in the President’s 2010 Budget request. Termination of these four programs frees 

up approximately $18.2 million, based on FY 2009 levels. 

Program Description 

Mental Health PRNS– Congressional Projects (-$8.6 million)

This line funded one-time projects whose selection was incorporated into law by reference. 

Substance Abuse Prevention PRNS – Congressional Projects (-$2.7 million)

This line funded one-time projects whose selection was incorporated into law by reference. 

Substance Abuse Treatment PRNS – Congressional Projects (-$4.3 million)

This line funded one-time projects whose selection was incorporated into law by reference. 

Data Evaluation (-$2.5 million)

The FY 2010 Budget eliminates funding for the one-time evaluation of substance abuse data 

surveillance systems across the government. This evaluation will be used to identify possible 

data gaps and duplication of data and will be completed in 18 months. A report will be 

submitted to Congress in FY 2011. 

ST - 5 
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ST - 6 
FY 2010 HHS Enterprise Information Technology Fund: E-Gov Initiatives 

OPDIV Allocation Statement: 

SAMHSA will contribute $252,982 of its FY 2010 budget to support Department enterprise 

information technology initiatives as well as E-Government initiatives. Operating Division 

contributions are combined to create an Enterprise Information Technology (EIT) Fund that 

finances both the specific HHS information technology initiatives identified through the HHS 

Information Technology Capital Planning and Investment Control process and E-Government 

initiatives. These 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, $56,449.10 is allocated to support E-Government initiatives for 

FY 2010. This amount supports the E-Government initiatives as follows: 

FY 2010 HHS Contributions to E-Gov 

Initiatives* SAMHSA 

 Line of Business - Human Resources $1,094.23

 Line of Business - Grants Management $2,420.39

 Line of Business - Financial $1,054.28

 Line of Business - Budget Formulation and 

Execution $701.00

 Line of Business - IT Infrastructure $1,179.20

 Disaster Assistance Improvement Plan $50,000.00

E-Gov Initiatives Total $56,449.10

*The total for all HHS FY 2010 inter-agency E-Government and Line of Business contributions 

for the initiatives identified above, and any new development items, is not currently projected by 

the Federal CIO Council to increase above the FY 2009 aggregate level. 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. An HHS agency, 

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 and has applied to be a GMLOB 

consortia lead. 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 

ST - 7 
ST - 8 

efficiencies, as well as streamlining and standardization 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. 

Lines of Business-IT Infrastructure: This initiative provides the potential to leverage spending 

on commodity IT infrastructure to gain savings; to promote and use common, interoperable 

architectures that enable data sharing and data standardization; secure data interchanges; and, 

to grow a Federal workforce with interchangeable skills and tool sets. 

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. 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 1 

FY 2009 Omnibus Appropriation Act - H.R. 1105 (March 2009) 

Fund Supportive Services Programs - SAMHSA is directed to continue to fund supportive 

services programs within the authority of the Programs of Regional and National Significance. 

The distribution of these funds between the Center for Mental Health Services (CMHS) and the 

Center for Substance Abuse Treatment (CSAT) is detailed later in this statement. (H.R. 1105, 

p.1411) 

Action taken or to be taken

SAMHSA implements the congressional directive on providing assistance homeless people with 

substance abuse or/and mental health issues through a variety of programs. In FY 2008, 

SAMHSA/CSAT issued a new Request for Applications, Development of Comprehensive 

Drug/Alcohol and Mental Health Treatment Systems for Persons who are Homeless (Short Title: 

Treatment for Homeless). This program expands and strengthens substance abuse treatment 

services for persons who are homeless and also targets part of the funds for services in 

supportive housing. In September 2008, SAMHSA awarded 12 grants for a total of $4.6 million 

in the supportive housing component of the Treatment for Homeless Program. These grants 

provide consumers with substance abuse treatment and recovery support services in 

conjunction with their long-term, community-based housing options. All of the grants awarded in 

FY 2008 will continue in FY 2009, and SAMHSA also plans to award another round of 

approximately nine new supportive housing grants for a total of $3.1 million in FY 2009. 

CMHS’s Services in Supportive Housing (SSH) is a grant program to support chronically 

homeless adults with serious mental illness or co-occurring disorders and a contract that 

provides technical assistance to grantees. Through direct provision or by collaborative 

arrangement with other providers, grantees provide the following types of care: outreach and 

engagement, assertive community treatment or intensive case management, support for 

housing retention, independent living skills, motivational interventions, crisis care, assistance in 

obtaining income support and entitlements, mental health treatment, and substance abuse 

treatment. 

In addition to grants focused on services in supportive housing, SAMHSA’s Treatment for 

Homeless Program funds the community-based public and private non-profit entities that 

provide comprehensive drug, alcohol and mental health treatment services for persons in the 

community who are homeless. Grantees support implementation of mental health and 

substance abuse services that have a strong evidence-base for effectiveness. Services 

provided by grantees include: substance abuse prevention and treatment and/or mental health 

services, outreach to expand access to treatment services to underserved populations and 

purchasing or providing direct treatment services for populations at risk. Treatment for 

Homeless Program outcomes for 6-month period in 2008 include a 216 percent increase in 

persons with a permanent place to live in the community, 129 percent increase in employment 

or attending school, and 53 percent increased abstinence (did not use alcohol or illegal drugs in 

past month). 

CMHS also funds the Projects for Assistance in Transition from Homelessness (PATH) 

formulary grants to States and Territories, which supports the delivery of services to individuals 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 2 

who are homeless or imminent risk of becoming homeless who have serious mental illness and 

those with co-occurring substance abuse disorders. The PATH program provides grants to 56 

States and U.S. Territories, with FY 2009 funding of 59.7 million. The program has a particular 

emphasis on persons most in need of services and on services which are not supported by 

mainstream mental health programs. Some of types of services offered are: outreach, 

screening and diagnostic, habilitation and rehabilitation, community mental health, alcohol or 

drug treatment, and case management. Grant funds help link hard-to-reach persons who are 

homeless with mental health and substance abuse treatment and housing services. 

Programs of Regional and National Significance - SAMHSA is strongly urged to give 

preference to applicants with prior experience in the NeTSI, as well as extensive experience in 

the field of trauma related mental disorders in children, youth and families, especially in the 

areas of child abuse and residential treatment settings. SAMHSA should also pay special 

attention to the role of resiliency in recovery from trauma. (H.R. 1105, p.1412) 

Action taken or to be taken

In FY 2009, SAMHSA continues to seek highly qualified applicants for the National Child 

Traumatic Stress Network (NCTSN) through the award of a new cohort of grants. The NCTSN 

consists of organizations working to address the complex issue of child traumatic stress 

resulting from natural and man-made disasters, school crises and domestic violence. 

Requirements and priorities in SAMHSA’s request for grant applications are consistent with the 

FY 2009 Omnibus Bill which encourages SAMHSA to make awards to applicants, “with prior 

experience in the NCTSI, as well as extensive experience in the field of trauma-related mental 

disorders in children, youth and families, especially in the areas of child abuse and residential 

treatment settings.” SAMHSA’s competitive application process encourages previously funded 

grantees to reapply for funding under this initiative. Through the NCTSN SAMHSA will pay 

special attention to the role of resiliency in recovery from trauma. 

Community Mental Health Centers - SAMHSA is urged to issue one or more competitive 

awards to national entities with experience in providing training and technical assistance to 

these community sites in order to ensure the success of this integrated treatment model. (H.R. 

1105, p.1412) 

Action taken or to be taken

The high rates of early mortality and co-morbid health conditions experienced by Americans 

with serious mental illnesses constitute a public health crisis requiring immediate attention. The 

integration of primary and mental health care is imperative. In 2009, SAMHSA will fund a new 

grant program, Primary and Behavioral Health Care Integration, to integrate primary care and 

specialty medical services into community mental health centers. Community Mental Health 

Centers (CMHCs) were the eligible applicants for this program. Additionally, a grant program to 

support the provision of training and technical assistance to PBHCI grantees will also be funded 

in FY 2009. 

SOAR Program - SAMHSA is encouraged to continue funding the SOAR program within the 

Programs of Regional and National Significance and to apply this approach nationally with 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 3 

adequate technical assistance and to share lessons learned to assist other disadvantaged 

populations. (H.R. 1105, p.1412) 

Action taken or to be taken 

SAMHSA will be issuing 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 and or Medicare health insurance. Accessing these 

benefits is often critical to recovery for people who are homeless with mental health problems. 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 4 

Issues Addressed by Both House and Senate 

House Appropriations Full Committee and Committee Prints and S.R. 110-410 

CSAP/Programs of Regional and National Significance. - The Committee expects the 

Center for Substance Abuse Prevention (CSAP) to focus its prevention efforts on environmental 

and population-based strategies due to the cost effectiveness of these approaches. Further, the 

Committee instructs that given the paucity of resources for bona fide substance abuse 

prevention programs and strategies, money specifically appropriated to CSAP for these 

purposes shall not be used or reallocated for any other programs or purposes within SAMHSA. 

(House-p. 184/185 & Senate-p. 137) 

Action taken or to be taken

SAMHSA supports States to encourage communities to implement appropriate environmental 

strategies with both Block Grant and Strategic Prevention Framework State Incentive Grant 

(SPF SIG) program funds, and provides training and Technical Assistance to States and 

communities to assist in implementation. 

Through its technical assistance providers, SAMHSA works with States, State technical 

assistance providers and communities to develop capacity to identify and select specific 

evidence-based environmental strategies that fit particular circumstances and to assess the 

implementation of environmental strategies at local and State levels. Examples of these 

activities include “train-the-trainer” sessions on incorporating environmental strategies into 

prevention planning conducted with State staff and community partners, and a learning 

community series on evidence-based interventions convened with States and local entities to 

guide the selection of complementary strategies that target environmental risk factors. 

In States, jurisdictions, and tribes that receiving funds from the SPF SIG program, participating 

communities are expected to choose relevant evidence-based strategies to address high priority 

substance abuse problems. A key component of the SPF SIG program is to change community 

level substance use and related problems. Such efforts generally include environmental 

approaches designed to target local factors that contribute to substance use problems affecting 

the whole community. 

The SPF SIG program also promotes the use of environmental strategies as part of the State's 

strategic plan. The SPF SIG grantees require their sub-recipients to include environmental 

strategies as part of their comprehensive community plans. These grantees provide a wide 

array of environmental strategies that they propose to implement with a defined audience. 

These grantees now understand the efficiency, effectiveness and the economic advantage of 

using their Block Grant funds strategically; and they are encouraging their Block Grant subrecipients to implement environmental strategies in an effort to affect population level change. 

Underage Drinking Survey Results - The Committee commends SAMHSA for its support of 

town hall meetings on underage drinking, reiterates its request that underage drinking findings 

from Federal surveys be separately and prominently highlighted, and requests that examples be 

submitted in the fiscal year 2010 Congressional budget justification of how the Committee's 

directives are being accomplished. (House-p. 185 & Senate-p. 138) 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 5 

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 2008. Communities participating in this 

national effort were encouraged to use the Surgeon General’s Call to Action Guide to Action for 

Communities, which prominently features data from Federal surveys including SAMHSA’s 

National Survey on Drug Use and Health (NSDUH), which can be found on SAMHSA website 

http://www.oas.samhsa.gov/underage.cfm. In 2008, SAMHSA also released 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. In addition, SAMHSA has featured underage drinking in its annual NSDUH 

report, and in its report on substance use and mental health patterns in each State. The data 

highlights important adolescent drinking behaviors: 

• Based on combined data from 2006 to 2007 NSDUH surveys, an annual average of 28.1 

percent of underage drinkers (10.8 million persons aged 12 to 20) drank alcohol in the 

past month. By age group within the underage drinkers the rates were: 51.1 percent of 

those aged 18 to 20; 25.9 percent of those age 15 to 17; and 6.1 percent of those aged 

12 to 14. 

• Underage drinkers who drank in the past month (i.e., current drinkers) obtained their last 

alcohol drink as follows: 30.6 percent paid for the last alcoholic drink, 26.4 percent got it 

for free from a non-relative of legal drinking age, 14.6 percent got it for free from another 

underage person, 5.9 percent got it from a parent or guardian, and 8.5 percent got it 

from another relative who was of legal drinking age. 

• Current underage drinkers who paid for their last drink consumed more drinks on 

average the last time they drank than those who did not pay for their alcohol drink (6.0 

drinks vs. 3.9 drinks). 

Teenage Depression and Suicide. - According to CDC, rates of suicide among adolescents 

and young adults in the U.S. have continued to rise since 2003. The Committee is deeply 

concerned by this disturbing trend and urges SAMHSA to strengthen its support of local efforts 

to implement mental health screening and suicide prevention programs. The Committee further 

urges SAMHSA to support research to determine how these practices can be best implemented 

at the community level, and to work with the private sector to develop methods to integrate 

mental health screening, assessment, prevention, and education efforts into educational and 

medical settings. (p.179) 

Action taken or to be taken 

In FY 2009, SAMHSA continues to implement and evaluate mental health screening and suicide 

prevention programs and to identify evidence based practices for facilitating treatment for youth 

at risk through the Garrett Lee Smith State and Tribal Youth Suicide Prevention and Early 

Intervention (GLS) program. A cross site evaluation of this program is examining the extent to 

which youth identified as at risk for suicide are referred and enrolled into mental health 

treatment. This evaluation data is made available for grantees so that the grantees can 

continually improve and expand their services. Final data will be available for the first cohort of 

grantees by FY 2010. 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE APPROPRIATIONS 

REPORTS 

SI - 6 

SAMHSA’s Suicide Prevention Resource Center continues to collaborate with National Registry 

of Evidence Based Programs and Practices (NREPP) to identify suicide prevention programs 

and assist them in becoming ready for NREPP review. Of the ten suicide prevention programs 

currently on the NREPP registry, there are five school-based suicide prevention programs, the 

American Indian Life Skills Development curricula, the Signs of Suicide program, the Columbia 

University Teen Screen program, Care, Assess, Respond, Empower, and Coping and Support 

training. 

In an effort to promote dissemination of these evidence-based school suicide prevention 

practices, SAMHSA has awarded a contract to the National Association of State Mental Health 

Program Directors to work in collaboration with the Suicide Prevention Resource Center to 

produce a school suicide prevention toolkit that will be disseminated to schools across the 

country in FY 2010. 

Primary and Behavioral Health Care Integration. -The Committee is deeply concerned about 

recent reports that people with serious mental disorders served in the public mental health 

system die on average 25 years sooner than other Americans. Within the amounts provided for 

mental health Programs of Regional and National Significance, the Committee provides 

$7,000,000 for a new program to integrate primary care and specialty medical services in 

community mental health centers and other community-based behavioral health agencies. 

Furthermore, the Committee urges SAMHSA to issue one or more competitive awards to 

national entities with experience in providing training and technical assistance to these 

community sites in order to ensure the success of this integrated treatment model. (p. 179) 

Action taken or to be taken

The high rates of early mortality and co-morbid health conditions experienced by Americans 

with serious mental illnesses constitute a public health crisis requiring immediate attention. The 

integration of primary and mental health care is imperative. In FY 2009 SAMHSA plans to issue 

an announcement for a new demonstration grant program to integrate primary care and 

specialty medical services in community mental health centers and other community-based 

behavioral health agencies. In addition, SAMHSA plans to issue an announcement for the 

provision of training and technical assistance to grantees. 

In addition, in September 2007, SAMHSA convened a National Wellness Summit for People 

with Mental Illness which included participants representing federal and state officials, providers, 

consumers, researchers and interested other parties to address this issue and develop a 

strategic response. At the event, the “10 by 10 Campaign” was launched as a public/private 

initiative designed to reduce early mortality by 10 years over the next 10 year time period. Over 

the past year, a centralized web resource was established (www.bu.edu/cpr/resources/wellsummit) to provide information on approaches to lessen early mortality and promote wellness. 

SAMHSA has also provided leadership to the Primary Care/Mental Health Integration 

Workgroup which is a priority subgroup of the Federal partner Senior Workgroup on Mental 

Health Transformation. The Integration Workgroup is composed of 14 different federal 

agencies, has produced a compendium of federal integration efforts, and in November 2008, 
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convened a national conference of community-based providers and others to implement 

strategies to promote integrated care. 

Project LAUNCH Wellness Initiative. - Last year, Congress provided initial funding for a 

program to promote the physical, emotional, social, and behavioral health of young children, 

birth to 8 years of age. The Committee is excited about the possibilities this program offers in 

combining the needs for primary care, mental health, and substance abuse services. The 

announcement for these grants was issued in March and the Committee is particularly 

interested in how SAMHSA has incorporated programs administered by other agencies, such as 

the Health Resources and Services Administration and the Administration on Children and 

Families, into the effort. This coordinated effort to address physical, emotional, social, and 

behavioral health is a prime example of the implementation of a public health model to address 

the health needs of the American population. (p. 179) 

Programs of Regional and National Significance. - As part of taking a public health approach 

to mental health promotion and prevention, the Committee recommends $20,369,000 for the 

Project Launch program. This is an increase of $13,000,000 over last year’s level. The 

administration proposed to eliminate this program, which promotes the emotional, physical and 

emotional wellness of young children from birth to 8 years of age. Grantees must create an 

integrated early childhood system that includes physical, mental and behavioral health, as well 

as education, substance abuse and social service components. The Committee urges SAMHSA 

to continue collaboration with HRSA and CDC on this program. (p. 130) 

Action taken or to be taken

In FY 2008, SAMHSA issued the announcement for Project LAUNCH to address this need. In 

response to the Request for Proposal, SAMHSA received a strong response from the field, and 

awarded six grants (Rhode Island, Washington, New Mexico, Arizona, Maine, and Red Cliff 

Band of Lake Superior Chippewa) to create integrated early childhood systems and promote the 

wellness of young children ages birth through eight. In FY 2009, SAMHSA will award additional 

12 new awards with total funding of $20 million to communities that promote the physical and 

emotional wellness of young children through 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. 

SAMHSA will continue collaboration with Health Resources and Services Administration 

(HRSA) and Centers for Disease Control and Prevention (CDC) on the Project LAUNCH 

program. SAMHSA has built interagency partnerships at all levels of government including nonHHS federal partners, HRSA, CDC, and Administration for Children and Families (ACF). ACF is 

also managing the program’s cross-site evaluation through an intra-agency agreement. Several 

partner agencies are exploring avenues for further coordination of technical assistance and 

evaluation efforts. Of the six Project LAUNCH grants awarded in FY 2008, five went to Maternal 

and Child Health Agencies enabling who also are HRSA’s grantees so they can build on the 

work done through HRSA’s Early Child Comprehensive Systems grant program, and ensuring 

the integration of the Project LAUNCH approach in primary care and public health systems. 

The sixth grant awarded to the Red Cliff Band of Lake Superior Chippewa in Bayfield, 
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Wisconsin, is using Project LAUNCH’s prevention-focused public health approach to enhance 

child wellness within a tribal framework. 

Project LAUNCH grantees are creating Coordinating Councils to develop policies and enhance 

local programs that improve the delivery of care to young children and their families and 

promote health and wellness. These Councils include representatives from primary care, mental 

health, child welfare, substance abuse prevention, and education arenas. 

National Outcome Measures (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 NOMs initiative. The Committee is pleased to know that States 

continue to make progress in reporting NOMs data through the SAPT Block Grant. According to 

SAMHSA, approximately 47 States voluntarily reported substance abuse outcome data in 2007. 

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 the State 

substance abuse agencies in order to continue to help States address technical issues and 

promote State to State problem-solving solutions. (p. 184) 

Action taken or to be taken

Through grants and contracts at the Center for Substance Abuse Treatment, Center for 

Substance Abuse Prevention, and the Office of Applied Studies, SAMHSA engages States in 

on-going and extensive collaborative planning and implementation of National Outcome 

Measures data. In FY 2007 CSAT awarded a three year grant to the National Association of 

State Alcohol and Drug Abuse Directors to further consensus development of the National 

Outcome Measures and facilitate State to State technical assistance. In FY 2008, the Uniform 

Block Grant Application was revised to require National Outcome Measures reporting; and, to 

reduce respondent burden, these data are pre-populated into the application of those States 

reporting through the Drug and Alcohol Information System contract of the Office of Applied 

Studies. States receive financial support for collecting treatment data through the Drug and 

Alcohol Information System contract and for collecting prevention data through CSAP’s State 

Epidemiology and Outcome Workgroup program. Prevention outcome data collected through 

the OAS National Survey on Drug Use and Health are also provided to the States. After several 

years of supporting technical assistance for information technology planning and design 

provided through the OAS State Outcome Measurement and Management Central Services, the 

contract will come to a close in FY 2009. Continued work on data standards for National 

Outcome Measures will be supported through other on-going contracts. 
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FY 2009 House Appropriation Committee Report Language 

Hispanic Youth and Suicide Risk. - Suicide risk remains a serious public health concern for 

Hispanic youth in the U.S. Limited access to mental health services compounds this problem, 

given the number of Hispanic youth suffering from a mental illness. The Committee encourages 

SAMHSA to develop a demonstration project that will illustrate whether the early identification of 

at risk adolescents leads to increased proportions of referrals for mental health treatment 

among Hispanic adolescents. (p. 178) 

Action taken or to be taken

Preliminary data from the Garrett Lee Smith Youth Suicide Prevention program indicated that 

more than 84 percent of Hispanic youth screened were found to be at risk for suicide and were 

referred for mental health services. More than 83 percent were confirmed to have received at 

least one initial mental health service. These percentages are comparable for non-Hispanic 

youth in the program. SAMHSA will further analyze this evaluation data, and work with grantees 

to implement programmatic improvements so that all youth at risk continue to seek treatment. 

SAMHSA’s National Registry of Evidence Based Programs and Practices program includes a 

hospital Emergency Department-based youth suicide intervention that was developed for use 

with Hispanic youth and families, which will be eligible for Garrett Lee Smith funding. 

Additionally, the National Suicide Prevention Lifeline has a Spanish network of crisis centers 

with 24 hour Spanish language capacity, and has versions in Spanish of wallet cards with the 

warning signs for suicide. The Lifeline also provides Spanish language psycho-educational 

materials for persons attempting suicide treated in hospital Emergency Departments, including 

information for family members dealing with the issues. 

SAMHSA, pending the availability of funds, is interested in supporting a demonstration program 

that will illustrate whether the early identification of at risk adolescents leads to increased 

proportions of referrals for mental health treatment among Hispanic adolescents. 

Minority Fellowship Program. - The Committee recognizes that professional counselors are 

highly trained and well qualified mental health providers who deliver culturally appropriate 

behavioral health services to diverse populations through the public and private sectors. The 

Committee urges SAMHSA to increase the pool of culturally competent mental health 

professionals in the U.S. by granting professional counselors eligibility to participate in the 

Minority Fellowship Program beginning in fiscal year 2009. (p. 178) 

Action taken or to be taken

SAMHSA is committed to meeting the mental health needs of diverse populations across the 

Nation and recognizes the importance of having a culturally competent behavioral health 

workforce. Consistent with the FY 2009 Omnibus Bill, SAMHSA will implement the Minority 

Fellowship Program to facilitate the expanded entry of ethnic minority students into mental 

health careers and increase the number of individuals trained to teach, administer, and provide 

direct mental health services to ethnic minority groups. 
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Asian American and Pacific Islander Substance Abuse Services. - The Committee 

recognizes that the Asian American and Pacific Islander (AAPI) populations are one of the 

fastest growing groups in the U.S. The need for culturally competent substance abuse services 

for these populations continues to increase. The Committee urges SAMHSA to work with 

appropriate organizations that provide substance abuse services to create a comprehensive 

system of outreach, training, information and resources, and prevention and treatment services 

that will be culturally competent and accessible to all AAPI populations across the U.S. In 

addition, the Committee urges SAMHSA to make available substance abuse prevalence data 

aggregated by States and Pacific Island jurisdictions to evaluate whether AAPI rates have been 

reduced by the stated goal of 10 percent in two years and 25 percent in five years. (p. 181) 

Action taken or to be taken 

In FY 2008, CSAT provided almost $11 million in discretionary funding to 25 grantees providing 

substance abuse treatment services to AA/PI populations. Six Pacific Island jurisdictions 

received over $2.6 million and the State of Hawaii received $7.1 million from the FY 2008 SAPT 

Block Grant to provide substance abuse prevention and treatment services to AA/PI clients. In 

addition, CSAT provided a special project supplement in the amount of $100,000 to the 

Northwest Frontier Addiction Technology Transfer Center to expand the range and frequency of 

training, technology transfer, and workforce development services to the Pacific Jurisdictions. 

With the special project award, the Center will conduct a treatment system assessment resulting 

in a description of services available in each participating jurisdiction. The Center will also 

conduct training for AA/PI treatment counselors in Motivational Interviewing (MI), an evidencebased practice that has been successfully implemented and adapted for use with specific 

populations. The Center will also conduct training for clinical supervisors to enable them to 

serve as ongoing coaches for the implementation of Motivational Interviewing. In addition, the 

Center will conduct an inventory of available distance education courses that could be accessed 

by substance abuse counselors working in remote and rural areas in the pacific jurisdictions, as 

well as across the United States that serve Asian American populations. The Center will also 

create and disseminate a catalogue of on-line, web-based, and correspondence courses on 

topics consistent with the needs of AA/PI communities. Finally, the Center will expand its 

workforce development efforts, especially in the Pacific Jurisdictions, consulting with community 

colleges in American Samoa and Palau, and with the University of Guam, to develop substance 

abuse-related courses and to prepare counselors in the delivery of screening and brief 

intervention. 

SAMHSA’s Office of Applied Studies collects and reports on prevalence of substance abuse 

and mental disorders among racial and ethnic groups, including Asian American and Pacific 

Islanders. Also collected is information on treatment admission by racial and ethnic status; 

however, this data collection is limited to the continental United States, thus, changes in 

prevalence in pacific jurisdictions is currently not available. Should funds be available, 

SAMHSA will initiate further internal studies to determine progress in meeting the AA/PI rate 

reduction goals. 

Treatment Drug Courts. - The Committee applauds SAMHSA for using the grant application 

process to require successful applicants for drug treatment courts to demonstrate extensive 

evidence of consultation and collaboration with the corresponding State substance abuse 
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agency in the planning, implementation, and evaluation of the grant. The Committee urges 

SAMHSA to continue the policy of requiring grantees to work directly with State substance 

abuse agencies on all aspects of the grant in order to help promote effective and efficient State 

service systems. (p. 183) 

Action taken or to be taken

SAMHSA recognizes the importance of involving the Single State Agency in the planning, 

implementation, and evaluation of the Treatment Drug Court grant applications to better ensure 

coordination between the criminal justice and community-based substance abuse treatment 

systems and to increase the chances of treatment drug court sustainability. SAMHSA will 

include language in all new Treatment Drug Courts Request for Applications (RFAs), including 

the approximately $12 million that will be awarded to 40 communities in new drug court grants in 

2009, which requires applicants to demonstrate evidence of direct and extensive consultation 

and collaboration with the corresponding Single State Agency in the planning, implementation, 

and evaluation of the proposed project. Demonstrated evidence of this collaboration must be 

supported by a letter from the agency Director or designated representative substantiating the 

agency’s involvement, and submitted with the grant application. 
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FY 2009 Senate Appropriation Committee Report Language (S.R. 110-410) 

Mental Health. - The Committee is aware that the National Academy of Sciences is reviewing 

key advances in research relating to the prevention of mental health and substance abuse 

disorders among children, adolescents, and adults. The Committee looks forward to the release 

of the study, which will recommend priorities for future policies and strategies. The 

administration is encouraged to incorporate these recommendations into SAMHSA’s fiscal year 

2010 budget request. (p. 129) 

Action taken or to be taken

Mental health and substance use disorders among children, youth, and young adults pose 

major health threats that often carry over into adulthood. Prevention practices that can mitigate 

the onset or severity of the disorders are gaining interest and have emerged in a variety of 

settings, including programs for at-risk populations, school-based and primary care 

interventions, and community services addressing various needs and populations. 

 

In March 2009, the IOM released the report, Preventing Mental, Emotional and Behavioral 

Disorders Among Young People: Progress and Possibilities. The report highlighted areas of 

research using a developmental framework across the life span and emphasized prevention and 

promotion opportunities for mitigating the onset or severity of mental health and substance use 

disorders among children, youth, and young adults. 

Recommendations for future Federal policies and programs to strengthen a developmental 

approach to prevention research and the use of evidence-based prevention programs to 

address youth mental health needs were outlined in the report. These suggestions are 

incorporated into SAMHSA’s FY 2010 budget planning and formulation process by requesting 

more resources into Children’s Mental Health program and new funding for services to protect 

methamphetamine’s youngest victims, as well as set the stage for the future as interest 

continues to grow in improving the rigor and effectiveness of preventive interventions. 

Programs of Regional and National Significance. - The Committee is pleased with 

SAMHSA’s collaboration with the Administration for Children and Families (ACF), especially 

with regard to that agency’s home visitation initiative. The Committee strongly urges SAMHSA 

to explore further areas of collaboration that will strengthen families and promote child wellbeing. One possible area of collaboration is ACF’s Child and Family Services Reviews under 

the child welfare program. (p. 130) 

Action taken or to be taken

SAMHSA has been working with the Administration on Children, Youth and Families (ACYF),

Office on Child Abuse and Neglect, Children’s Bureau, since the passage of the Adoption and 

Safe Families Act in 1998. Initial work included co-authorship with HHS and ACYF of the 

Report to Congress, “Blending Perspectives and Building Common Ground,” which called for 

greater collaboration among child welfare and substance abuse agencies. 

Given the importance of the Child and Family Service Review process to the improvement of 

child welfare practice in the States, SAMHSA developed a Webinar and training package to 
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educate State Alcohol and Drug Abuse Agencies about the Child and Family Service Review 

process. The goal of the training was to provide information that these agencies would need to 

be able to partner more readily with Child Welfare agencies in their States on the Child and 

Family Service Review. 

In May 2008, SAMHSA met with ACYF to discuss strategies for expanding the collaboration 

around the Child and Family Services Reviews. A workgroup was created out of this meeting 

and follow-up activities were identified. In November, State Alcohol and Drug, Mental Health, 

Children’s Mental Health, and Child Welfare Directors were provided a letter from ACYF and 

SAMHSA leadership stressing the importance of cross-agency collaboration on the CFSR. 

Recipients were offered free technical assistance from the National Center on Substance Abuse 

and Child Welfare, as well as the National Technical Assistance Center for Children's Mental 

Health within the Georgetown University Center for Child and Human Development, to 

strengthen collaborative efforts to improve outcomes for children and families. We anticipate 

that many State agencies will take advantage of the offer for assistance, and especially those 

that are participating in a Child and Family Service Review in 2009. 

NCTSI Grants. - With respect to NCTSI grants, the Committee strongly urges SAMHSA to give 

preference to applicants with prior experience in the NCTSN, as well as extensive experience in 

the field of trauma related mental disorders in children, youth, and families, especially in the 

areas of child abuse (physical, sexual, and neglect), and residential treatment settings. In 

soliciting grant applications, SAMHSA should also pay special attention to the role of resiliency 

in recovery from trauma. (p. 130/131) 

Action taken or to be taken

In FY 2009, SAMHSA continues to seek highly qualified applicants for the National Child 

Traumatic Stress Network (NCTSN) through the award of a new cohort of grants. The NCTSN 

consists of organizations working to address the complex issue of child traumatic stress 

resulting from natural and man-made disasters, school crises and domestic violence. 

Requirements and priorities in SAMHSA’s request for grant applications are consistent with the 

FY 2009 Omnibus Bill which encourages SAMHSA to make awards to applicants, “with prior 

experience in the NCTSI, as well as extensive experience in the field of trauma-related mental 

disorders in children, youth and families, especially in the areas of child abuse and residential 

treatment settings.” SAMHSA’s competitive application process encourages previously funded 

grantees to reapply for funding under this initiative. Through the NCTSN SAMHSA will pay 

special attention to the role of resiliency in recovery from trauma. 

Disaster Mental Health. - The Committee recognizes the significant impact that natural and 

human-made disasters can have on mental and behavioral health. The Committee encourages 

the Emergency Mental Health and Traumatic Stress Services Branch to continue its 

collaboration with the Federal Emergency Management Agency (FEMA) in order to increase 

attention to the mental and behavioral health needs of vulnerable populations during and in the 

aftermath of a disaster. (p. 131) 
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Action taken or to be taken

SAMHSA has developed a long and proud collaboration with the Federal Emergency 

Management Agency and State and local mental health providers in serving all individuals 

impacted by disasters and trauma. Guidance and training always includes specific techniques 

for identifying, assisting and referring, when appropriate, vulnerable populations, such as 

children, frail elderly, recent immigrants and individuals with serious mental illness or addiction 

disorders. 

SAMHSA staffers have also provided consultation to the Centers for Medicare and Medicaid 

Services on longer term mental health needs and infrastructure needs related to the rebuilding 

efforts following the 2005 hurricanes and SAMHSA has provided technical assistance and 

consultation to the State mental health and substance abuse authorities in Louisiana and 

Mississippi. In addition, SAMHSA has provided support to the Administration for Children and 

Families to promote the availability of supplemental social services block grant dollars for 

mental health treatment and recovery services. 

Mental Health of Older Adults. - The Committee recognizes that older adults are among the 

fastest growing subgroups of the U.S. population. Approximately 20–25 percent of older adults 

have a mental or behavioral health problem. The Committee encourages increased support for 

communities to assist in building a solid foundation for delivering and sustaining effective mental 

health outreach, treatment and prevention services for older adults at risk for a mental disorder. 

(p. 132) 

Action taken or to be taken

In FY 2009, SAMHSA will continue to fund 10 grants with total of $4.1 million in nine States, 

under its Older Adults Mental Health Targeted Capacity Expansion program. The goal of each 

of the projects is to adapt best practices to diverse populations of older adults. Through the 

mental health systems transformation agenda, SAMHSA will continue to increase opportunities 

for disseminating information on mental health outreach, treatment and prevention services for 

at risk older adults by promoting a lifespan approach. 

Community Mental Health Services Block Grant. - The community mental health services 

block grant distributes funds to 59 eligible States and Territories through a formula based upon 

specified economic and demographic factors. 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. Because the mental health needs of 

our Nation’s elderly population are often not met by existing programs and because the need for 

such services is dramatically and rapidly increasing, the Committee encourages SAMHSA to 

require that States’ plans include specific provisions for mental health services for older adults. 

(p. 133) 

Action taken or to be taken

The FY 2008 Community Mental Health Block Grant Plan Guidance included a requirement for 

States to describe how the service needs of older adults would be addressed. This reporting 

requirement was also included in the FY 2009 – FY 2011 Guidance which was approved by 

OMB in August 2008. States have submitted a description of the activities related to serving 
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this population in their FY 2008 and FY 2009 Plans. SAMHSA will continue to encourage 

States to focus on the growing mental health needs of older adults and will include the 

requirement for serving older adults in all future Community Mental Health Block Grant Plan 

Guidance to States. 

SBIRT Program. - The Committee has not provided the administration’s requested increase for 

the SBIRT program. This grant program promotes the integration of screening and brief 

interventions in primary and general medical care settings with a goal of identifying patients in 

need of treatment and providing them with appropriate intervention and treatment options. The 

Committee recommendation also does not include the administration’s requested increase for 

criminal justice activities, including treatment drug court grants. The Committee expects 

SAMHSA to continue its policy of requiring grantees to work directly with State substance abuse 

agencies on all aspects of the grant in order to help promote effective and efficient State service 

systems. (p. 134) 

Action taken or to be taken

The FY 2009 funding for SBIRT activities will support all SBIRT State grant continuations and 

also the eleven new SBIRT grants awarded in FY 2008 to medical residency training programs. 

The SBIRT State grants are awarded directly to the Office of the Governor, and they traditionally 

designate the Single State Agency to oversee all aspects of the program. This satisfies the 

Committee’s expectation that the grantees work directly with the State substance abuse 

agencies. 

SAMHSA recognizes the importance of involving the Single State Agency in the planning, 

implementation, and evaluation of the Treatment Drug Court grant applications to better ensure 

coordination between the criminal justice and community-based substance abuse treatment 

systems and to increase the chances of treatment drug court sustainability. SAMHSA will 

include language in all new Treatment Drug Courts Request for Applications including the 

approximately $12 million that will be awarded in new drug court grants in FY 2009, which 

requires applicants to demonstrate evidence of direct and extensive consultation and 

collaboration with the corresponding Single State Agency in the planning, implementation, and 

evaluation of the proposed project. Demonstrated evidence of this collaboration must be 

supported by a letter from the agency Director or designated representative substantiating the 

agency’s involvement, and submitted with the grant application. 

Individuals with Disabilities. - The Committee is concerned that individuals with a substance 

use disorder and a coexisting disability are not receiving appropriate psychological intervention 

for substance abuse. Individuals with disabilities experience substance abuse rates at two-tofour times higher than the general population. The Committee acknowledges the efforts of 

SAMHSA to address the mental and behavioral health needs of individuals with disabilities and 

encourages increased support for research and treatment efforts that specifically address comorbid physical, psychological and neuropsychological disabilities and substance abuse, 

including early detection, prevention, access to care, and its impact upon rehabilitation, work 

and family for persons with disabilities. (p. 135) 
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Action taken or to be taken

SAMHSA’s Co-occurring State Incentive Grants program was designed to develop and enhance 

the infrastructure of States, Tribes and Tribal organizations, and their treatment service systems 

in order to increase their capacity to provide services to persons with co-occurring substance 

abuse and mental disorders and to their families. These grants seek to help recipients provide 

services that are accessible, effective, comprehensive, coordinated/integrated, and evidencebased. Additionally, the Co-Occurring Center for Excellence, launched by SAMHSA in 

September 2003, is the first national resource for the field of co-occurring mental health and 

substance use disorders. The Center for Excellence seeks to guide and impact services, 

programs, and policies in the related field, create a culture where science and service are seen 

as equal partners, and most importantly, make a difference in the lives of persons with cooccurring disorders and their families, friend, and significant others. For more resources on cooccurring disorders, see the Center for Excellence Web site at: http://coce.samhsa.gov/. 

One population group that SAMHSA has begun providing priority co-occurring behavioral health 

and substance abuse treatment services to is returning veterans. As of 2008, approximately 

1.65 million American troops have been deployed to Iraq and Afghanistan, and more than onethird have served two or more tours of duty. Improvised explosive devices have caused many 

traumatic brain injuries to American troops. These critical injuries place individuals at increased 

risk for substance use disorders and require months or even years of long-term treatment and 

follow-up medical support, and have had a dramatic impact on the national’s health care 

delivery system. Of similar importance, deployment stressors and exposure to combat have 

resulted in considerable risks for many other mental health problems, including Post Traumatic 

Stress Disorder, major depression, substance abuse, impairments in social functioning and 

ability to work as well as the increased use of other health care services. Since National Guard 

and Reserve forces account for a high proportion of troops in the war zones, it is likely that 

many of them may seek community-based services after their return, as not all national 

guardsmen or reservist veterans will be eligible for care, or, if eligible may not find it convenient 

to access care, at Department of Defense or Department of Veteran Affairs facilities. 

Recognizing this situation, CSAT has begun to include veterans as a targeted population in 

future treatment services grant announcements, as well as leveraging some of its existing 

resources to support substance abuse treatment needs of this population. For example, CSAT 

makes every effort to supporting a recovery oriented system of care approach that offers a 

comprehensive menu of services and supports, such as alcohol/drug prevention and treatment 

services and be combined and readily adjusted to meet the individual’s needs and chosen 

pathway to recovery. 

CSAT’s Addiction Technology Transfer Centers have provided recovery oriented system of care 

training to substance abuse treatment providers, promoting effective treatment services for 

many population groups, including returning veterans and their families. CSAT promotes the 

following webpage links for publications and additional information addressing disabilities, cooccurring disorders, and veteran’s services: 

Disabilities: http://ncadistore.samhsa.gov/catalog/results.aspx?h=drugs&topic=21 

Co-Occurring Disorders: http://ncadistore.samhsa.gov/catalog/results.aspx?h=drugs&topic=47 

CSAT Webcast - Recovery and the Military: Treating Veterans and Their Families: 
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http://www.recoverymonth.gov/2006/multimedia/w.aspx?ID=470 

CSAT Webcast - Addiction and PTSD: Combating Co-occurring Disorders: 

http://www.recoverymonth.gov/2008/multimedia/w.aspx?ID=500 

Screening Persons with HIV. - According to the HIV Cost and Services Utilization Study 

[HCSUS], almost one-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 disorders and substance use problems in almost one-half of patients with 

HIV/AIDS. 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. 

135/136) 

Action taken or to be taken

SAMHSA has collaborated with HRSA to train health care providers to screen HIV/AIDS 

patients for mental health and substance use problems, and will continue this collaboration in 

the future. HRSA includes information about SAMHSA-sponsored mental health and substance 

abuse treatment 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 coordination with local HRSA-funded testing and treatment 

projects to foster linkages and services integration for mental health treatment and specialty 

care for persons with HIV/AIDS. SAMHSA/CSAT’s FY 2008 Targeted Capacity Expansion 

Program for HIV (TCE-HIV) requires applicants screen, refer and/or treat individuals with either 

or both substance use and mental health disorders. 

Recent GPRA data (from intake to 6-month follow-up) show that TCE-HIV programs are 

effective in reducing substance use (-44.2 percent) and mental health symptoms including 

serious depression (-24.3 percent); serious anxiety or tension (-3 percent); hallucinations (-28.8 

percent); trouble understanding, concentrating, or remembering (-28.3 percent); trouble 

controlling violent behavior (-28.5 percent); attempted suicide (-52.9 percent); and prescriptions 

for psychological or emotional problem (- 5 percent). 

Strategic Prevention Framework State Incentive Grant [SPF SIG] Program. - The 

Committee is concerned that progress on awarding every State with a SPF SIG grant has been 

delayed given that no new grants have been awarded since fiscal year 2006. For this reason 

SAMHSA is strongly urged to maintain the average grant award at the level of the most recent 

cohort of SPF SIG recipients. The Committee continues to recognize that the lynchpin of the 

SPF SIG program is State flexibility. Therefore, the Committee urges SAMHSA to promote 

flexibility in the use of SPF SIG funds in order to allow each State to tailor prevention services 

based on a needs assessment or plan, rather than pre-determined strategies that may not be 

appropriate for the populations in their own jurisdiction. (p. 137) 

Action taken or to be taken

Since the launch of SPF SIG program, a total of 42 SPF SIG grants have been awarded to 34 

States, three Territories and five Tribes/Tribal Organizations. In FY 2009, SAMHSA proposes to 

award another 25 new grants with average grant award at the level of the most recent cohort. 
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SAMHSA will continue to allow each State to tailor prevention strategies under the SPF SIG 

program. States have maximum flexibility to develop infrastructure, identify problems, and 

create comprehensive State and community plans to address their unique circumstances. The 

basic requirements of the grant are: 1) implementation of the SPF process, including an 

epidemiological analysis; 2) 85 percent of the funding must go to communities for infrastructure 

and/or services; 3) no more than 20 percent of the total award may be spent on evaluation; and 

4) State will maximize existing State and federal resources through the use of a statewide 

governors advisory council made up of State and local agencies and organizations which 

approve and guide the State plan to insure maximum responsiveness to the problems identified 

in the State and to be addressed in each funded community. Within these general guidelines, 

SPF SIG recipients have wide flexibility in the precise programs and strategies they may 

implement. 

Centers for the Application of Prevention Technologies [CAPTs]. - The Committee provides 

funding at no less than last year’s level for the Centers for the Application of Prevention 

Technologies [CAPTs]. The Committee strongly supports the current CAPTs program given 

their important role working with State substance abuse agencies, prevention specialists and 

others to translate the latest prevention science into everyday practice. The Committee is 

concerned that any proposal to change the CAPT structure would negatively affect the ability of 

these customers to receive technical assistance that reflect State and local needs. The 

Committee urges SAMHSA to ensure that any changes to the CAPTs will reflect stakeholder 

input, as well as maintain State-specific substance abuse prevention expertise. (p. 137) 

Action taken or to be taken

SAMHSA, through the Center for Substance Abuse Prevention, is committed to providing 

training and technical assistance to improve the effectiveness of substance abuse prevention 

services and the capacity of State prevention systems and community organizations to plan and 

implement comprehensive prevention approaches across the nation. 

SAMHSA is committed to a CAPT structure based on five regions. Each region utilizes highly 

qualified and experienced staff and consultants to have established professional relationships 

with the States, Jurisdictions and/or Tribes within their Region. Collectively, members of the 

CAPT regional teams are expected to demonstrate the diversity of expertise, prevention science 

knowledge and skill sets needed to assess and respond effectively to the unique technical 

assistance and training needs of States, communities and CSAP discretionary grantees located 

within each region. 

To assure opportunities for meaningful and ongoing stakeholder input, three meetings are held 

annually within each CAPT region, with three representatives from each State, Jurisdiction 

and/or Tribal entity located in the region.