The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 1

Activities FY 2018

Final

FY 2019

Final

Mental Health

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

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

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

State Grants.................................................................................................... 61.001 61.001

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

Subtotal, Project AWARE.......................................................................... 71.001 71.001

Mental Health First Aid.......................................................................................... 19.963 20.963

Healthy Transitions................................................................................................ 25.951 25.951

Infant and Early Childhood Mental Health............................................................. 5.000 5.000

National Child Traumatic Stress Initiative.............................................................. 53.887 63.887

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

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

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

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

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

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

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

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

Primary and Behavioral Health Care Integration................................................... 49.877 49.877

National Strategy on SuicidePrevention................................................................

Zero Suicide ......................................................................................................

Zero Suicide ................................................................................................... 7.000 7.000

American Indian Alaska Native....................................................................... 2.000 2.200

Subtotal, Zero Suicide................................................................................ 9 .000 9 .200

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

Subtotal, National Strategy on Suicide Prevention............................... 11.000 11.200

Suicide Lifeline......................................................................................................... 7.198 12.000
The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 2

Activities FY 2018

Final

FY 2019

Final

GLS ‐ Youth Suicide Prevention ‐ States.................................................................

Discretionary Budget Authority........................................................................ 23.427 23.427

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

Subtotal, GLS ‐ Youth Suicide Prevention ‐ States................................. 35.427 35.427

GLS ‐ Youth Suicide Prevention ‐ Campus........................................................... 6.488 6.488

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

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

Tribal Behavioral Health Grants............................................................................ 15.000 20.000

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

Criminal and Juvenile Justice Programs............................................................... 4.269 4.269

Assisted Outpatient Treatment.............................................................................. 15.000 15.000

Assertive Community Treatment for Individual with SMI....................................... 5.000 5.000

GLS ‐ Suicide Prevention Resource Center.......................................................... 5.988 5.988

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

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

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

Minority Fellowship Program................................................................................. 8.059 8.059

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

Homelessness....................................................................................................... 2.296 2.296

Total, Programs of Regional and National Significance................................. 438.659 459.661

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

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

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

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

Certified Community Behavioral Health Clinics........................................................ 100.000 150.000

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

Children's Mental Health Services 10% set‐aside for youth in prodrome phase of 

psychosis............................................................................................. 12.500 12.500
The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 3

Activities FY 2018

Final

FY 2019

Final

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

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

Mental Health Totals

Discretionary Budget Authority................................................................................. 1,453.972 1,524.974

PHS EvaluationFunds.............................................................................................. 21.039 21.039

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

Total, Mental Health Program Level......................................................................... 1,487.011 1,558.013

Substance Abuse Treatment

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

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

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

Discretionary Budget Authority........................................................................ 22.700 28.000

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

Subtotal, Screening, Brief Intervention and Referral to Treatment....... 24.700 30.000

Targeted Capacity Expansion ‐ General..................................................................

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

Medication‐Assisted Treatment for Prescription Drug and Opioid Addiction... 79.000 79.000

AI/AN Medication‐Assisted Treatment for Prescription Drug and Opioid 

Addiction.......................................................................................................... 5.000 10.000

Subtotal, Medication‐Assisted Treatment for Prescription Drug and 

Opioid Addiction......................................................................................... 84.000 89.000

Subtotal, Targeted Capacity Expansion................................................... 95.192 100.192

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

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

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

Rural Set Aside............................................................................................... -- 18.000

Subtotal, First Responder Training (CARA)............................................. -- 36.000

Improving Access to Overdose Treatment............................................................ -- 1.000
The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 4

Activities FY 2018

Final

FY 2019

Final

Pregnant & Postpartum Women............................................................................ 29.931 29.931

Building Communities of Recovery (CARA).......................................................... 5.000 6.000

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

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

Treatment Systems for Homeless......................................................................... 3 6.386 3 6.386

Minority AIDS ....................................................................................................... 64.534 65.570

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

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

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

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

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

Minority Fellowship Program................................................................................. 4.539 4.789

Total, Programs of Regional and National Significance........................................ 399.091 460.677

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

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

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

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

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

State Opioid Response Grants....................................................................... 1,000.000 1,500.000

Federal Administrative Expenses, Training Technical Assistance, and 

Evaluation (non‐add)...................................................................... 20.000 30.000

Set Aside for States with Highest Opioid Mortality Rates (Non add)............ 142.500 217.500

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

Subtotal, State Opioid Response Grants................................................. 1,000.000 1,500.000

Opioid State Targeted Response.......................................................................... 500.000 --

Substance Abuse Treatment Totals

Discretionary Budget Authority................................................................................. 3,675.970 3,737.556

PHS Evaluation Funds............................................................................................. 81.200 81.200
The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 5

Activities FY 2018

Final

FY 2019

Final

Total, Substance Abuse Treatment Program Level............................................... 3,757.170 3,818.756

Substance Abuse Prevention

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

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

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

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

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

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

First Responder Training (CARA).........................................................................

First Responder Training (CARA)................................................................... 18.000 --

Rural Set Aside............................................................................................... 18.000 --

Subtotal, First Responder Training (CARA)............................................. 36.000 --

Improving Access to Overdose Treatment............................................................ 1.000 --

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

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

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

National Adult‐Oriented Media Public Service Campaign.................................. 1 .000 1.000

Community‐based Coalition Enhancement Grants............................................ 5.000 6.000

Intergovernmental Coordinating Committee on the Prevention of Underage 

Drinking ........................................................................................... 1.000 1.000

Subtotal, Sober Truth on Prevention Underage Drinking (STOP Act)...... 7.000 8.000

Tribal Behavioral Health Grants............................................................................ 15.000 20.000

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

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

Minority Fellowship Program................................................................................. 0.071 0.321

Substance Abuse Prevention Totals

Discretionary Budget Authority.............................................................................. 248.219 205.469
The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2019

Dollars in Millions

Page 6

Activities FY 2018

Final

FY 2019

Final

Total, Substance Abuse Prevention Program Level.............................................. 248.219 205.469

Health Surveillance and Program Support

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

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

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

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

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

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

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

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

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

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

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

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

Health Surveillance and Program Support Totals

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

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

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

Total, Health Surveillance and Program Support Program Level......................... 161.758 161.758

Totals, SAMHSA

Discretionary Budget Authority.............................................................................. 5,506.991 5,596.829

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................................................................................ 5,654.158 5,743.996