FY 2021 FY 2022

Mental Health

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

Seclusion and Restraint .......................................................................................................................................... 1.147 1.130

Project AWARE.............................................................................................................................................. 

State Grants..................................................................................................................................................... 92.618 107.484

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

Evidence-Based/Culturally Relevant/Trauma Support for Students (Sect. 7134 SUPPORT Act)(non-add)... -- 7.000

Subtotal, Project AWARE.................................................................................................................... 105.118 119.984

Mental Health Awareness Training......................................................................................................................... 23.963 24.946

Healthy Transitions.................................................................................................................................................. 29.451 29.434

Infant and Early Childhood Mental Health............................................................................................................. 8.096 9.983

Children and Family Programs................................................................................................................................ 7.229 7.212

Consumer and Family Network Grants................................................................................................................... 4.971 4.937

MH System Transformation and Health Reform.................................................................................................... 3.779 3.762

Project LAUNCH....................................................................................................................................................... 23.509 23.588

Primary and Behavioral Health Care Integration.................................................................................................... 52.377 52.860

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

Zero Suicide ........................................................................................................................................... 18.800 18.783

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

Subtotal, Zero Suicide................................................................................................................ 21.200 21.183

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

Subtotal, National Strategy on Suicide Prevention............................................................................. 23.200 23.183

Suicide Lifeline......................................................................................................................................................... 24.000 101.621

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

Discretionary Budget Authority...................................................................................................................... 24.427 26.789

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

Subtotal, GLS - Youth Suicide Prevention - States............................................................................... 36.427 38.789

GLS - Youth Suicide Prevention - Campus............................................................................................................... 6.488 6.471

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

Behavioral Health Crisis Coordinating Office.......................................................................................................... -- 5.000

Homelessness Prevention Programs....................................................................................................................... 30.741 30.679

Tribal Behavioral Health Grants.............................................................................................................................. 20.881 20.733

Minority AIDS........................................................................................................................................................... 9.224 9.207

Criminal and Juvenile Justice Programs.................................................................................................................. 6.269 6.252

Assisted Outpatient Treatment............................................................................................................................... 20.937 21.420

Assertive Community Treatment for Individual with SMI...................................................................................... 9.000 8.983

GLS - Suicide Prevention Resource Center.............................................................................................................. 9.000 8.983

Practice Improvement & Training........................................................................................................................... 7.828 7.811

Primary and Behavioral Health Care Integration TTA............................................................................................. 1.991 1.974

Consumer and Consumer Support TA Centers....................................................................................................... 1.901 1.901

Minority Fellowship Program.................................................................................................................................. 10.059 10.042

Disaster Response................................................................................................................................................... 1.953 1.936

Homelessness.......................................................................................................................................................... 2.251 2.279

MH Crisis Response Grants...................................................................................................................................... -- 10.000

Interagency Task Force on Trauma-Informed Care................................................................................................ -- 1.000

Total, Programs of Regional and National Significance........................................................................................... 472.721 587.036

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

Discretionary Budget Authority.......................................................................................................................... 734.532 836.532

Evidence-Based Crisis Systems (Non add)...................................................................................................... 35.000 41.827

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

Subtotal, Mental Health Block Grant...................................................................................................... 755.571 857.571

Certified Community Behavioral Health Clinics...................................................................................................... 249.249 315.000

National Child Traumatic Stress Initiative............................................................................................................... 71.671 81.887

Children's Mental Health Services.......................................................................................................................... 125.000 125.000

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

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

Protection and Advocacy for Individuals with Mental Illness................................................................................ 36.146 38.000

Mental Health Totals

Discretionary Budget Authority.............................................................................................................................. 1,753.954 2,048.090

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

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

Total, Mental Health Program Level....................................................................................................................... 1,786.993 2,081.129

Final

The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2022

Dollars in Millions

Activities Final 
FY 2021 FY 2022

Final Activities Final 

Substance Abuse Treatment 

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

Opioid Treatment Programs/Regulatory Activities................................................................................................. 7.216 8.724

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

Discretionary Budget Authority...................................................................................................................... 27.698 29.840

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

Subtotal, Screening, Brief Intervention and Referral to Treatment..................................................... 29.698 31.840

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

Other Targeted Capacity Expansion............................................................................................................... 11.331 11.192

Medication-Assisted Treatment for Prescription Drug and Opioid Addiction............................................... 80.000 101.000

AI/AN Medication-Assisted Treatment for Prescription Drug and Opioid Addiction (Non add)................... 11.000 12.000

Subtotal, Targeted Capacity Expansion-General................................................................................. 91.331 112.192

Grants to Prevent Prescription Drug/Opioid Overdose.......................................................................................... 11.833 14.000

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

First Responder Training ................................................................................................................................ 18.000 20.000

Rural Focus...................................................................................................................................................... 24.389 26.000

Rural Public and Non-Profit Fire and EMS agencies (Non add) ................................................................ 5.500 7.500

Subtotal, First Responder Training (CARA)......................................................................................... 42.389 46.000

Improving Access to Overdose Treatment.............................................................................................................. 1.068 1.000

Pregnant & Postpartum Women............................................................................................................................. 32.767 34.931

Building Communities of Recovery (CARA)............................................................................................................. 10.013 13.000

Recovery Community Services Program................................................................................................................. 2.512 2.434

Children and Families.............................................................................................................................................. 29.479 29.605

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

Minority AIDS .......................................................................................................................................................... 65.561 65.570

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

Other Criminal Justice Activities..................................................................................................................... 18.981 19.000

Drug Court Activities....................................................................................................................................... 70.019 70.000

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

Addiction Technology Transfer Centers ................................................................................................................. 9.465 9.046

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

Peer Support Technical Assistance Center.............................................................................................................. 0.999 1.000

Treatment, Recovery, and Workforce Support....................................................................................................... 6.089 10.000

Comprehensive Opioid Recovery Centers.............................................................................................................. 3.614 5.000

Emergency Department Alternatives to Opioids.................................................................................................... 5.908 6.000

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

Total, Programs of Regional and National Significance........................................................................................... 482.118 519.517

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

Discretionary Budget Authority.......................................................................................................................... 1,770.454 1,828.879

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

Subtotal, Substance Abuse Block Grant...................................................................................................... 1,849.654 1,908.079

State Opioid Response Grants........................................................................................................................ 1,200.530 1,439.500

 Federal Administrative Expenses, Training, Technical Assistance, and Evaluation........ ........................... 30.000 30.500

 Set Aside for States with Highest Opioid Mortality Rates (Non add)......................................................... 217.500 220.500

 AI/AN Opioid Response Grants.................................................................................................................... 50.000 55.000

Subtotal, State Opioid Response Grants..................................................................................................... 1,498.030 1,525.000

Substance Abuse Treatment Totals

Discretionary Budget Authority.............................................................................................................................. 3,750.602 3,873.396

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

Total, Substance Abuse Treatment Program Level................................................................................................. 3,831.802 3,954.596

Substance Abuse Prevention

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

SPF Partnerships for Success........................................................................................................................... 109.952 117.484

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

Subtotal, Strategic Prevention Framework................................................................................................. 119.952 127.484

Mandatory Drug Testing.......................................................................................................................................... 4.921 4.894

Minority AIDS........................................................................................................................................................... 40.705 41.205

National Adult-Oriented Media Public Service Campaign............................................................................. 2.049 2.000

Community-based Coalition Enhancement Grants........................................................................................ 6.953 9.000

Intergovernmental Coordinating Committee on the Prevention of Underage Drinking ............................. 1.029 1.000

Subtotal, Sober Truth on Prevention Underage Drinking (STOP Act)........................................................... 10.032 12.000

Tribal Behavioral Health Grants.............................................................................................................................. 20.642 20.750

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

Science and Service Program Coordination............................................................................................................ 4.153 4.072

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

Substance Abuse Prevention Totals

Discretionary Budget Authority.............................................................................................................................. 208.219 218.219

Total, Substance Abuse Prevention Program Level................................................................................................. 208.219 218.219
FY 2021 FY 2022

Final Activities Final 

Health Surveillance and Program Support

Health Surveillance.................................................................................................................................................. 

Discretionary Budget Authority ......................................................................................................................... 16.751 18.195

PHS Evaluation Funds ......................................................................................................................................... 30.404 30.428

Subtotal, Health Surveillance................................................................................................................. 47.154 48.623

Program Support..................................................................................................................................................... 78.762 81.500

Performance and Quality Information Systems...................................................................................................... 9.970 10.000

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

Public Awareness and Support............................................................................................................................... 12.961 13.000

PHS Evaluation Funds ......................................................................................................................................... 1.024 1.000

Subtotal, Behavioral Health Workforce Data.......................................................................................... 1.024 1.000

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

Community Project Funding/Congressionally Directed Spending.......................................................................... -- 127.535

Health Surveillance and Program Support Totals

Discretionary Budget Authority.............................................................................................................................. 128.443 260.230

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

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

Total, Health Surveillance and Program Support Program Level............................................................................. 161.371 293.158

Totals, SAMHSA

Discretionary Budget Authority.............................................................................................................................. 5,841.218 6,399.935

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

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

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

Total, SAMHSA Program Level............................................................................................................................... 5,988.385 6,547.102

The FY 2022 Enacted column deviates from the FY 2022 Joint Explanatory Statement (JES) due to an adding discrepancy. To fund the Assisted 

Outpatient Treatment (AOT) program at the level stated in the enacted bill, programs across the Mental Health PRNS account were reduced 

below JES levels by a total of -$420,000.