DEPARTMENT 

of HEALTH 

and HUMAN 

SERVICES 

 Fiscal Year 

2009 

Substance Abuse and Mental Health 

Services Administration 

Justification of 

Estimates for 

Appropriations Committees 
Introduction 

The FY 2009 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 HHS agencies’ FY 2009 

Congressional Justifications and Online Performance Appendices, the Agency Financial Report 

and the HHS Performance Highlights. These documents can be found at: 

http://www.hhs.gov/budget/docbudget.htm and http://www.hhs.gov/afr/. 

The Performance Highlights briefly summarizes key past and planned performance and 

financial information. The Agency Financial Report provides fiscal and high-level performance 

results. The FY 2009 Department’s Congressional Justifications fully integrate HHS’ FY 2007 

Annual Performance Report and FY 2009 Annual Performance Plan into its various volumes. 

The Congressional Justifications are supplemented by the Online Performance Appendices. 

Where the Justifications focus on key performance measures and summarize program results, 

the Appendices provide performance information that is more detailed for all HHS measures. 

The SAMHSA Congressional Justification and Online Performance Appendix can be found at 

http://www.samhsa.gov/Budget/FY2009/index.aspx 
LETTER FROM THE ADMINISTRATOR 

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

(SAMHSA) FY 2009 Congressional Justification. SAMHSA’s FY 2009 budget totals $3.2 billion, 

a six percent reduction from the FY 2008 Enacted level. This budget request continues support 

for the President’s and Secretary’s priority initiatives and reflects the goals and objectives in the 

Department’s FY 2007-2012 Strategic Plan. In addition, the PART process continues to be a 

critical tool for evaluating program effectiveness and developing budget and legislative

strategies. 

SAMHSA’s FY 2009 budget request is built around a public health approach that encompasses 

preventive, population-based activities aimed at reducing the risk for substance abuse and 

mental illness in the community, as well as treatment services for those who need them. This 

approach is comprehensive and holistic, recognizing the interplay between behavioral health, 

physical health and other aspects of well-being. SAMHSA’s FY 2009 budget request also 

focuses on improving service delivery by promoting evidence-based practices and working 

across systems and professions to leverage our resources in the most efficient and costeffective way possible. 

This justification, along with the online performance appendix, also comprises the FY 2009 

Annual Performance Plan and FY 2007 Annual Performance Report as required by the 

Government Performance and Results Act of 1993. Key performance measures and associated 

outputs are included in the budget discussions for all program areas, with a more detailed 

discussion of performance appearing in the online appendix. Performance measurement and 

reporting enables SAMHSA to share with stakeholders its progress toward achieving its three 

strategic goals: Accountability: Measure and report program performance; Capacity: Increase 

service availability; Effectiveness: Improve service quality. 

SAMHSA’s implementation of performance management enables the agency to link the

programs, activities and resources to the agency-wide goals. It has provided a shared vision of 

what needs to be accomplished with our partners and provides a consistent and effective way to 

measure its achievements and to strive for continued improvement. 

Our FY 2009 budget request represents our efforts to sustain the important initiatives put forth in 

recent years. 

Terry L. Cline, Ph.D. 

Administrator 
Page intentionally left blank 
 DEPARTMENT OF HEALTH AND HUMAN SERVICES
 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 

Table of Contents 

Fiscal Year 2009 Budget Page

A. Executive Summary 

1. Introduction and Mission ................................................ Executive Summary - 01 

2. FY 2009 Budget Overview ................................................................................ - 01 

3. All Purpose Table .............................................................................................. - 04 

B. Budget Exhibits 

1. Appropriations Language .....................................................Budget Exhibits - 01 

2. Language Analysis ............................................................................................ - 03 

3. Amounts Available for Obligation ..................................................................... - 04 

4. Summary of Changes ...................................................................................... - 05 

5. Budget Authority by Activity ............................................................................. - 06 

6. Authorizing Legislation ..................................................................................... - 07 

7. Appropriations History Table ............................................................................. - 10 

C. Center for Mental Health Services (CMHS) 

1. Mechanism Tables ............................................................................... CMHS - 01
 

2. Programs of Regional & National Significance ................................................... 03 

3. Children’s Mental Health Services Program .................................................... - 27 

4. Protection & Advocacy Program ...................................................................... - 31 

5. Projects for Assistance in Transition from Homelessness (PATH) .................. - 37 

6. Community Mental Health Services Block Grant ............................................. - 43 

D. Center for Substance Abuse Prevention (CSAP) 

1. Mechanism Tables ................................................................................. CSAP - 01
 

2. Programs of Regional & National Significance ................................................. -03 

3. 20% Prevention SAPT Block Grant Set-aside Activities .................................. - 23 

E. Center for Substance Abuse Treatment (CSAT) 

1. Mechanism Tables ................................................................................. CSAT - 01
 

2. Programs of Regional & National Significance ................................................ - 03 

3. Substance Abuse Treatment Block Grant Activities ......................................... - 29 

F. Substance Abuse Block Grant Set-aside Activities .......................... Set-aside - 01
 

G. Program Mgmt, St. Elizabeths Hospital, & Data Eval ...................................PM- 01
 

H. Drug Control Budget........................................................................................DB- 01
 

I. Supplementary Tables 

1. Budget Authority by Object Classification ................................................... ST -01 

2. Salary and Expenses ........................................................................................ -02 

3. Details of Full-Time Equivalent Employment .................................................... - 03 

4. Detail of Positions ............................................................................................. - 04 

5. Programs Proposed for Elimination .................................................................. - 05 

J. Significant Items ................................................................................................SI- 01
 
Page intentionally left blank 

 
SAMHSA Organization Chart 

Please visit our Organization Charts web page at 

http://samhsa.gov/about/orgchart.aspx 
Page intentionally left blank 
Appropriations Language 

For carrying out titles 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, [and section 301 of the PHS Act with 

respect to program management, $3,291,543,000, of which $19,120,000 shall be 

available for the projects and in the amounts specified in the explanatory statement 

described in section 4 (in the matter preceding division A of this consolidated Act)] 

$3,024,967,000: 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 $18,869,000 shall be available for such 

purposes under section 1921 of the PHS Act for supplemental performance awards for 

grant recipients that have demonstrated superior performance as determined by the 

Secretary: 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) 

[$21,413,000] $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) [$17,750,000] $21,750,000 to carry out national surveys on drug abuse; and (4) 

[$4,300,000] $11,192,000 to collect and analyze data and evaluate substance abuse 

Budget Exhibits - 1 
treatment programs [: Provided further, That section 520E(b)(2) of the Public Health 

Service Act shall not apply to funds appropriated under this Act for fiscal year 2008]. 

(Department of Health and Human Services Appropriations Act, 2008.) 

Budget Exhibits - 2 
Language Analysis 

Language Provision Explanation 

Provided further, that $18,869,000 shall be The Substance Abuse Prevention and 

available for such purposes under section Treatment Block Grant program includes 

1921 of the PHS Act for supplemental $18,869,000 for the 20 percent of grant 

performance awards for grant recipients recipients that demonstrated superior 

that have demonstrated superior performance. 

performance as determined by the 

Secretary.

Budget Exhibits - 3 
Amounts Available for Obligation 

Appropriation:

 FY 2007 Actual FY 2008 Enacted FY 2009 Estimate

Labor/HHS/Ed-Annual Appropriation.......... $3,206,108,000 $3,291,543,000 $3,024,967,000

Rescission P.L. 110-161.............................. --- 57,503,000 ---

Subtotal, adjusted appropriation... 3,206,108,000 3,234,040,000 3,024,967,000

Comparable Transfer to: "HHS".................

Subtotal, adjusted budget authority.......

-7,000 --- ---

3,206,101,000 3,234,040,000 3,024,967,000

Offsetting Collections from:

 Federal Sources......................................... 120,767,000 122,289,000 133,181,000

Unobligated balance start of year................ 227,580 227,580 329,991

Unobligated balance end of year................ 227,580 329,991 296,992

Unobligated balance expiring......................

Total obligations.......................................

-3,755,376 --- ---

$3,323,567,784 $3,356,886,571 $3,158,774,983

Budget Exhibits - 4 
Summary of Changes

2008

 Total estimated budget authority 3,234,040,000

 (Obligations) 3,234,040,000

2009

 Total estimated budget authority 3,024,967,000

 (Obligations) 3,024,967,000

 Net Change - 209,073,000

FY 2008 Enacted Change from Base

FTE Budget Authority FTE 1/ Budget Authority 

Increases:

A. Built-in:

1. Annualization of 2008 civilian pay costs 3.5% .......................................... -- $59,545,000 -- +463,000

2. Annualization of 2008 Commissioned Corps pay costs 3.5% ..................... -- 59,545,000 -- +51,000 2/ 3. Increase for January 2009 pay raise ........................................................... -- 59,545,000 -- +1,298,000

4. FTE Increase: 5 Commissioned Corps FTEs..................................... 522 59,545,000 5 +589,000

5. Increase in rental payments to GSA................................................................ -- 6,218,000

 Subtotal, Built-in Increases........................................................................ -- ---

 --

5

+155,450

2,556,450

B. Program:

1. Mental Health Programs:

 a. Children's Mental Health Services...................................................... -- 102,260,000 -- + 12,226,000

 b. Projects for Assistance in Transition from Homelessness......................... -- 53,313,000 -- + 6,374,000

2. Substance Abuse Treatment:

 a. Substance Abuse Prevention and Treatment Block Grant .............................. -- 1,679,528,000 -- + 19,863,000

3. Program Management:

 a. Worker's Compensation (FECA)........................................................ -- 1,328,000 -- +7,000

 b. Enterprise Information Technology Fund............................................. -- 75,381,000 -- +195,717

 c. Unified Financial Management System (Operation & Maintenance)............... -- 75,381,000 -- +636,819

4. St. Elizabeths Hospital........................................................................... -- --- -- +772,000

5. Data Evaluation.................................................................................... -- ---

Subtotal, Program Increases............................................................... -- ---

 Total Increases................................................................................................... -- ---

 --

 --

5

+2,500,000

42,574,536

45,130,986

Decreases: 

A. Built-in: 

1. FTE Reduction: decrease of civilian FTEs........................................ 522 75,381,000 - 9 - 1,115,000

2. One less compensable day in FY 2009 (261).......................................... -- 59,545,000 -- - 227,000

Subtotal, Built-in......................................................................................................... - 9 - 1,342,000

B. Program:

1. Mental Health Programs:

 a. Programs of Regional and National Significance ............................................ -- 299,279,000 -- - 143,960,000

 b. Protection and Advocacy for Individuals with Mental Illness...................... -- 34,880,000 -- - 880,000

2. Substance Abuse Prevention:

 a. Programs of Regional and National Significance ............................................ -- 194,120,000 -- - 36,080,000

3. Substance Abuse Treatment:

 a. Programs of Regional and National Significance ............................................ -- 395,544,000 -- - 69,888,000

4. Program Management:

 a. Cost shift of Operating Costs........................................................... -- 75,381,000 - 1,691,000

 b. Unified Financial Management System (Implementation)................................ -- 75,381,000 -- - 140,951

 c. Unified Financial Management System (Other Administrative Systems)......... -- 75,381,000 - 43,685

 d. HHS Consolidated Acquisition System............................................... -- 75,381,000

Subtotal, Program Decreases................................................................................... -- ---

 Total Decreases................................................................................................ -- ---

1/ Net Change, Discretionary Budget Authority .................................................. -- ---

1/ Excludes $133.181 million to be transferred to SAMHSA from the PHS evaluation funds.

2/ FY 2009 includes a 2.9% pay raise for civilian personnel and a 3.4% pay raise for military personnel.

 --

 --

- 9

-4

- 178,350

- 252,861,986

- 254,203,986

-$209,073,000

Budget Exhibits - 5 
Program Activities

FY 2007

Actual

FY 2008

Enacted

FY 2009

Estimate

Mental Health:

Programs of Regional and National Significance........... $263,263 $299,279 $155,319

Children's Mental Health Services............................... 104,078 102,260 114,486

Protection & Advocacy................................................ 34,000 34,880 34,000

PATH Homeless Formula Grant.................................. 54,261 53,313 59,687

Mental Health Block Grant........................................... 428,256 420,774 420,774

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

Subtotal, Mental Health............................................

Substance Abuse Prevention:

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

Subtotal, Substance Abuse Prevention...................

Substance Abuse Treatment:

(21,413) (21,039) (21,039)

883,858

192,902

910,506

194,120

784,266

158,040

192,902 194,120 158,040

Programs of Regional and National Significance......... 398,949 399,844 336,848

PHS Evaluation Funds.................................................. (4,300) (4,300) (11,192)

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

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

Subtotal, Substance Abuse Treatment....................

TOTAL, SUBSTANCE ABUSE

Program Management 1/............................................

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

St. Elizabeths Hospital B&F....................................

Data Evaluation................................................

TOTAL, SAMHSA Discretionary PL............................

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

(Obligations)........................................................

(79,200) (79,200) (79,200)

2,157,540

2,350,442

92,714

(16,000)

---

---

3,327,014

(120,913)

($3,326,525)

2,158,572

2,352,692

93,131

(17,750)

---

---

3,356,329

(122,289)

($3,356,329)

2,115,439

2,273,479

97,131

(21,750)

772

2,500

3,158,148

(133,181)

($3,158,148)

FTEs 528 534 528

1/ Includes Comparable Transfer of $7 thousand to HHS in the FY 2007 Enacted Budget

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Budget Authority by Activity

(Dollars in thousands)

Budget Exhibits - 6 
Authorizing Legislation 

FY 2008 FY 2009

Amount FY 2008 Amount FY 2009

Program Description/PHS Act:

Emergency Response

Authorized Enacted Authorized Estimate

Sec. 501........................................ --- --- --- ---

Grants for the Benefit of Homeless

 Individuals

Sec. 506.......................................... Expired $53,599,000 Expired $35,394,000

Alcohol and Drug Prevention or 

 Treatment Services for Indians and 

 Native Alaskans

Sec. 506A*....................................... --- --- --- ---

Grants for Ecstasy and Other Club

 Drugs Abuse Prevention

Sec. 506B*....................................... --- --- --- ---

Residential Treatment Programs for

 Pregnant and Postpartum Women

Sec. 508.......................................... Expired $11,790,000 Expired ---

Priority Substance Abuse Treatment Needs

 of Regional and National Significance

Sec. 509*....................................... Expired $316,976,000 Expired $293,062,000

Substance Abuse Treatment Services 

 for Children and Adolescents

Sec. 514*....................................... Expired $24,278,000 Expired ---

Early Intervention Services for Children

 and Adolescents

Sec. 514A*....................................... --- --- --- ---

Methamphetamine and Amphetamine

 Treatment Initiative 

Sec. 514(d)*.................................... --- --- --- ---

Priority Substance Abuse Prevention

 Needs of Regional and National

 Significance

Sec. 516*....................................... Expired $175,928,000 Expired $147,638,000

Prevention, Treatment and Rehabilitation .

 Model Projects for High Risk Youth

Sec. 517.......................................... --- --- --- ---

Services for Children of Substance Abusers

Sec. 519*....................................... --- --- --- ---

Grants for Strengthening Families

Sec. 519A*....................................... --- --- --- ---

Programs to Reduce Underage Drinking

Sec. 519B*....................................... $ 6,000,000 $5,404,000 $ 6,000,000 ---

SSAN = Such Sums as Necessary

Budget Exhibits - 7 
Authorizing Legislation

FY 2008 FY 2009

Amount FY 2008 Amount FY 2009

Program Description/PHS Act: Authorized

Services for Individuals with Fetal Alcohol

Enacted Authorized Estimate

 Syndrome (FAS)

Sec. 519C*....................................... --- --- --- ---

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 $2,967,000 Expired $581,000

Priority Mental Health Needs of Regional and

 National Significance

Sec. 520A*....................................... Expired $116,100,000 Expired $30,551,000

Youth Interagency Research, Training,

 and Technical Assistance Centers

Sec. 520C*....................................... Expired $4,913,000 Expired $3,960,000

Services for Youth Offenders

Sec. 520D*....................................... --- --- --- ---

Suicide Prevention for Children and Youth

Sec. 520E1*.................................... Expired $29,476,000 Expired $17,820,000

Sec. 520E2*.................................... Expired $4,913,000 Expired $4,950,000

Grants for Emergency Mental Health Centers

Sec. 520F*....................................... --- --- --- ---

Grants for Jail Diversion Programs

Sec. 520G*....................................... Expired $6,684,000 Expired $3,860,000

Improving Outcomes for Children and

 Adolescents through Services Integration

 between Child Welfare and MH Services

Sec. 520H*....................................... --- --- --- ---

Grants for Integrated Treatment of Serious Mental

 Illness and Co-occurring Substance Abuse

Sec. 520I*....................................... --- --- --- ---

Mental Health Training Grants

Sec. 520J*....................................... --- --- --- ---

PATH Grants to States

Sec. 535(a)....................................... Expired $53,313,000 Expired $59,687,000

SSAN = Such Sums as Necessary

Budget Exhibits - 8 
Authorizing Legislation 

FY 2008 FY 2009

Amount FY 2008 Amount FY 2009

Program Description/PHS Act: Authorized

Community Mental Health Services for

Enacted Authorized Estimate

 Children with Serious Emotional Disturbances

Sec. 565 (f)....................................... Expired $102,260,000 Expired $114,486,000

Children and Violence Program

Sec. 581*....................................... Expired $93,002,000 Expired $75,710,000

Grants for Persons who Experience Violence

 Related Stress

Sec. 582 **.................................... Expired $33,092,000 Expired $15,668,000

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 $1,679,528,000 Expired $1,699,391,000

Data Infrastructure Development

Sec. 1971*....................................... Expired --- Expired ---

Other Legislation/Program Description

Protection and Advocacy for Individuals

 with Mental Illness Act

P.L. 99-319, Sec. 117........................ Expired $34,880,000 Expired $34,000,000

Program Management:

 Program Management, Sec. 501............ Indefinite $74,098,000 Indefinite $74,156,000

 SEH Workers' Compensation Fund

P.L. 98-621....................................... Indefinite $1,283,000 Indefinite $1,225,000

Total, Program Management............... --- $75,381,000 --- $75,381,000

St. Elizabeths Hospital Building & Facilities

Sec. 501...................................... --- --- --- $772,000

Data Evaluation

Sec. 505...................................... ---

TOTAL, SAMHSA Budget Authority.......... $6,000,000

--- --- $2,500,000

$3,234,040,000 $6,000,000 $3,024,967,000

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

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

Budget Exhibits - 9 
 Appropriations History 

Budget 

Estimate to 

Congress

House 

Allowance

Senate 

Allowance Appropriation

1998

1998 Advance Appro. P.L. 

104-121

2,155,943,000

---

2,151,943,000

---

2,126,643,000

---

2,146,743,000

50,000,000 1/

1999 2,279,643,000 2,458,005,000 2,151,643,000 2,488,005,000

2000

2000 P.L.106-113

2,626,505,000

---

2,413,731,000

---

2,750,700,000

---

2,654,953,000

-3,085,000 2/

2001

2001 P.L.106-554

2001 P.L. 107-20

2,823,016,000

---

---

2,727,626,000

---

---

2,730,757,000

---

---

2,958,001,000

-645,000

6,500,000

3/

4/

2002

2002 Res. HR. 3061

2002 Res. P.L. 107-216

3,058,456,000

---

---

3,131,558,000

---

---

3,073,456,000

---

---

3,138,279,000

-589,000

-1,681,000

5/

6/

2003 P.L. 108-5

2003 P.L. 108-7

3,193,086,000

---

3,167,897,000

---

3,129,717,000

---

3,158,068,000

-20,521,235 7/

2004 P.L. 108-84

2004 P.L. 108-199

3,393,315,000

---

3,329,000,000

---

3,157,540,000

---

3,253,763,000

-19,856,290 8/

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

108-309 as mended

2005 H.R. 4818

3,428,939,000

---

3,270,360,000

---

3,361,426,000

---

3,295,361,000

-26,895,592 9/

2006 P.L. 109-149

2006 Res. P.L. 109-359

2006 Section 202

3,336,023,000

---

---

3,352,047,000

---

---

3,398,086,000

---

---

3,237,813,000

-1,681,000

-2,201,000

10/

11/

2007 P.L. 109-383

2007 Continue Resolution

3,260,001,000

---

3,326,341,772

---

3,326,341,772

---

1,211,654,381

3,326,341,772

12/

13/

2008 H.R. 2764/P.L. 110-161 3,167,589,000 3,393,841,000 3,404,798,000 3,234,040,000 14/

1/ 1998 Advance ppropriation P.L. 104-121 from Social Security Administration to the Substance Abuse Block Grant. 2/ Reflects a Rescission mandated by P.L. 106-113.

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

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

Budget Exhibits - 10 
Appropriations History

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

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

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

8/ 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.

9/ 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.

10/ Reflects SAMHSA's share of the rescission mandated by P.L. 109-359. 11/ Reflects Section 202 transfer to CMS. 12/ Reflects Continuing Resolution through February 15, 2007. 13/ Reflects the whole year appropriation 14/ Reflects a 1.7 percent cross-the-board cut over the H.R. 2764/P.L. 110-161. 

Budget Exhibits - 11 
Page Intentionally Left Blank 

Budget Exhibits - 12 
Authorizing Legislation 

FY 2008 FY 2009

Amount FY 2008 Amount FY 2009

Program Description/PHS Act: Authorized

Community Mental Health Services for

Enacted Authorized Estimate

 Children with Serious Emotional Disturbances

Sec. 565 (f)....................................... Expired $102,260,000 Expired $114,486,000

Children and Violence Program

Sec. 581*....................................... Expired $93,002,000 Expired $75,710,000

Grants for Persons who Experience Violence

 Related Stress

Sec. 582 **.................................... Expired $33,092,000 Expired $15,668,000

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 $1,679,528,000 Expired $1,699,391,000

Data Infrastructure Development

Sec. 1971*....................................... Expired --- Expired ---

Other Legislation/Program Description

Protection and Advocacy for Individuals

 with Mental Illness Act

P.L. 99-319, Sec. 117........................ Expired $34,880,000 Expired $34,000,000

Program Management:

 Program Management, Sec. 501............ Indefinite $74,098,000 Indefinite $74,156,000

 SEH Workers' Compensation Fund

P.L. 98-621....................................... Indefinite $1,283,000 Indefinite $1,225,000

Total, Program Management............... --- $75,381,000 --- $75,381,000

St. Elizabeths Hospital Building & Facilities

Sec. 501...................................... --- --- --- $772,000

Data Evaluation

Sec. 505...................................... ---

TOTAL, SAMHSA Budget Authority.......... $6,000,000

--- --- $2,500,000

$3,234,040,000 $6,000,000 $3,024,967,000

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

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

Budget Exhibits - 9 
 Appropriations History 

Budget 

Estimate to 

Congress

House 

Allowance

Senate 

Allowance Appropriation

1998

1998 Advance Appro. P.L. 

104-121

2,155,943,000

---

2,151,943,000

---

2,126,643,000

---

2,146,743,000

50,000,000 1/

1999 2,279,643,000 2,458,005,000 2,151,643,000 2,488,005,000

2000

2000 P.L.106-113

2,626,505,000

---

2,413,731,000

---

2,750,700,000

---

2,654,953,000

-3,085,000 2/

2001

2001 P.L.106-554

2001 P.L. 107-20

2,823,016,000

---

---

2,727,626,000

---

---

2,730,757,000

---

---

2,958,001,000

-645,000

6,500,000

3/

4/

2002

2002 Res. HR. 3061

2002 Res. P.L. 107-216

3,058,456,000

---

---

3,131,558,000

---

---

3,073,456,000

---

---

3,138,279,000

-589,000

-1,681,000

5/

6/

2003 P.L. 108-5

2003 P.L. 108-7

3,193,086,000

---

3,167,897,000

---

3,129,717,000

---

3,158,068,000

-20,521,235 7/

2004 P.L. 108-84

2004 P.L. 108-199

3,393,315,000

---

3,329,000,000

---

3,157,540,000

---

3,253,763,000

-19,856,290 8/

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

108-309 as mended

2005 H.R. 4818

3,428,939,000

---

3,270,360,000

---

3,361,426,000

---

3,295,361,000

-26,895,592 9/

2006 P.L. 109-149

2006 Res. P.L. 109-359

2006 Section 202

3,336,023,000

---

---

3,352,047,000

---

---

3,398,086,000

---

---

3,237,813,000

-1,681,000

-2,201,000

10/

11/

2007 P.L. 109-383

2007 Continue Resolution

3,260,001,000

---

3,326,341,772

---

3,326,341,772

---

1,211,654,381

3,326,341,772

12/

13/

2008 H.R. 2764/P.L. 110-161 3,167,589,000 3,393,841,000 3,404,798,000 3,234,040,000 14/

1/ 1998 Advance ppropriation P.L. 104-121 from Social Security Administration to the Substance Abuse Block Grant. 2/ Reflects a Rescission mandated by P.L. 106-113.

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

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

Budget Exhibits - 10 
Appropriations History

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

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

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

8/ 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.

9/ 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.

10/ Reflects SAMHSA's share of the rescission mandated by P.L. 109-359. 11/ Reflects Section 202 transfer to CMS. 12/ Reflects Continuing Resolution through February 15, 2007. 13/ Reflects the whole year appropriation 14/ Reflects a 1.7 percent cross-the-board cut over the H.R. 2764/P.L. 110-161. 

Budget Exhibits - 11 
Page Intentionally Left Blank 

Budget Exhibits - 12 
Center for Mental Health Services 

Mechanism Table 

(Dollars in Thousands) 

FY 2007 Actual

No. Amount

FY 2008 

Enacted

No. Amount

FY 2009 

Estimate

No. Amount

Programs of Regional & 

National Significance

Capacity:

Grants/Coop. Agree:

 Continuations.................................................

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

 Supplements..................................................

 Subtotal.....................................................

Contracts:

 Continuations.................................................

 New................................................................

 Supplements..................................................

 Subtotal.....................................................

Technical Assistance.........................................

Review Cost......................................................

206

79

 ---

$95,107

19,225

---

220

125

 ---

$90,585

50,602

---

118

19

 ---

$50,600

7,772

---

285

18

5

 ---

114,332

102,963

12,970

52

345

13

11

 ---

141,187

101,275

26,103

---

137

13

2

 ---

58,372

67,120

20,696

---

23

1

 ---

115,985

965

1,780

24

 ---

 ---

127,378

---

693

15

 ---

 ---

87,816

577

---

 Subtotal............................................. 24 118,730 24 128,071 15 88,393

Subtotal, Capacity.......................................

Science and Service:

Grants/Coop. Agree:

 Continuations...................................................

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

 Supplements...................................................

 Subtotal.....................................................

Contracts:

 Continuations..................................................

 New.................................................................

309 233,062 369 269,258 152 146,765

1

44

 ---

3,846

8,895

---

26

9

 ---

6,787

4,445

---

1

 ---

 ---

3,597

---

---

45

16

12

12,741

11,053

5,856

35

16

8

11,232

11,945

6,293

1

3

1

3,597

3,983

974

 Subtotal, Contracts......................................

Technical Assistance.........................................

Review Cost.......................................................

28

 ---

 ---

16,909

---

551

24

 ---

 ---

18,238

---

551

4

 ---

 ---

4,957

---

---

 Subtotal............................................. 28 17,460 24 18,789 4 4,957

Subtotal, Science and Service.....................

Total, PRNS......................................................

73 30,201 59 30,021 5 8,554

382 $263,263 428 $299,279 157 $155,319

CMHS - 1 
Center for Mental Health Services 

 Mechanism Table 

(Dollars in Thousands) 

FY 2007 Actual

No. Amount

FY 2008 

Appropriation

No. Amount

FY 2009 

Estimate

No. Amount

CHILDREN'S MENTAL HEALTH

Grants/Coop. Agree:

 Continuations.................................................

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

 Supplements...................................................

 Subtotal.....................................................

Contracts:

 Continuations..................................................

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

 Supplements...................................................

 Subtotal......................................................

Technical Assistance.........................................

Review Cost.......................................................

56

 ---

18

$80,550

---

1,728

41

17

 ---

$62,058

17,306

---

52

17

 ---

$72,270

17,000

---

56

2

 ---

 ---

82,278

10,957

6

---

58

2

1

 ---

79,364

9,532

2,550

---

69

2

 ---

 ---

89,270

12,450

1,318

---

2

7

 ---

10,963

10,408

429

3

5

1

12,082

10,226

588

2

4

 ---

13,768

11,448

---

 Subtotal............................................. 9 21,800 9 22,896 6 25,216

Total, Children's Mental Health.......................

MENTAL HEALTH BLOCK GRANT...................

 (PHS Evaluation Funds: Non-Add)..................

PATH...................................................................

PROTECTION AND ADVOCACY.......................

TOTAL, CMHS....................................................

65 104,078 67 102,260 75 114,486

59

 ---

56

57

428,256

(21,413)

54,261

34,000

59

 ---

56

57

420,774

(21,039)

53,313

34,880

59

 ---

56

57

420,774

(21,039)

59,687

34,000

619 $883,858 667 $910,506 404 $784,266

CMHS - 2 
Center for Mental Health Services 

Programs of Regional and National Significance 

Summary of Request 

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 Budget includes a total of $155.3 million for Mental Health PRNS, including: 

• $33.5 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; 

• $75.7 million for Youth Violence Prevention activities including the Safe Schools/Healthy 

Students collaborative program with U. S. Departments of Education and Justice 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; 

• $15.6 million for Trauma-Informed Services to improve treatment and services 

intervention for children and adolescents exposed to traumatic events; 

• $7.3 million for a new Targeted Capacity Expansion activity to address mental health

needs identified by States and local communities; 

• $18.5 million for remaining Capacity activities including Co-Occurring State Incentive

Grants ($0.4 million) Minority AIDS ($9.2 million), Criminal Justice ($3.9 million),

Homelessness ($2.8 million) and the new Mental Health Drug Courts program ($2.2

million); 

• $4.6 million for Science and Service activities, including the SAMHSA Health Information 

Network ($2.9 million), National Registry of Evidence-based Programs and Practices 

($0.6 million) and HIV/AIDS Education ($0.9 million). 

The Mental Health PRNS received a PART review in 2005 and was rated Results Not 

Demonstrated. The review cited clear purpose, strong financial management, and effective 

targeting as strong attributes. The review also reported the program lacked a clear design 

linking all projects to performance goals and did not collect performance data from all grantees 

or use performance data to hold grantees accountable for improving outcomes. As a result of 

CMHS - 3 
the PART review, the program is implementing an automated web-based performance 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 2007 

Actual

FY 2008 

Enacted

FY 2009 

Estimate

+/- FY 2008

Enacted

CAPACITY:

Co-Occurring State Incentive Grant 

Seclusion & Restraint

Youth Violence Prevention

Trauma-Informed Services

Children and Family Programs

Mental Health Transformation Activities

Mental Health Transformation State Incentive Grants

Behavioral/Physical Health Services Grants

Suicide Lifeline

GLS - Youth Suicide Prevention- States

GLS - Youth Suicide Prevention- Campus

AI/AN Suicide Prevention Initiative

Homelessness Prevention Programs

Older Adult Programs

Minority AIDS 

Criminal and Juvenile Justice Programs

Mental Health Drug Courts

Mental Health Targeted Capacity Expansion

Congressional Projects

Subtotal, Capacity

$7,526

2,449

93,156

29,418

11,113

3,408

26,003

---

4,484

17,829

4,950

3,006

8,734

4,900

9,283

6,803

---

---

---

$3,611

2,449

93,002

33,092

11,003

10,123

26,012

7,369

4,484

29,476

4,913

2,918

11,099

4,814

9,283

6,684

---

---

8,926

$419

---

75,710

15,668

---

---

---

---

3,812

17,820

4,950

2,970

2,800

---

9,283

3,860

2,223

7,250

---

 -$3,192

 -2,449

-17,292

 -17,424

 -11,003

 -10,123

 -26,012

 -7,369

 -672

 -11,656

+37

+52

 -8,299

 -4,814

---

 -2,824

+2,223

+7,250

 -8,926

233,062 269,258 146,765 -122,493

SCIENCE AND SERVICE:

GLS - Suicide Resource Center 3,960 4,913 3,960 -953

Adolescents at Risk 1,961 1,927 --- -1,927

Mental Health Systems Transformation Activities

National Registry of Evidence-based 

10,067 10,758 --- -10,758

Programs and Practices 445 437 650 +213

SAMHSA Health Information Network 

Consumer and Consumer Support 

3,523 1,920 2,970 +1,050

Technical Assistance Centers 1,961 1,927 --- -1,927

Minority Fellowship Program 3,873 3,805 --- -3,805

Disaster Response 1,073 1,054 --- -1,054

Homelessness 2,363 2,306 --- -2,306

HIV/AIDS Education

Subtotal, Science and Service

TOTAL, PRNS

975 974 974 ---

30,201

$263,263

30,021

$299,279

8,554

$155,319

-21,467

-$143,960

CMHS - 5 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

CAPACITY:

Co-Occurring SIG 

Grants

Continuations................................................. 13 5,389 8 1,650 4 392

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

 Subtotal

 --- --- --- --- --- ---

13 5,389 8 1,650 4 392

Contracts

Continuations................................................. 2 2,137 1 463 --- 27

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

 Subtotal

 --- --- 1 1,498 --- ---

2 2,137 2 1,961 --- 27

Total, Co-Occurring SIG 15 7,526 10 3,611 4 419

Seclusion & Restraint

Grants

Continuations................................................. --- --- 8 1,711 --- ---

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

 Subtotal

8 1,710 --- --- --- ---

8 1,710 8 1,711 --- ---

Contracts

Continuations................................................. --- --- 1 598 --- ---

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

 Subtotal

 --- 739 --- 140 --- ---

 --- 739 1 738 --- ---

Total, Seclusion & Restraint 8 2,449 9 2,449 --- ---

Youth Violence Prevention

Grants

Continuations................................................. 2 76,788 1 70,789 2 44,592

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

 Subtotal

 --- --- 3 7,000 --- 15,714

2 76,788 4 77,789 2 60,306

Contracts

Continuations................................................. 2 11,499 2 10,686 4 12,837

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

 Subtotal

3 4,869 1 4,527 --- 2,567

5 16,368 3 15,213 4 15,404

Total, Youth Violence Prevention 7 93,156 7 93,002 6 75,710

Trauma-Informed Services

Grants

Continuations................................................. 28 17,346 43 24,356 21 12,621

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

 Subtotal

15 7,000 6 3,406 --- ---

43 24,346 49 27,762 21 12,621

Contracts

Continuations................................................. 3 4,474 1 4,425 1 3,047

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

 Subtotal

Total, Trauma-Informed Services

 --- 598 --- 905 --- ---

3 5,072 1 5,330 1 3,047

46 29,418 50 33,092 22 15,668

CMHS - 6 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

Children and Family Programs

Grants

Continuations................................................. 15 6,067 50 6,525 --- ---

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

 Subtotal

42 2,696 6 2,141 --- ---

57 8,763 56 8,666 --- ---

Contracts

Continuations................................................. 2 2,132 1 1,530 --- ---

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

 Subtotal

 --- 218 1 807 --- ---

2 2,350 2 2,337 --- ---

Total, Children and Family Programs 59 11,113 58 11,003 --- ---

Mental Health Transformation Activities

Contracts

Continuations................................................. 2 1,317 --- 1,269 --- ---

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

 Subtotal

 --- 2,091 3 8,854 --- ---

2 3,408 3 10,123 --- ---

Total, MHT Activities 2 3,408 3 10,123 --- ---

Mental Health SIG for Transformation

Grants

Continuations................................................. 9 22,950 9 22,950 --- ---

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

 Subtotal

 --- --- --- --- --- ---

9 22,950 9 22,950 --- ---

Contracts

Continuations................................................. 2 2,412 1 3,062 --- ---

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

 Subtotal

 --- 641 --- --- --- ---

2 3,053 1 3,062 --- ---

Total, MHT SIG 11 26,003 10 26,012 --- ---

Behavioral/Mental & Physical Hlth. Serv.Grants

Grants

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- --- 8 4,000 --- ---

 --- --- 8 4,000 --- ---

Contracts

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- --- 3 3,369 --- ---

 --- --- 3 3,369 --- ---

Total, Behavioral Health Services --- --- 11 7,369 --- ---

Suicide Lifeline

Grants

Continuations................................................. --- --- 1 2,880 1 2,873

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

 Subtotal

1 2,880 --- --- --- ---

1 2,880 1 2,880 1 2,873

Contracts

Continuations................................................. 1 454 1 1,604 1 939

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

 Subtotal

Total, Suicide Lifeline

1 1,150 --- --- --- ---

2 1,604 1 1,604 1 939

3 4,484 2 4,484 2 3,812

CMHS - 7 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

GLS - Youth Suicide Prevention - States

Grants

Continuations................................................. 36 14,264 24 9,484 31 15,250

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

 Subtotal

2 750 30 15,000 --- ---

38 15,014 54 24,484 31 15,250

Contracts

Continuations................................................. 1 2,442 1 2,721 1 2,570

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

 Subtotal

 --- 373 --- 2,271 --- ---

1 2,815 1 4,992 1 2,570

Total, GLS-Youth Suicide Prev. -States 39 17,829 55 29,476 32 17,820

GLS - Youth Suicide Prevention - Campus

Grants

Continuations................................................. 55 3,668 34 2,178 31 3,146

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

 Subtotal

 --- --- 15 1,500 5 522

55 3,668 49 3,678 36 3,668

Contracts

Continuations................................................. --- 1,075 --- 1,151 --- 1,194

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

 Subtotal

 --- 207 --- 84 --- 88

 --- 1,282 --- 1,235 --- 1,282

Total, GLS-Youth Suicide Prev.-Campus 55 4,950 49 4,913 36 4,950

AI/AN Suicide Prevention Initiative

Contracts

Continuations................................................. --- --- 1 592 2 2,970

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

 Subtotal

1 3,006 --- 2,326 --- ---

1 3,006 1 2,918 2 2,970

Total, AI/AN Suicide Prev. Initiative 1 3,006 1 2,918 2 2,970

Homelessness Prevention Program

Grants

Continuations................................................. 10 3,954 19 7,463 6 2,360

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

 Subtotal

9 3,509 5 2,000 --- ---

19 7,463 24 9,463 6 2,360

Contracts

Continuations................................................. 1 865 1 1,118 1 440

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

 Subtotal

 --- 406 --- 518 --- ---

1 1,271 1 1,636 1 440

Total, Homelessness Prev. Program 20 8,734 25 11,099 7 2,800

Older Adults Program

Grants

Continuations................................................. 11 4,381 --- --- --- ---

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

 Subtotal

 --- --- 10 4,154 --- ---

11 4,381 10 4,154 --- ---

Contracts

Continuations................................................. --- 332 --- --- --- ---

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

 Subtotal

Total, Older Adults Program

 --- 187 1 660 --- ---

 --- 519 1 660 --- ---

11 4,900 11 4,814 --- ---

CMHS - 8 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

Minority AIDS 

Grants

Continuations................................................. 16 8,318 16 8,318 15 7,784

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

 Subtotal

 --- --- --- --- --- ---

16 8,318 16 8,318 15 7,784

Contracts

Continuations................................................. 1 809 1 965 1 922

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

 Subtotal

 --- 156 --- --- --- 577

1 965 1 965 1 1,499

Total, Minority AIDS 17 9,283 17 9,283 16 9,283

Criminal and Juvenile Justice Program

Grants

Continuations................................................. 12 4,771 8 3,070 8 3,175

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

 Subtotal

2 680 6 2,475 --- ---

14 5,451 14 5,545 8 3,175

Contracts

Continuations................................................. 1 1,352 --- 638 1 581

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

 Subtotal

 --- --- 1 501 1 104

1 1,352 1 1,139 2 685

Total, Criminal and Juvenile Justice 15 6,803 15 6,684 10 3,860

Mental Health Drug Courts

Grants

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- --- --- --- --- ---

 --- --- --- --- --- ---

Contracts

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- --- --- --- 1 2,223

 --- --- --- --- 1 2,223

Total, Mental Health Drug Courts --- --- --- --- 1 2,223

Mental Health Targeted Capacity Expansion

Grants

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- --- --- --- 14 7,250

 --- --- --- --- 14 7,250

Total, MH TCE --- --- --- --- 14 7,250

Congressional Projects

Subtotal, Capacity

--- --- 36 8,926 --- ---

309 233,062 369 269,258 152 146,765

CMHS - 9 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

SCIENCE AND SERVICE:

GLS - Suicide Resource Center

Grants

Continuations................................................. 1 3,596 1 3,596 1 3,597

New/Competing............................................. --- ---

 Subtotal 1 3,596

 --- 722 --- ---

1 4,318 1 3,597

Contracts

Continuations................................................. 1 364 --- 214 1 363

New/Competing............................................. --- ---

 Subtotal 1 364

1 381 --- ---

1 595 1 363

Total, GLS - Suicide Resource Center 2 3,960 2 4,913 2 3,960

Adolescents at Risk

Grants

Continuations................................................. --- --- --- --- --- ---

New/Competing............................................. 8 1,823

 Subtotal 8 1,823

 --- --- --- ---

 --- --- --- ---

Contracts

Continuations................................................. --- --- --- --- --- ---

New/Competing............................................. --- 138

 Subtotal --- 138

1 1,927 --- ---

1 1,927 --- ---

Total, Adolescents at Risk 8 1,961 1 1,927 --- ---

Mental Health Systems Transformation Activities

Grants

Continuations................................................. --- 250 20 1,400 --- ---

New/Competing............................................. 26 1,649

 Subtotal 26 1,899

4 486 --- ---

24 1,886 --- ---

Contracts

Continuations................................................. 5 3,738 8 6,746 --- ---

New/Competing............................................. 11 4,430

 Subtotal 16 8,168

2 2,126 --- ---

10 8,872 --- ---

Total, MH Systems Trans. Activities 42 10,067 34 10,758 --- ---

National Registry of Evidence-based Programs and Practices 

Contracts

Continuations................................................. 1 445 1 437 1 650

New/Competing............................................. --- ---

 Subtotal 1 445

 --- --- --- ---

1 437 1 650

Total, NREPP 1 445 1 437 1 650

SAMHSA Health Information Network

Contracts

Continuations................................................. 1 2,970 1 1,920 1 2,970

New/Competing............................................. --- 553

 Subtotal 1 3,523

Total, SHIN 1 3,523

 --- --- --- ---

1 1,920 1 2,970

1 1,920 1 2,970

CMHS - 10 
Center for Mental Health Services 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2008 FY 2009 

FY 2007 Actual Enacted Estimate

No. Amount No. Amount No. Amount

Consumer and Consumer Support TA Centers

Grants

Continuations................................................. --- --- 5 1,791 --- ---

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

 Subtotal

5 1,823 --- --- --- ---

5 1,823 5 1,791 --- ---

Contracts

Continuations................................................. --- --- --- 136 --- ---

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

 Subtotal

 --- 138 --- --- --- ---

 --- 138 --- 136 --- ---

Total, Consumer Support TA Centers 5 1,961 5 1,927 --- ---

Minority Fellowship Program

Grants

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

5 3,600 5 3,237 --- ---

5 3,600 5 3,237 --- ---

Contracts

Continuations................................................. --- --- --- --- --- ---

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

 Subtotal

 --- 273 1 568 --- ---

 --- 273 1 568 --- ---

Total, Minority Fellowship Program 5 3,873 6 3,805 --- ---

Disaster Response

Grants

Continuations................................................. 1 250 --- --- --- ---

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

 Subtotal

 --- --- 1 850 --- ---

1 250 1 850 --- ---

Contracts

Continuations................................................. 1 823 --- --- --- ---

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

 Subtotal

 --- --- 1 204 --- ---

1 823 1 204 --- ---

Total, Disaster Response 2 1,073 2 1,054 --- ---

Homelessness

Contracts

Continuations................................................. 2 2,039 2 2,069 --- ---

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

 Subtotal

1 324 1 237 --- ---

3 2,363 3 2,306 --- ---

Total, Homelessness 3 2,363 3 2,306 --- ---

HIV/AIDS Education

Contracts

Continuations................................................. 4 975 4 974 --- ---

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

 Subtotal

 --- --- --- --- 1 974

4 975 4 974 1 974

Total, HIV/AIDS Education

Subtotal, Science and Service

TOTAL, PRNS

4 975 4 974 1 974

73

382

30,201

263,263

59

428

30,021

299,279

5

157

8,554

155,319

CMHS - 11 
Page intentionally left blank

CMHS - 12 
Suicide Prevention 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Capacity $30,269,000 $41,791,000 $29,552,000 -$12,239,000

Science And Service

Budget Authority............

5,921,000 6,840,000 3,960,000 -2,880,000

$36,190,000 $48,631,000 $33,512,000 -$15,119,000

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

2009 Authorization.............................................................................................Expired 

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

Program Description and Accomplishments

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

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

systems that promote prevention, intervention, and recovery. Each of the five major grant 

programs in SAMHSA’s suicide prevention portfolio advances the National Strategy for Suicide 

Prevention. The National Suicide Prevention Lifeline routes calls from anywhere in the United 

States to a network of certified local crisis centers that can link callers to local emergency, 

mental health, and social services resources. The Lifeline recently partnered with the 

Department of Veterans Affairs to provide and ensure 24/7 access to a veterans hotline, and 

averages nearly 40,000 calls a month. Congressional authorization of the Garrett Lee Smith 

Memorial Act (GLS) allows SAMHSA to manage two additional significant grant programs: The 

GLS State/Tribal Youth Suicide Prevention and Early Intervention Grant Program, which 

supports 31 States and 7 Tribes/tribal organizations in developing and implementing youth 

suicide prevention and early intervention strategies involving public-private collaborations 

among youth-serving institutions; and the GLS Campus Suicide Prevention Program, which 

provides funding to institutions of higher education to prevent suicide and suicide attempts, and 

to enhance services for students with mental and behavioral health problems such as 

depression and substance abuse. Since October of 2005, the Garrett Lee Smith Memorial 

Suicide Prevention Program has trained 75,186 teachers, police officers, mental health 

professionals, social service providers, advocates, coaches, and other individuals who 

frequently interact with youth in suicide prevention. SAMHSA also has an innovative major 

training and technical assistance project that helps Tribal communities mobilize existing social 

and educational resources to develop and implement comprehensive and collaborative 

community-based prevention plans to reduce violence, bullying, and suicide among American 

Indian/Alaska Native youth. 

In addition to activities that build suicide prevention Capacity, SAMHSA also supports the 

Garrett Lee Smith Suicide Prevention Resource Center within its Science and Service portfolio. 

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 

CMHS - 13 
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. They include statewide coalitions, 

community task forces, regional alliances or professional groups. 

Funding History 

FY Amount 

2004 $6,035,000 

2005 $16,436,000 

2006 $31,675,000 

2007 $36,190,000 

2008 $48,631,000 

Budget Request 

The FY 2009 budget requests $33.5 million, a $15.1 million decrease from the FY 2008 Enacted 

Level. Of the total amount, $22.7 million will continue the Garrett Lee Smith State and Campus 

prevention activities, and 5 new grants. The Suicide Lifeline amount is $3.8 million. The 

American Indian/Alaska Native Suicide Prevention Initiative will be fully funded in FY 2009 and 

the Garrett Lee Smith Suicide Prevention Resource Center will be funded at $4.0 million, a 

decrease of -$0.9 million from the FY 2008 Enacted Level. The increase in 2008 supported 

one-time expenditures, which will not diminish the success of these activities in 2009. 

Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 

FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target

(FY 

2012) 

Target Actual Target Actual

Long-Term Objective: Reduce the number of youth suicide deaths and attempts. 

Increase the number of 

students exposed to 

2.3.

58 

mental health and 

suicide awareness 

Base 

line 662,774 662,774 662,774

campaigns on college 

campuses 

Increase the total 

2.3.

59 

number individuals 

trained in youth suicide 

prevention 

Base 

line 75,186 97,742 127,065

Appropriated Amount 

($ Million) $6.0 $16.4 $31.7 $31.7 $36.2 $36.2 $48.6 $33.5 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $261,951 $336,762 $367,942 

Range of Awards $67,000-$3,596,000 $75,000-$4,318,000 $102,000-$3,597,000 

CMHS - 14 
Youth Violence Prevention 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $93,156,000 $93,002,000 $75,710,000 -$17,292,000

Authorizing Legislation......................................Section 581 of the Public Health Service Act 

2009 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 107 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 six required elements across the three sectors: 1) 

school safety, 2) safe school policies, 3) alcohol and other drugs and violence prevention and 

early intervention programs, 4) enhance school and community mental health students and 

families, 5) early childhood psychosocial and emotional development programs and 6) 

educational reform. Grantees have developed legal, organizational, informational, and 

programmatic systems that bring together many agencies, 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 2007, 46 percent of students received services following a mental health referral, 

approximately the same level as in FY 2006. The performance target was met. The program 

has instituted new output measures 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. 

CMHS - 15 
Funding History

FY Amount 

2004 $94,295,000

2005 $94,238,000

2006 $93,156,000

2007 $93,156,000

2008 $93,002,000

Budget Request 

The FY 2009 President’s Budget request is $75.7 million, a decrease of $17.2 million below the 

FY 2008 Enacted level. Of this amount, $67.4 million will support the Safe Schools/Healthy 

Students program, a decrease of $14.6 million from the FY 2008 Enacted level. All grant and 

contract continuations will be continued in FY 2009, but slightly reduced. No new grants will be 

awarded. The Safe Schools/Healthy Students program will serve over one million children in FY 

2009 realizing efficiencies through targeted reductions. 

Outcomes and Outputs

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Target Actual Target Actual

Long-Term Objective: Prevent violence and substance abuse among our Nation’s youth, schools, and communities 

3.2.10 

 Increase mental 

health services to 

students and families

(Average percentage 

of students receiving 

services following a 

mental health referral) 

Base 

line 45.5% 46% 46% 46% 46% 

# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

Target/ 

Est. Actual Target/ 

Est. Actual

3.2.21 

Percentage of 

grantees that provided 

screening and / or 

assessments that is 

coordinated among 

two or more agencies 

or shared across 

agencies. 

Base 

line 66.1 % 67.1% 68.1% 

3.2.22 

Percentage of 

grantees that provide 

training of school 

personnel on mental 

health topics 

Base 

line 64.4% 65.4% 66.4% 

Appropriated 

Amount 

($ Million) 

$94.3 $94.2 $93.2 $93.2 $93.2 $93.2 $93.0 $75.7 

Size of Awards

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $3,999,000 $6,000,000 $2,999,000 

Range of Awards $3,999,000 $6,000,000 $2,999,000 

CMHS - 16 
Trauma-Informed Services 

FY 2007 

Actual

FY 2008 

Enacted

FY 2009 

Estimate

FY 2009 + / - 

FY 2008

Budget Authority............ $29,418,000 $33,092,000 $15,668,000 -$17,424,000

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

2009 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 and 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, 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. In FY 2007, 56 percent of children receiving services demonstrated clinical 

improvement. This program is expected to serve 16,955 children in FY 2009. 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 

2004 $29,823,000

2005 $29,726,000

2006 $29,418,000

2007 $29,418,000

2008 $33,092,000

Budget Request 

The FY 2009 President’s Budget request is $15.6 million, a decrease of $17.4 million below the 

FY 2008 Enacted level. This activity did not meet targets for the number of children and 

adolescents receiving trauma informed services or for the cost per person served. Funds will 

support 21 grant and 1 contract continuations at 53 percent reduction. No new grants will be 

CMHS - 17 
awarded. Twenty seven grants are coming to a natural end and other activities can be 

supported through other funding streams. With this level of funding, the percentage of children 

showing clinically significant improvement will be maintained at 37 percent. 

Outcomes and Outputs

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual Target

FY 2006 

Actual 

n 

FY 2007 

Target Actual

FY 

2008 

FY 

2009 

OutYear 

Long-Term Objective: Increase the specialized adaptatio

communities across the country 

Target Target Target

of effective treatment and service approaches for 

Improve children’s 

3.2.02 outcomes (percent 

showing clinically 

significant improvement) 

37% 37% 35% 37% 56% 37% 37% 

Increase the number of 

3.2.0.1 children and adolescents 

receiving traumainformed services 

51,296 50,660 39,600 33,910 33,910 31,446 33,910 16,955

3.2.0.2 Improve children’s 

outcomes 37% 37% 35% 37% 56% 37% 37% 

3.2.0.3 Dollars spent per person 

served* $497 $493 $741 $480 $774*** $774 $774 

Appropriated Amount 

($ Million) $29.8 $29.7 $29.4 $29.4 $29.4 $29.4 $33.0 $15.6 

*This measure was approved by OMB in May 2006 as an interim efficiency measure until a final PRNSwide efficiency measure is developed 

***Corrected from previously reported result 

Size of Awards

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $566,000 $567,000 $601,000 

Range of Awards $398,000-$5,000,000 $399,000-$5,000,000 $399,000-$5,000,000 

CMHS - 18 
Remaining Capacity Activities 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $80,219,000 $101,373,000 $25,835,000 -$75,538,000

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

2009 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 which promote improved services for 

adults with mental illness and children with emotional disturbance. 

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 5.6 million individuals in the 

U.S. are affected by co-occurring mental and substance abuse disorders. The Co-Occurring 

State Incentive Grant program helps states to boost their infrastructure while addressing the 

most pressing needs identified by the States. This grant activity is being phased out as 

SAMHSA is moving towards including language requirements for screening and services for 

individuals with co-occurring disorders in all appropriate SAMHSA grant applications. This will 

more effectively target resources and increase overall resources for this population. The FY 

2009 Request will support four continuation grants. 

Homelessness Prevention

The Homelessness Prevention program continues the work of the Grants to Benefit Homeless 

Individuals (GBHI) by funding grants to States and communities to expand and strengthen their 

services for persons who are homeless and have mental health disorders, or co-occurring 

illnesses. As of July 2007, current GBHI grantees have served over 12,000 persons who have 

reported substantial benefits. The FY 2009 Request will support all grant continuations. 

Minority AIDS

The purpose of this 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 that of the 400,000 persons living with AIDS, 250,000 cases are 

among people of color (CDC, 2003). As the incidence of HIV/AIDS increases among people of 

CMHS - 19 
color, the need for mental health treatment goes up as well. 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 2009 Budget will 

fund all continuation grants and contracts funded in FY 2008. 

Criminal and Juvenile Justice Programs

Since 2002, the Jail Diversion program has awarded grants to 32 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 three-year grants to 

develop, implement and sustain diversion programs for people with mental illness. 

 

These grantee programs have conducted over 75,000 screenings, referring over 5,100 people 

to Courts and enrolling over 2,700 in programs. Preliminary data indicates that diverted

individuals have reduced symptoms of mental illness, reduced substance abuse,, and improved 

daily living skills and role functioning. Sixteen of the 19 earliest grantees have continued their 

programs after SAMHSA funding ended. 

Mental Health Drug Courts

In support of increased collaboration and coordination between Mental Health, Substance 

Abuse and Justice Departments, SAMHSA proposes the Mental Health Drug Courts. This 

program will ensure drug court clients have access to a full range of mental health and recovery 

support services and foster communication and cooperation between Federal, State and local 

service providers. A cornerstone of this program is the increased collaboration and lateral 

integration within the current infrastructure. 

 

Mental Health Targeted Capacity Expansion

In FY 2009, SAMHSA requests $7.3 million for the new Mental Health Targeted Capacity 

Expansion Grants program to help communities bridge gaps in treatment services. The Budget 

will support 14 grants awarded to State, local governments, communities and tribal entities to 

expand or enhance a community’s ability to provide rapid, strategic, comprehensive, integrated 

and creative, community-based responses to a specific, well-documented mental 

health capacity problems, including technical assistance. This program will foster the provision 

of evidence-based treatment practices and will address the emerging mental health needs 

identified by States and local communities. These areas could include school violence, PTSD, 

homeless, older adults, and other mental health system capacity expansion needs. Priority 

areas will be identified in competitive funding announcements and applicants will document 

local needs. This program will leverage Federal resources and promote sustainability by 

requiring a matching element. This funding focuses the resources to the most urgent needs of 

the communities and allows for the maximum flexibility of the grantee to implement the program. 

Approximately 10,000 to 15,000 individuals will be served through this grant program based on 

the particular emerging needs identified. Performance measurement will vary according to the 

emerging needs identified. For programs that provide direct mental health services, the 

following CMHS NOMs will be collected: mental illness symptomatology; 

employment/education; crime and criminal justice; stability in housing; access – number of 

CMHS - 20 
persons served by age, gender, race, and ethnicity; social support/social connectedness; and 

client perception of care. For programs with a prevention and/or training focus, measures are 

currently under development. 

Funding History 

FY Amount 

2004 $68,441,000

2005 $107,251,000

2006 $83,722,000

2007 $80,219,000

2008 $101,373,000

Budget Request 

The FY 2009 President’s Budget request is $25.8 million, a decrease of $75.5 million below the 

FY 2008 Enacted level. Less effective programs will be terminated for a total of $61.8 million 

which are Seclusion and Restraint, Children & Family Programs, Mental Health Transformation 

State Incentive Grants and Mental Health Transformation activities, Behavioral/Physical Health 

Services and the Older Adult Program. The Budget terminates activities that are coming to a 

natural end or were one-year grants, such as the Congressional projects for $8.9 million. Two 

new programs will be initiated for a total of $9.5 million which are Mental Health Drug Courts 

and Mental Health Targeted Capacity Expansion. Some of the activities reduced or terminated 

could be addressed through the new Targeted Capacity Expansion Activity, if communities, 

States and/or Tribes identified these areas as emerging needs. 

Outcomes and Outputs

FY FY FY 2006 FY 2007 FY FY Out-Year # Key Outcomes 2004 2005 2008 2009 Actual Target Actual Target Target Actual Actual Target Target 

Long-Term Objective: Capacity programs include services program, which provide funding to implement service 

improvements using evidence based practices, and infrastructure programs, which identify and implement needed 

changes.

Rate of 

consumers 

reporting Sept- 1.2.01 positively about 71 71*** 73.5 71 74 71 71 08 outcomes (State 

mental health 

system) 

Rate of family 

members 

reporting Sept- 1.2.02 positively about 65 71 71 73 71.5 74 74 08 outcomes (State 

mental health 

system) 

Rate of 

consumers Base 1.2.03 reporting 98% 98% 98% line positively about 

outcomes(progra

CMHS - 21 
m participants) * 

1.2.04

Rate of family 

members 

reporting 

positively about 

outcomes 

(program 

participants) ** 

Base 

line 

Dec08 Dec08 Dec08* 

1.2.05 Increase the 

percentage of 

clients receiving 

services who 

report improved 

functioning 

Base 

line 93* 93 93 

1.2.07 Percentage of 

people in the 

United States with 

serious mental 

illnesses in need 

of services from 

the public mental 

health system, 

who receive 

services from the 

public mental 

health system* 

44 % 2015: 50 

percent 

*Due to the implementation of the TRAC reporting system in FY 2007, data received by December 2007 

is incomplete. 

** Data for this measure is collected from programs serving children and these programs did not begin 

using the TRAC system until FY 2008. 

*** Due to a transcription error, the result for 2005 was incorrectly reported in previous Congressional 

Justifications. The correct result is reported here.

CMHS - 22 
# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

Out-Year 

Target/ 

Est. Target/ 

Est. Actual Target/ 

Est. Actual

Long-Term Objective 3: 

Number of 

1.2.06 a) evidence based 

practices (EBPs) 

2.3 per 

state*** 3.9 3.3 3.9 3.8 Sept-08 4.0 4.0 

implemented 

Number of b) 

Adults - percentage 

of population 

coverage for each 

1.2.08 (reported as 

percentage of 

service population 

9.3%*** 9.7% 10.3% 9.5% 10.8% Sept-08 10.8% 10.8% 

receiving any 

evidence based 

practice) 

Number of c) 

Children - 

percentage of 

population 

coverage for each 

1.2.09 (reported as 1.7%*** 3.4% 2.3% 2.2% 2.6% Sept-08 2.6% 2.6% 

percentage of 

service population 

receiving any 

evidence based 

practice) 

Appropriated 

Amount ($ Million) $68.4 $107.2 $83.7 $83.7 $80.2 $80.2 $101.3 $25.8 

***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. 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $428,000 $401,000 $416,000 

Range of Awards $389,000-$520,000 $20,600-$520,000 $98,000-$519,000 

CMHS - 23 
All Science and Service 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $24,280,000 $23,181,000 $4,594,000 -$18,587,000

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

2009 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. 

National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP), initiated in 1997, is 

a searchable online registry of mental health and substance abuse interventions that have been 

reviews 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 approximately 50 interventions is currently available, and new 

intervention summaries (approximately five to 10 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, new interventions to address service needs and gaps 

will be 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, includes the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC). SHIN provides the public and professionals with one-stop, quick 

CMHS - 24 
access to information, materials, and services for mental health and substance abuse 

prevention and addictions treatment. To reinforce the Secretary’s Value-Driven health care 

priority, the SAMHSA Health Information Network will be expanded in FY 2009 to become a 

network that provides a suite of information services by leveraging shared, SAMHSA-wide 

technical and intellectual infrastructure. Performance measures for Satisfaction, Usage, and 

System, Staff and Process performance will be developed and data gathered to lead to a much 

improved user experience and eliminate the inefficiency of multiple systems. 

The SHIN network program responds to 45,000 public inquiries each month (in English and 

Spanish); manages and fills approximately 19,000 publication orders each month; maintains

and updates related web site contents and receive over 1 million visits per month; provides 

materials and promotion of SAMHSA programs and products. The SHIN network also supports 

Office of National Drug Control Policy’s media campaign and manages product inventory for 

ONDCP. 

HIV/AIDS Education

The Mental Health Care Provider Education in HIV/AIDS Program (MHCPE) 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 3000 front line 

providers were trained (face-to- face) with MHCPE, 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. 

Funding History 

FY Amount 

2004 $42,203,000 

2005 $26,646,000 

2006 $25,109,000 

2007 $24,280,000 

2008 $23,181,000 

Budget Request 

The FY 2009 President’s Budget request is $4.6 million, a decrease of $18.5 million from the FY 

2008 Enacted Level. The decrease of $18.5 million will be accomplished through termination of 

the following six programs: Adolescents at Risk, Mental Health Transformation activities, 

Consumer & Consumer Support Technical Assistance Centers, Minority Fellowship Program, 

Disaster Response and Homelessness activities. See pages ST-6 through ST-9 for detailed 

explanation of all terminations. The National Registry of Evidence-based Programs and 

Practices is funded at $0.6 million, an increase of $0.2 million, and the SAMHSA Health 

Information Network is funded at $2.9 million, an increase of $1.0 million. The HIV/AIDS 

Education program will be maintained at $0.9 million, the same as the FY 2008 Enacted level. 

CMHS - 25 
Page intentionally left blank 

CMHS - 26 
Children’s Mental Health Services Program 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $104,078,000 $102,260,000 $114,486,000 +$12,226,000

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

FY 2009 Authorization........................................................................................Expired 

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

Program Description and Accomplishments

The Children’s Mental Health Services Program, first authorized in 1992, primarily supports 

SAMHSA’s Capacity goal. 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 21 percent of children in the United States have a diagnosable 

mental or addictive disorder, yet two-thirds are not expected to receive mental health services. 

The program also provides strong support to SAMHSA’s Effectiveness goal through the 

implementation of best practices, and its strong evaluation component supports the 

Accountability goal. The program directly supports the Children and Families priority area. 

Program funds are available through competitive cooperative agreements to States, political 

subdivisions of States, Territories, and Indian Tribes or tribal organizations. Funds are used to 

build on the existing service infrastructure so that the array of services required to meet the 

needs of the target population is available and accessible. Grants are funded for a total of 6 

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 will also continue support for evaluation, technical assistance, and 

communications activities. 

Funding History 

FY Amount 

2004 $102,353,000 

2005 $105,112,000 

2006 $104,006,000 

2007 $104,078,000 

2008 $102,260,000 

Budget Request 

The FY 2009 President’s Budget request is $114.5 million, an increase of $12.2 million above 

the FY 2008 Enacted level. A total of 75 grants and contracts will be funded. Fifty-eight grant 

CMHS - 27 
and contract continuations and 17 new grants will be funded. Funding will also continue 

support for evaluation, technical assistance and communications activities. 

The program also supports HHS Strategic Objective 3.2, protect the safety and foster the well 

being of children and youth. 

Outcomes and Outputs 

From 1993–2006, CMHS funded 126 grants in 50 States, the District of Columbia, and two 

Territories, and provided services to approximately 78,930 children. The program served 

children in 493 or 15.69 percent of 3,142 counties in the United States, as well as in Guam and 

two areas of Puerto Rico, representing a small but significant proportion of the country being 

exposed to these highly successful systems-of-care services. Funded programs have achieved 

sustainability after the federal funds end. 

The program has demonstrated significant improvement across performance indicators and 

years of service. This improvement was obtained in the face of ambitious program targets and 

reflects the overall effectiveness and importance of the program to provide services for children 

and youth with serious mental health challenges and their families. The program has exceeded 

the target for percent of children attending school 75 percent or more of the time after 12 

months. These program outcomes clearly indicate that “systems of care work.” 

In FY 2007, 10,871 children were served by the program, exceeding the target by 19 percent

and reflecting a level of effort by grantee communities. The 2007 target for the program was 

ambitious given that the program was funded at roughly the same level in FY 2007 as in the 

prior two years, and that the average number of children served during the prior four years was 

9,273. Sixteen current grantees will complete their grant funding cycle in 2008. New grantees 

spend the first year of the grant in planning and infrastructure development, and do not enroll 

clients until the second year. Thus, numbers served are expected to decline through 2009 and 

rise beginning in 2010. 

Seventy-one percent of children in the program had no law enforcement contacts after six 

months in the program, exceeding the target by one percent. However, grantees vary in the 

populations they target, and those grantees that serve youth in the juvenile justice system may 

be less able to achieve reductions in law enforcement contacts. Performance for this measure 

will vary somewhat depending on the mix of grantees and individuals served in any given year. 

Performance on this measure generally varies very slightly from year to year. 

The Children’s Mental Health Services program received a PART review in 2002 and was rated 

Moderately Effective. The review 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 PART review, the program is tracking behavioral 

and emotional outcomes of program participants, and is conducting an evaluation of the 

program. 

CMHS - 28 
# Key Outcomes

FY 

2004 

Actual 

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Actual Target Actual Target

Long term Objective: Improve the accessibility and effectiveness of services for children and youth with serious 

mental health challenges and their families. 

Improve children’s 

outcomes and systems 

outcomes 

3.2.12 (a) Increase 

percentage attending 

school 75% or more of 

time after 12 months 

90.9% 80.2% 84% 89.7% 84% 87% 84% 84% 

Improve children’s 

outcomes and systems 

outcomes 

3.2.13 (b) Increase 

percentage with no law 

enforcement contacts 

at 6 months 

67.6% 68.3% 68% 69.3% 70% 71% 69% 69% 

FY FY FY 2006 FY 2007 FY FY Out2004 2005 2008 2009 Year Key Outputs Target Actual Target Actual Actual Actual Target Target Target

Increase number of 

3.2.16 children receiving 10,521 9,200 9,120 10,339 9,120 10,871 10,000 10,000 

services 

Appropriated Amount $102.3 $105.1 $104.0 $104.0 $104.0 $104.0 $102.2 $114.4 ($ in Millions) 

Size of Awards

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $1,476,000 $1,337,000 $1,302,000 

Range of Awards $1,000,000- $1,000,000- $1,000,000-

$2,000,000 $2,000,000 $2,000,000 

CMHS - 29 
Page intentionally left blank

CMHS - 30 
Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $34,000,000 $34,880,000 $34,000,000 -$880,000

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

FY 2009 Authorization.......................................................................................Expired 

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

Program Description and Accomplishments

The Protection and Advocacy for Individuals with Mental Illness Program 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 request will support 57 

grants to States and Territories. 

Funding History 

FY Amount 

2004 $34,620,000 

2005 $34,343,000 

2006 $34,000,000 

2007 $34,000,000 

2008 $34,880,000 

Budget Request 

The FY 2009 President’s Budget request is $34.0 million, a decrease of $0.9 million from the FY 

2008 Enacted level. These funds will serve 22,325 persons in FY 2009. Drawing upon the 

marginal cost analysis conducted for this program (which estimated an average cost per 

complaint resolved successfully in FY 2009 of $3,164) the FY 2009 budget request corresponds 

with 10,746 complaints resolved successfully. Based on previous experience, approximately 23 

percent (2,472) of the complaints resolved will be abuse complaints, 21 percent (2,257) will be 

neglect complaints, and 56 percent (6,018) will be rights violations. These complaints will be 

resolved through the provision of services to approximately 22,325 individuals. 

Outcomes and Outputs 

In FY 2006, a baseline was set at 95 percent for percent of interventions on behalf of groups of 

PAIMI-eligible individuals that were concluded successfully. This measure is intended to 

CMHS - 31 
capture the systemic impacts of the program. In addition, 84 percent of complaints of alleged 

abuse and 88 percent of alleged resulted in positive change as a result of PAIMI involvement. A 

PAIMI Program Peer Review process is in place for the Annual Program Performance Report 

which assesses and provides specific feedback regarding strengths and weaknesses of the 

program as well, as specific recommendations for ongoing quality improvement. Also, the 

PAIMI Programs within each State protection & advocacy (P&A) agency are monitored via onsite reviews on a regular schedule. These on-site monitoring reviews are conducted by 

independent consultants and provide SAMHSA with an assessment of key areas: governance, 

legal, fiscal and consumer/constituent services/activities of the P&A’s PAIMI Program. 

Following these site visits, the consultants issue a report that summarizes its program findings 

and when appropriate, may include recommendations for technical assistance and/or corrective 

action. These steps are expected to improve performance so that annual and long-term targets 

can be met. In addition, a new measure of education and training has been established, which 

is expected to increase awareness of PAIMI efforts and thus have an impact on numbers served 

and other outcomes. 

The PAIMI program received a PART review in 2005 and was rated Moderately Effective. The 

review 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 PART review, 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.

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Target Actual Target Actual

Long-Term Objective: Protect and advocate for the rights of people with mental illnesses.

Increase percentage 

of complaints of 

alleged abuse and 

not withdrawn by the 

3.4.08 

client that resulted in 

positive change for 

the client in her/his 

environment, 

community, or 

82 78 84 84 85 Jul-08 84 84 

2012: 

88 

perce

nt 

facility, as a result of 

PAIMI involvement 

(same as long-term 

measure) 

Increase percentage 

of complaints of 

alleged neglect

substantiated and 

not withdrawn by the 

client that resulted in 2012: 

3.4.09 positive change for 

the client in her/his 82 83 89 88 84 Jul-08 85 85 94 

perce

environment, nt 

community, or 

facility, as a result of 

PAIMI involvement 

(same as long-term 

measure) 

CMHS - 32 
3.4.10

Increase percentage 

of complaints of 

alleged rights 

violations

substantiated and 

not withdrawn by the 

client that resulted in 

positive change 

through the 

restoration of client 

rights, expansion or 

maintenance of 

personal decisionmaking, or 

elimination of other 

barriers to personal 

decision-making, as 

a result of PAIMI 

involvement (same 

as long-term 

measure) 

95 87 95 85 90 Jul-08 90 90 

2012: 

97 

perce

nt 

3.4.11 

Percent of 

interventions on 

behalf of groups of 

PAIMI-eligible 

individuals that were 

concluded 

successfully (same 

as long-term 

measure) 

Base 

line 95 95 Jul-08 95 95 

2013: 

97 

perce

nt 

3.4.12

Increase in the 

number of people 

served by the PAIMI 

program 

22,120 21,371 23,500 18,998 23,500 Jul-08 22,325 22,325

3.4.13 

Ratio of persons 

served/impacted per 

activity/intervention 

354 411 410 407 420 Jul-08 420 420 

3.4.14 

Cost per 1,000 

individuals 

served/impacted 

2,431 2,072 2,100 2,316 2,000 Jul-08 2,000 2,000 

# Key Outputs

The number 

FY 

2004 

Actual

FY 

2005 

Actual

Target/ 

Est. 

FY 2006

Actual Target/ 

Est. 

FY 2007

Actual

FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

3.4.15 

attending public 

education/constituen

cy training and public 

awareness activities 

Base 

line 

Oct 

08 

Appropriated Amount 

($ Million) $34.6 $34.3 $34.0 $34.0 $34.0 $34.0 $34.8 $34.0 

CMHS - 33 
Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CFDA # 93.138 

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Alabama $427,738 $431,142 $424,083 -$7,059

Alaska 402,700 413,000 402,600 -10,400

Arizona 532,394 556,565 558,088 +1,523

Arkansas 402,700 413,000 402,600 -10,400

California 2,999,964 3,062,063 2,973,828 -88,235

Colorado 402,700 413,000 402,600 -10,400

Connecticut 402,700 413,000 402,600 -10,400

Delaware 402,700 413,000 402,600 -10,400

District Of Columbia 402,700 413,000 402,600 -10,400

Florida 1,535,558 1,566,078 1,526,786 -39,292

Georgia 797,392 835,413 846,437 +11,024

Hawaii 402,700 413,000 402,600 -10,400

Idaho 402,700 413,000 402,600 -10,400

Illinois 1,069,092 1,090,492 1,060,399 -30,093

Indiana 563,361 577,922 568,835 -9,087

Iowa 402,700 413,000 402,600 -10,400

Kansas 402,700 413,000 402,600 -10,400

Kentucky 402,700 413,000 402,600 -10,400

Louisiana 429,824 474,284 402,600 -71,684

Maine 402,700 413,000 402,600 -10,400

Maryland 439,711 447,277 436,242 -11,035

Massachusetts 494,340 502,230 488,092 -14,138

Michigan 884,296 909,275 887,684 -21,591

Minnesota 420,727 432,600 424,598 -8,002

Mississippi 402,700 413,000 402,600 -10,400

Missouri 515,835 533,148 521,662 -11,486

Montana 402,700 413,000 402,600 -10,400

Nebraska 402,700 413,000 402,600 -10,400

Nevada 402,700 413,000 402,600 -10,400

New Hampshire 402,700 413,000 402,600 -10,400

New Jersey 673,408 683,451 661,079 -22,372

New Mexico 402,700 413,000 402,600 -10,400

New York 1,544,012 1,570,379 1,496,886 -73,493

North Carolina 781,805 801,715 796,509 -5,206

North Dakota $402,700 $413,000 $402,600 -$10,400

CMHS - 34 
 Protection and Advocacy for Individuals with Mental Illness (PAIMI) 

CFDA # 93.138 

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Ohio $1,016,739 $1,044,075 $1,018,028 -$26,047

Oklahoma 402,700 413,000 402,600 -10,400

Oregon 402,700 413,000 402,600 -10,400

Pennsylvania 1,065,276 1,082,602 1,049,652 -32,950

Rhode Island 402,700 413,000 402,600 -10,400

South Carolina 402,700 413,145 406,721 -6,424

South Dakota 402,700 413,000 402,600 -10,400

Tennessee 535,387 551,262 543,388 -7,874

Texas 2,009,900 2,057,933 2,028,630 -29,303

Utah 402,700 413,000 402,600 -10,400

Vermont 402,700 413,000 402,600 -10,400

Virginia 615,270 635,959 621,894 -14,065

Washington 519,597 544,728 530,061 -14,667

West Virginia 402,700 413,000 402,600 -10,400

Wisconsin 481,653 493,495 483,563 -9,932

Wyoming 402,700 413,000 402,600 -10,400

State Sub-total 31,628,879 32,448,233 31,625,945 -822,288

American Samoa 215,800 221,300 215,700 -5,600

Guam 215,800 221,300 215,700 -5,600

Northern Marianas 215,800 221,300 215,700 -5,600

Puerto Rico 612,121 627,486 615,555 -11,931

Virgin Islands 215,800 221,300 215,700 -5,600

Territory Sub-Total 1,475,321 1,512,686 1,478,355 -34,331

American Indian Consortium 215,800 221,300 215,700 -5,600

Total States/Territories 33,320,000 34,182,219 33,320,000 -862,219

Technical Assistance 680,000 697,781 680,000 -17,781

TOTAL RESOURCES $34,000,000 $34,880,000 $34,000,000 -$880,000

CMHS - 35 
Page intentionally left blank 

CMHS - 36 
Projects for Assistance in Transition from Homelessness 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Budget Authority............ $54,261,000 $53,313,000 $59,687,000 +$6,374,000

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

FY 2009 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 2006, the PATH program contacted 148,655 homeless persons, 5.3 percent short of the 

target of 157,000. This slight decrease was due to the program’s recent focus on training PATH 

providers on how to ensure homeless clients are properly enrolled in Social Security’s

Supplemental Security Income (SSI) and Disability programs. Once trained, providers spend 

significantly more time with clients. Training has decreased the time it takes providers to enroll 

homeless persons in benefits from two years to three months. 

Although this process reduces the total number served, it results in better outcomes for clients, 

since clients who qualify for these benefits have access to resources that can be used for 

housing and other expenses. This is not well reflected in current data for measure 3.4.17 as 

this is a subset of those receiving any services and thus the impact of the focus on SSI 

enrollment is less so. The PATH program and the Department of Housing and Urban 

Development are currently working to define data elements for outreach to individuals who are 

homeless to be part of the community-based Homeless Management Information System. 

CMHS - 37 
The program did not meet its target for percentage of contacted persons who become enrolled 

in services, but it did improve over the previous year. The program will consult with providers to 

determine how best to improve on this measure. The percent of enrolled homeless persons 

who receive community mental health services (long-term measure) declined between 2005 and 

2006. This decline is due to the relative increase in other types of services provided to clients. 

The program also reduced the average cost of enrolling a client in services from the 2005 cost 

of $668 to $623 in 2006. 

Funding History 

FY Amount 

2004 $49,760,000 

2005 $54,809,000 

2006 $54,223,000 

2007 $54,261,000 

2008 $53,313,000 

Budget Request 

The FY 2009 President’s Budget request is $59.7 million, an increase of $6.4 million above the 

FY 2008 Enacted level. This will enable the program to contact approximately 150,000 persons. 

The program expects to make progress toward all its outcome measures and to continue to 

collaborate with the Department of Housing and Human Development on data issues. 

PATH received a PART review in 2002 and was rated Moderately Effective. The review cited 

strong clear purpose, appropriate design, and progress toward performance goals as strong 

attributes of the program. As a result of the PART review, 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. 

CMHS - 38 
Outcomes and Outputs

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Actual Target Actual Target

Long-Term Objective 1: Expand the availability of services to homeless individuals with serious mental illnesses.

3.4.15 Increase the 

percentage of 2010: 

enrolled homeless 

persons who receive 41% 38% 40 perce

community mental nt

health services 

3.4.16 Increase number of 

homeless persons 

contacted1 156,766 148,679 157,000 148,655 157,500 Jul-08 150,000 150,000

3.4.17 Increase percentage 

of contacted 

homeless persons 2010: 

with serious mental 

illness who become 37% 40% 45% 40% 45% Jul-08 45% 45% 45 perce

enrolled in services nt 

(same as long-term 

measure) 

3.4.18 Average Federal cost 

of enrolling a 

homeless person 

with serious mental $581* $668* $668 $623 $668 Jul-08 $668 $668 

illness in services 

($668 by FY 2005) 

(OMB approved) 

*Actuals for FY 2004-2005 are different from those reported in previous Congressional justifications. The 

previous figures, $850 for FY 2004 and $950 for FY 2005, were calculated incorrectly 

FY 2006 FY FY 

Key Outputs 2004 2005 Target/ Actual Actual Actual Est. 

 

FY 2007 FY FY 

2008 2009 Target/ Actual Target/ Target/ Est. Est. Est. 

OutYear 

Target/ 

Est. 

# 

Provide training for 

PATH providers on 

SSI/SSDI Outreach, 

Access, Recovery 

(SOAR) to ensure 

eligible homeless 

clients are receiving 

benefits. 

Base Oct line 09 

Appropriated Amount $49.7 $54.8 ($ Million) $54.2 $54.2 $54.2 $54.2 $53.3 $59.7 

CMHS - 39 
Projects for Assistance in Transition from Homelessness (PATH) 

CDFA # 93.150 

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Alabama $481,000 $472,000 $535,000 $63,000

Alaska 300,000 300,000 300,000 ---

Arizona 969,000 950,000 1,078,000 +128,000

Arkansas 300,000 300,000 300,000 ---

California 7,424,000 7,277,000 8,261,000 +984,000

Colorado 796,000 781,000 886,000 +105,000

Connecticut 706,000 692,000 786,000 +94,000

Delaware 300,000 300,000 300,000 ---

District Of Columbia 300,000 300,000 300,000 ---

Florida 3,339,000 3,273,000 3,715,000 +442,000

Georgia 1,242,000 1,217,000 1,382,000 +165,000

Hawaii 300,000 300,000 300,000 ---

Idaho 300,000 300,000 300,000 ---

Illinois 2,414,000 2,366,000 2,686,000 +320,000

Indiana 846,000 829,000 941,000 +112,000

Iowa 300,000 300,000 307,000 +7,000

Kansas 300,000 300,000 333,000 +33,000

Kentucky 388,000 381,000 432,000 +51,000

Louisiana 629,000 616,000 699,000 +83,000

Maine 300,000 300,000 300,000 ---

Maryland 1,053,000 1,032,000 1,172,000 +140,000

Massachusetts 1,397,000 1,369,000 1,554,000 +185,000

Michigan 1,631,000 1,598,000 1,814,000 +216,000

Minnesota 672,000 659,000 748,000 +89,000

Mississippi 300,000 300,000 300,000 ---

---

Missouri 766,000 751,000 852,000 +101,000

Montana 300,000 300,000 300,000 ---

Nebraska 300,000 300,000 300,000 ---

Nevada 416,000 407,000 462,000 +55,000

New Hampshire 300,000 300,000 300,000 ---

New Jersey 1,922,000 1,884,000 2,139,000 +255,000

New Mexico 300,000 300,000 300,000 ---

New York 3,843,000 3,767,000 4,276,000 +509,000

North Carolina 932,000 914,000 1,037,000 +123,000

North Dakota $300,000 $300,000 $300,000 ---

CMHS - 40 
Projects for Assistance in Transition from Homelessness (PATH) 

CDFA # 93.150 

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Ohio 

Oklahoma 

$1,812,000

368,000

$1,776,000

360,000

$2,017,000

409,000

+$241,000

+49,000

Oregon 490,000 480,000 545,000 +65,000

Pennsylvania 2,035,000 1,995,000 2,265,000 +270,000

Rhode Island 300,000 300,000 300,000 ---

South Carolina 464,000 455,000 517,000 +62,000

South Dakota 300,000 300,000 300,000 ---

Tennessee 735,000 720,000 818,000 +98,000

Texas 3,668,000 3,595,000 4,081,000 +486,000

Utah 433,000 425,000 482,000 +57,000

Vermont 300,000 300,000 300,000 ---

Virginia 1,168,000 1,145,000 1,300,000 +155,000

Washington 1,067,000 1,046,000 1,187,000 +141,000

West Virginia 300,000 300,000 300,000 ---

Wisconsin 705,000 691,000 784,000 +93,000

Wyoming 300,000 300,000 300,000 ---

State Sub-total 50,811,000 49,923,000 55,900,000 +5,977,000

American Samoa 50,000 50,000 50,000 ---

Guam 50,000 50,000 50,000 ---

Northern Marianas 50,000 50,000 50,000 ---

Puerto Rico 862,000 845,000 959,000 +114,000

Virgin Islands 50,000 50,000 50,000 ---

Territory Sub-Total 1,062,000 1,045,000 1,159,000 +114,000

Total States/Territories 51,873,000 50,968,000 57,059,000 +6,091,000

Set Aside 2,388,000 2,345,000 2,628,000 +283,000

TOTAL RESOURCES $54,261,000 $53,313,000 $59,687,000 $6,374,000

CMHS - 41 
Page intentionally left blank

CMHS - 42 
Community Mental Health Services Block Grant 

FY 2007 FY 2008 FY 2009 FY 2009 + / - 

Actual Enacted Estimate FY 2008

Program Level.............. $428,256,000 $420,774,000 $420,774,000 ---

PHS Evaluation Funds...... (21,413,000) (21,039,000) (21,039,000) (---)

Authorizing Legislation.....................................Section 1911 of the Public Health Service Act 

FY 2009 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 2009 grants are due by September 1, 2008. 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 at the end of this section. 

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 record and report on 23

Uniform Reporting System measures, which include the National Outcome Measures. In this 

project, State Mental Health Agencies provide annual state mental health system Uniform 

Reporting System data reports to the Mental Health Block Grant program to assure efficiency 

and effectiveness; the data are used to report on program performance. Over the past five 

years, 58 States and US Territories have consistently increased in their ability to provide data, 

focusing on use of common measures across states. SAMHSA is working to improve clientlevel data collection through the Uniform Reporting System. This project also supports mental 

health data system development and use of data for policy and program decision making. 

States must match grant awards at a 100 percent level. 

CMHS - 43 
Most states are currently reporting on National Outcome Measures for public mental health 

services within their State through the Uniform Reporting System. The first compilation of State 

National Outcome Measures data was submitted to Congress in the spring of 2005. For the 

third consecutive year, significantly increased numbers of States have reported on NOMs 

domains for both mental health and substance use programs: 

State Mental Health Agencies reported the following outcomes for services provided during 

2005: 

• For the 47 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 five States.) 

• For the 43 States that reported data in the Housing Domain, 78 percent of the mental health 

consumers were living in private residences. (This is an expansion of the reporting base by 

four States.) 

• 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. (This is an expansion of the reporting base by six States.) 

• For the 44 States that reported data in the Retention Domain, only 8 percent of the mental 

health patients returned to a State hospital within 30 days of State hospital discharge. (This 

is an expansion of the reporting base by five States.) 

• For the 45 States that reported data in the Perception of Care Domain, 71 percent of the 

mental health consumers reported that, as a direct result of the mental health services they

received, they were doing better. (This is an expansion of the reporting base by one State.) 

Funding History 

FY Amount 

1999 $288,816,000 

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 

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 

CMHS - 44 
Mental Health Block Grant Set-Aside 

FY 2007 FY 2008 FY 2009 

Set-Aside Activities Actual Enacted Estimate

State Data Systems

State Data Infrastructure Grants 7,275 7,379 7,379

State Data Infrastructure Contracts 913 730 730

SOMMS 750 750 750

Subtotal, State Data Systems 8,938 8,859 8,859

National Data Collection

National MH Data Contracts 2,338 2,780 2,780

Subtotal - National Data Collection 2,338 2,780 2,780

Technical Assistance (TA)

TA to States 7,811 6,891 6,891

FTE Support

Subtotal, Technical Assistance

1,982

9,793

2,133

9,024

2,133

9,024

Program Evaluation

Development of Spending Estimates for 

MH/SAT

 Subtotal, Program Evaluation

344

344

376

376

376

376

TOTAL CMHS 21,413 21,039 21,039

Budget Request 

The FY 2009 President’s Budget request is $420.8 million, the same level of funding as the FY 

2008 Enacted level. The program expects to serve 5,800,000 persons in FY 2009. 

Outcomes and Outputs 

The Mental Health Block Grant provides annual grants to support community based mental 

health services to the 50 States, the District of Columbia and eight Territories. Since the 

implementation of the Uniform Data Reporting System in 2003, an average of 5.5 million 

individuals have been served in the State Mental Health systems. Also, since 2003, the Mental 

Health Block Grant programs have provided performance data on many of the National 

Outcome Measures. 

For the most recent data provided in FY 2006, the target for consumers/family members 

reporting positively about outcomes was missed for adults and exceeded for 

children/adolescents. Both of these targets were set at an approximate level. The deviation 

from that level is slight. There was no effect on overall program or activity performance In FY 

2006, the MHBG implemented 3.9 evidenced-based practices per state, exceeding the target of 

3.3. In addition, 9.5 percent of the adult service population received evidenced based practices, 

CMHS - 45 
slightly missing the target of 10.3 percent and 2.2 percent of the child service population 

received evidence based practices, slightly missing the target of 2.3 percent. The expansion of 

evidence-based programs shows that more people are receiving proven treatment approaches. 

Nearly 6 million people were served by the public mental health system in 2006. 

The Mental Health Block Grant received a PART review in 2003 and was rated as Adequate. 

The review cited clear purpose and need, effective performance measures, and sound 

management as strong attributes of the program. As a result of the PART review, the program 

is conducting an independent evaluation/ 

FY FY FY 2006 FY 2007 FY FY Out-

# Key Outcomes 2004 2005 2008 2009 Year Target Actual Target Actual Actual Actual Target Target Target

Long-Term Objective 1: Support existing public services and encourage the development of creative and costeffective systems of community-based care for people with serious mental disorders.

2.3.07 

2.3.08 

Reduce rate of 

readmissions to State 

psychiatric hospitals (a) 

within 30 days; and, (b) 

within 180 days (same 

as long-term measure) 

Adults: 30 days 

Adults: 180 days 

9% 

20.3% 

9% 

19.6% 

8.3% 

19.2% 

9.4% 

19.6% 

8.7%

19.1% 

Sept-08 

Sept-08 

8.5% 

19.0% 

8.5% 

19.0% 

2.3.09 Children/adolescents: 

30 days 6.5% 6.6% 6.0% 6.4% 5.9% Sept-08 5.8% 5.8% 

2.3.10 Children/adolescents: 

180 days

Increase rate of 

14.7% 14.5% 13.6% 14.2% 14.0% Sept-08 13.9% 13.9% 

2.3.15 

consumers/family 

members reporting 

positively about 

outcomes 

71% 71% 74% 71% 73% Sept-08 72% 72% 

2.3.16 

2.3.17 

(a) Adults 

(b) 

Children/adolescents 

Number of persons 

receiving evidencebased practices per 

$10,000 of mental 

health block grant 

65% 

3.27 

73% 

3.95 

67% 

4.01 

73% 

5.7 

68% 

4.03 

Sept-08 

Sept-08 

69% 

4.03 

69% 

4.03 

2.3.14 

dollars spent (OMB 

approved) 

Increase number of 

people served by the 

public mental health 

system 

5,696,

526 

5,878,

035 

5,725,

008 

5,979,

379 

5,753,

633 

Sept08 5,800,

000 

5,800,

000 

CMHS - 46 
# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006

Target/ 

Est. Actual

FY 2007

Target/ 

Est. Actual

FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

2.3.11

Number of 

a) evidence based 

practices (EBPs) 

implemented 

2.3 per 

state 3.9 3.3 3.9 3.9 Sept-08 4.0 4.0 

2.3.12

b) Adults - percentage of 

population coverage for 

each (reported as 

percentage of service 

population receiving any 

evidence based 

practice)** 

9.3% 9.7% 10.3% 9.5% 10.4% Sept-08 10.5% 10.5% 

2.3.13

c) Children - percentage 

of population coverage 

for each (reported as 

percentage of service 

population receiving any 

evidence based practice) 

1.7% 3.4% 2.3% 2.2% 3.4% Sept-08 3.5% 3.5% 

Appropriated Amount 

($ Million) $434.6 $432.7 $427.9 $427.9 $428.2 $428.2 $420.7 $420.7

 

CMHS - 47 
Community Mental Health Services Block Grant Program 

CFDA # 93.958 

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Alabama $6,262,547 $6,101,396 $6,101,396 ---

Alaska 736,870 705,753 705,753 ---

Arizona 8,505,420 8,656,051 8,656,051 ---

Arkansas 3,725,763 3,646,344 3,646,344 ---

California 55,061,431 53,728,412 53,728,412 ---

Colorado 6,224,551 6,196,233 6,196,233 ---

Connecticut 4,444,706 4,385,316 4,385,316 ---

Delaware 754,909 767,972 767,972 ---

District Of Columbia 771,391 715,759 715,759 ---

Florida 27,115,615 26,755,292 26,755,292 ---

Georgia 12,361,915 12,612,015 12,612,015 ---

Hawaii 1,924,365 1,877,425 1,877,425 ---

Idaho 1,773,726 1,808,310 1,808,310 ---

Illinois 16,441,516 16,023,807 16,023,807 ---

Indiana 7,805,222 7,589,128 7,589,128 ---

Iowa 3,575,335 3,500,167 3,500,167 ---

Kansas 3,183,121 3,142,789 3,142,789 ---

Kentucky 5,439,372 5,369,455 5,369,455 ---

Louisiana 6,309,611 6,155,074 6,155,074 ---

Maine 1,716,405 1,679,381 1,679,381 ---

Maryland 7,765,797 7,490,939 7,490,939 ---

Massachusetts 8,086,236 7,889,898 7,889,898 ---

Michigan 13,429,534 13,088,713 13,088,713 ---

Minnesota 6,938,337 6,788,079 6,788,079 ---

Mississippi 4,130,232 4,054,984 4,054,984 ---

Missouri 6,982,165 6,885,783 6,885,783 ---

Montana 1,238,981 1,217,732 1,217,732 ---

Nebraska 2,006,207 1,973,901 1,973,901 ---

Nevada 3,662,211 3,653,450 3,653,450 ---

New Hampshire 1,624,118 1,587,666 1,587,666 ---

New Jersey 11,793,693 11,504,577 11,504,577 ---

New Mexico 2,403,115 2,368,183 2,368,183 ---

New York 25,532,461 24,677,376 24,677,376 ---

North Carolina 10,916,323 10,962,898 10,962,898 ---

North Dakota $796,147 $779,224 $779,224 ---

CMHS - 48 
Community Mental Health Services Block Grant Program 

CFDA # 93.958 

S

FY 2007 FY 2008 FY 2009 Difference

TATE/TERRITORY Actual Enacted Estimate +/- 2008

Ohio $14,278,759 $13,878,013 $13,878,013 ---

Oklahoma 4,621,614 4,498,053 4,498,053 ---

Oregon 4,840,838 4,759,945 4,759,945 ---

Pennsylvania 15,242,112 14,928,203 14,928,203 ---

Rhode Island 1,575,794 1,506,191 1,506,191 ---

South Carolina 5,653,587 5,641,259 5,641,259 ---

South Dakota 878,746 848,438 848,438 ---

Tennessee 7,896,732 7,748,996 7,748,996 ---

Texas 31,563,967 31,081,338 31,081,338 ---

Utah 2,820,004 2,937,119 2,937,119 ---

Vermont 780,471 761,207 761,207 ---

Virginia 10,238,430 10,095,316 10,095,316 ---

Washington 8,347,937 8,339,200 8,339,200 ---

West Virginia 2,506,778 2,459,103 2,459,103 ---

Wisconsin 7,538,570 7,415,204 7,415,204 ---

Wyoming 516,865 502,354 502,354 ---

State Sub-total 400,740,552 393,739,421 393,739,421 ---

American Samoa 79,599 78,196 78,196 ---

Guam 215,082 211,293 211,293 ---

Marshall Islands 70,636 69,392 69,392 ---

Micronesia 148,674 146,055 146,055 ---

Northern Marianas 96,174 94,480 94,480 ---

Puerto Rico 5,291,580 5,198,372 5,198,372 ---

Palau 50,000 50,000 50,000 ---

Virgin Islands 150,903 148,244 148,244 ---

Territory Sub-Total 6,102,648 5,996,032 5,996,032 ---

Total States/Territories 406,843,200 399,735,453 399,735,453 ---

SAMHSA Set-Aside 21,412,800 21,038,869 21,038,869 ---

TOTAL, MHBG $428,256,000 $420,774,000 $420,774,000 ---

CMHS - 49 
Page intentionally left blank 

CMHS - 50 
Center for Substance Abuse Prevention 

Mechanism Table 

(Dollars in Thousands) 

FY 2007 Actual

No. Amount

FY 2008 

Enacted

No. Amount

FY 2009 

Estimate

No. Amount

Programs of Regional & 

National Significance

Capacity:

Grants/Cooperative Agreements:

 Continuations...............................

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

 Supplements................................

 Subtotal.................................

Contracts:

 Continuations..............................

 New.............................................

 Supplements................................

 Subtotal....................................

Technical Assistance......................

Review Cost...................................

206

2

---

$131,318

588

---

141

142

---

$112,174

25,471

---

150

35

---

$80,669

45,180

---

208

13

---

---

131,906

28,583

---

---

283

10

6

---

137,645

21,096

8,799

---

185

9

4

---

125,849

14,884

4,087

---

13

---

---

28,583

---

---

16

---

---

29,895

---

---

13

---

---

18,971

---

---

 Subtotal.............................. 13 28,583 16 29,895 13 18,971

Subtotal, Capacity.....................

Science and Service:

Grants/Cooperative Agreements:

 Continuations.............................

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

 Supplements...............................

 Subtotal.................................

Contracts:

 Continuations............................

 New............................................

 Supplements................................

 Subtotal, Contracts.................

Technical Assistance.....................

Review Cost...................................

221 160,489 299 167,540 198 144,820

1

14

---

25

307

---

1

12

---

30

260

---

---

---

---

---

---

---

15

26

1

---

332

21,576

9,830

---

13

18

3

---

290

20,482

5,355

---

---

3

---

---

---

13,220

---

---

27

---

1

31,406

---

675

21

---

1

25,837

---

453

3

---

---

13,220

---

---

 Subtotal.............................. 28 32,081 22 26,290 3 13,220

Subtotal, Science and Service......

Total, PRNS.................................

43 32,413 35 26,580 3 13,220

264 $192,902 334 $194,120 201 $158,040

CSAP – 1 
CSAP – 2 

Page Intentionally Left Blank 
CSAP – 3 

Center for Substance Abuse Prevention 

Programs of Regional and National Significance 

Summary of Request 

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 Budget includes a total of $158 million for Substance Abuse Prevention PRNS, including: 

• $95.4 million for Strategic Prevention Framework State Incentive Grants to support 42 

grants to States and Tribal organizations to implement the Strategic Prevention 

Framework;

• $7.0 million for a new Targeted Capacity Expansion activity to address emerging 

prevention needs identified by State and local communities; 

• $42.4 million for other Capacity activities including Minority AIDS, Methamphetamine, 

Prevention Targeted Capacity Expansion, and Program Coordination/Data Coordination 

and Consolidation Center; 

• $13.2 million for Science and Service activities, including Fetal Alcohol Spectrum 

Disorder, National Registry of Evidence-based Programs and Practices, and the 

SAMHSA Health Information Network.

The Substance Abuse Prevention Programs PRNS received a PART review in 2004 and was 

rated Moderately Effective. The review cited strong purpose and design, ambitious targets, and 

strong program management as strong attributes of the program. Since the PART review, the 

program has implemented the Strategic Prevention Framework, as described below, and has 

refined its outcome measures, and is improving data collection and reporting. 
Center for Substance Abuse Prevention 

Programs of Regional and National Significance 

Summary of Activities 

(Dollars in Thousands) 

Programs of Regional & National Significance

FY 2007 

Actual

FY 2008 

Enacted

FY 2009 

Estimate

FY 2009 +/- 

FY 2008

CAPACITY:

Strategic Prevention Framework SIG 

Mandatory Drug Testing

Minority AIDS

Methamphetamine

Program Coordination/Data Coordination and 

Consolidation Center 

Prevention TCE

Sober Truth on Preventing Underage Drinking 

(STOP Act)

Congressional Projects

Subtotal, Capacity

SCIENCE AND SERVICE:

Evidence Based Practices

Fetal Alcohol Spectrum Disorder

Center for the Application of Prevention 

Technologies 1/

Dissemination/Training

Best Practices Program Coordination

National Registry of Evidence-based Programs and 

Practices

SAMHSA Health Information Network

Minority Fellowship Program

Subtotal, Science and Service

TOTAL, PRNS

$105,324

 5,352

 39,358

 3,960

 5,655

 ---

 840

 ---

$104,707

 5,409

 39,385

 2,967

 6,016

 --- 

 5,404

 3,652

$95,389

 1,635

 39,385

 581

 830

 7,000

 --- 

 --- 

-$9,318

-3,774

 --- 

-2,386

-5,186

7,000

-5,404

-3,652

 160,489

 1,443

 9,830

 9,551

 1,411

 6,283

 550

 3,285

 60

 167,540

 --- 

 9,821

 8,511

 --- 

 4,789

 650

 2,749

 60

 144,820

 --- 

 9,821

 --- 

 --- 

 --- 

 650

 2,749

 --- 

-22,720

 ---

 ---

 --- 

 --- 

-8,511

 --- 

-4,789

 --- 

 --- 

-60

 32,413

$192,902

 26,580

$194,120

 13,220

$158,040

-13,360

-$36,080

1/ The CAPTs continue to be supported in FY 2009 through the SAPTBG set-aside funding.

CSAP – 4 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

CAPACITY:

Strategic Prevention Framework SIG

Grants

 Continuations........................................................ 42 $86,788 42 $86,788 21 $40,703

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

 Subtotal.............................................................

--- --- --- --- 21 38,180

42 86,788 42 86,788 42 78,883

Contracts

 Continuations....................................................... 3 18,536 3 13,779 2 12,419

 New...................................................................... --- --- 1 4,140 4 4,087

 Subtotal............................................................. 3 18,536 4 17,919 6 16,506

Total, Strategic Prevention Framework SIG 45 105,324 46 104,707 48 95,389

Mandatory Drug Testing

Grants

 Continuations........................................................ 6 1,800 6 1,800 --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

6 1,800 6 1,800 --- ---

Contracts

 Continuations....................................................... 8 3,552 5 1,301 5 1,635

 New....................................................................... --- --- 2 2,308 --- ---

 Subtotal............................................................. 8 3,552 7 3,609 5 1,635

Total, Mandatory Drug Testing 14 5,352 13 5,409 5 1,635

Minority AIDS

Grants

 Continuations........................................................ 148 39,358 81 20,619 127 39,385

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

 Subtotal.............................................................

--- --- 46 17,889 --- ---

148 39,358 127 38,508 127 39,385

Contracts

 Continuations....................................................... --- --- --- --- --- ---

 New....................................................................... --- --- 1 877 --- ---

 Subtotal.............................................................

Total, Minority AIDS

--- --- 1 877 --- ---

148 39,358 128 39,385 127 39,385

CSAP – 5 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

Methamphetamine

Grants

 Continuations........................................................ 10 3,372 12 2,967 2 581

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

 Subtotal.............................................................

2 588 --- --- --- ---

12 3,960 12 2,967 2 581

Contracts

 Continuations....................................................... --- --- --- --- --- ---

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. --- --- --- --- --- ---

Total, Methamphetamine 12 3,960 12 2,967 2 581

Program Coordination/Data Coordination and 

Consolidation Center

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

--- --- --- --- --- ---

Contracts

 Continuations...................................................... 1 5,655 2 6,016 2 830

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. 1 5,655 2 6,016 2 830

 Total, Program Coordination/Data 

Coordination and Consolidation Center 1 5,655 2 6,016 2 830

Prevention TCE

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- --- --- 14 7,000

--- --- --- --- 14 7,000

Contracts

 Continuations....................................................... --- --- --- --- --- ---

 New.......................................................................

 Subtotal.............................................................

Total, Prevention TCE

--- --- --- --- --- ---

--- --- --- --- --- ---

--- --- --- --- 14 7,000

CSAP – 6 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

Sober Truth on Preventing Underage Drinking 

(STOP Act)

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- 79 3,930 --- ---

--- --- 79 3,930 --- ---

Contracts

 Continuations....................................................... 1 840 --- --- --- ---

 New....................................................................... --- --- 2 1,474 --- ---

 Subtotal............................................................. 1 840 2 1,474 --- ---

Total, Sober Truth on Preventing Underage 

Drinking (STOP Act) 1 840 81 5,404 --- ---

Congressional Projects

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- 17 3,652 --- ---

--- --- 17 3,652 --- ---

Contracts

 Continuations....................................................... --- --- --- --- --- ---

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. --- --- --- --- --- ---

Total, Congressional Projects --- --- 17 3,652 --- ---

Subtotal, Capacity 221 160,489 299 167,540 198 144,820

SCIENCE AND SERVICE:

Evidence Based Practices

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

--- --- --- --- --- ---

Contracts

 Continuations....................................................... 2 1,443 --- --- --- ---

 New....................................................................... --- --- --- --- --- ---

 Subtotal.............................................................

Total, Evidence Based Practices

2 1,443 --- --- --- ---

2 1,443 --- --- --- ---

CSAP – 7 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

Fetal Alcohol Spectrum Disorder

Grants

 Continuations........................................................ --- --- --- --- --- ---

 New/Competing.................................................... ---

 Subtotal............................................................. ---

--- --- --- --- ---

--- --- --- --- ---

Contracts

 Continuations....................................................... --- --- 1 9,821 1 9,821

 New....................................................................... 1 9,830 --- --- --- ---

 Subtotal............................................................. 1 9,830 1 9,821 1 9,821

Total, Fetal Alcohol Spectrum Disorder 1 9,830 1 9,821 1 9,821

Center for the Application of Prevention Technologies

Grants

 Continuations........................................................ --- --- --- --- --- ---

 New/Competing.................................................... ---

 Subtotal............................................................. ---

--- 8 200 --- ---

--- 8 200 --- ---

Contracts

 Continuations....................................................... 6 9,551 3 3,409 --- ---

 New....................................................................... --- --- 2 4,902 --- ---

 Subtotal............................................................. 6 9,551 5 8,311 --- ---

Total, Center for the Application of Prevention 

Technologies 6 9,551 13 8,511 --- ---

Dissemination/Training

Grants

 Continuations........................................................ --- --- --- --- --- ---

 New/Competing.................................................... 10

 Subtotal............................................................. 10

247 --- --- --- ---

247 --- --- --- ---

Contracts

 Continuations...................................................... 1 1,164 --- --- --- ---

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. 1

Total, Dissemination/Training 11

1,164 --- --- --- ---

1,411 --- --- --- ---

CSAP – 8 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands)

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

Best Practices Program Coordination

Grants

 Continuations........................................................ 1 25 1 30 --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

1 25 1 30 --- ---

Contracts

 Continuations...................................................... 16 6,258 13 4,306 --- ---

 New....................................................................... --- --- 1 453 --- ---

 Subtotal............................................................. 16 6,258 14 4,759 --- ---

Total, Best Practices Program Coordination

National Registry of Evidence-based Programs 

17 6,283 15 4,789 --- ---

and Practices

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

--- --- --- --- --- ---

Contracts

 Continuations....................................................... 1 550 1 650 1 650

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. 1 550 1 650 1 650

 Total, National Registry of Evidence-based 

Programs and Practices 1 550 1 650 1 650

SAMHSA Health Information Network

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

--- --- --- --- --- ---

--- --- --- --- --- ---

Contracts

 Continuations....................................................... 1 3,285 1 2,749 1 2,749

 New.......................................................................

 Subtotal.............................................................

Total, SAMHSA Health Information Network

--- --- --- --- --- ---

1 3,285 1 2,749 1 2,749

1 3,285 1 2,749 1 2,749

CSAP – 9 
Center for Substance Abuse Prevention 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2009 

FY 2007 Actual FY 2008 Enacted Estimate

No. Amount No. Amount No. Amount

Minority Fellowship Program

Grants

 Continuations........................................................ --- --- --- --- --- ---

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

 Subtotal.............................................................

4 60 4 60 --- ---

4 60 4 60 --- ---

Contracts

 Continuations....................................................... --- --- --- --- --- ---

 New....................................................................... --- --- --- --- --- ---

 Subtotal............................................................. --- --- --- --- --- ---

Total, Minority Fellowship Program 4 60 4 60 --- ---

Subtotal, Science and Service

Total, PRNS

43 32,413 35 26,580 3 13,220

264 $192,902 334 $194,120 201 $158,040

CSAP – 10 
Strategic Prevention Framework State Incentive Grants 

FY 2007 FY 2008 FY 2009 FY 2009 +/- 

Strategic Prevention Framework

Actual Enacted Estimate FY 2008

State Incentive Grants...........................$105,324,000 $104,707,000 $95,389,000 -$9,318,000

Authorizing Legislation................................................. Sections 516 and 519D of the PHS Act 

2009 Authorization..........................................................................................................Expired 

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

Program Description and Accomplishments 

The Strategic Prevention Framework is grounded in the Agency’s vision of a life in the 

community for everyone and in its mission to promote resilience and facilitate recovery. 

The Strategic Prevention Framework State Incentive Grant (SPF SIG) program started in FY 

2004 and 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 President’s 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. 

To date, this program has funded 42 States and tribes 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. Baseline data have been reported for these measures and ambitious targets set. 

The program exceeded the targets for percent of grantee States that have performed needs 

assessments, percent of grantee states that have submitted State plans, and the percent of 

grantee States with approved State plans, reflecting progress in implementing the Strategic 

Prevention Framework. 

The impact of this program is already being felt throughout the States. For example, 48 States 

now use Strategic Prevention Framework or the equivalent for prevention planning; 42 for 

building State capacity; 52 for planning; 34 for program implementation and 22 States use SPF 

or the equivalent for evaluation efforts. 

CSAP – 11 
CSAP – 12 

Funding History 

 FY Amount 

2004 $ 86,330,000 

2005 $ 88,032,000 

2006 $105,844,000 

2007 $105,324,000 

2008 $104,707,000 

Budget Request 

The FY 2009 President’s Budget request is $95.4 million, a decrease of $9.3 million from the FY 

2008 Enacted level. This level of funding will support 21 continuations and 21 new for a total of 

42 grants. The activity is slight decreased in FY 2009 because all States will have received a 

SPF SIG grant and many activities are coming to a natural end. 

Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target 

(2010) Target Actual Target Actual 

Long-Term Objective: to change systems and outcomes at the state level, to prevent, reduce and/or delay substance 

abuse and its associated problems by promoting resilience and facilitating recovery so that there is a life in the 

community for everyone. 

30-day use of alcohol 

2.3.19 among youth age 12- 18.6 % 15 % 

17 

2.3.20

30-day use of other 

illicit drugs age 12 and 8.6 % 5 % 

up 

Percent of SPF SIG 

States showing a 

decrease in state level 

2.3.21 estimate of percent of 

survey respondents 

who report 30-day use 

of alcohol 

 Baseline 47.1% 51.8% 51.8% 

a) age 12-20 

2.3.22 b) age 21 and up Baseline 29.4% 32.3% 32.3% 

Percent of SPF SIG 

states showing a 

decrease in state level 

2.3.23 estimates of survey 

respondents who 

report 30-day use of 

 Baseline 55.9% 61.5% 61.5% 

other illicit drugs 

a) age 12-17 
CSAP – 13 

2.3.24 b) age 18 and up Baseline 44.1% 48.5% 48.5% 

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 

 Baseline 73.5% 80.9% 80.9% 

2.3.26 b) age 18 and up Baseline 47.1% 51.8% 51.8% 

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.

 Baseline 79.4% 87.3% 87.3% 

# Key Outputs *

FY 

2004 

Actual

FY 2005

Actual

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

Target

/ Est. Actual Target/ Est. Actual

Number of evidence2.3.28 based policies, 

practices, and Base 

line 396 470 470 

strategies implemented 

2.3.29 

Percent of grantee 

states that have 

performed needs 100% 100% 92.3% 100% 100% 100% 100% 

assessments 

2.3.30 

Percent of grantee 

states that have 28% 50% 92.3% 85% 96.2% 100% 62% 

submitted state plans 

Percent of grantee 

2.3.31 states with approved 9% 25% 69.2% 85% 88.5% 100% 55% 

plans 

Appropriated Amount 

($ Million) $86.3 $88.0 $105.8 $105.8 $105.3 $105.3 $104.7 $95.4 

* Results are aggregated across cohorts, which are at varying stages of implanting the SPF. 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $2,066,380 $2,066,380 $1,878,170 

Range of Awards $420,000 -$2,350,965 $420,000 - $2,350,965 $513,831-$2,332,000 
CSAP – 14 

Page intentionally left blank
All Other Capacity 

FY 2007 FY 2008 FY 2009 FY 2009 +/- 

All Other Capacity..................................

Actual Enacted Estimate FY 2008

$55,165,000 $62,833,000 $49,431,000 -$13,402,000

Authorizing Legislation..............516, 519B, 519E of the PHS Act and E.O. 12564 (drug testing) 

2009 Authorization..............................................................................................................Expired 

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

Program Description and Accomplishments 

SAMHSA’s other Capacity programs includes Mandatory Drug Testing, Minority AIDS, 

Methamphetamine and Data Coordination and Consolidation Center. The other Capacity 

program funds programs that are vital to the balanced Public Health approach, allowing the 

power of prevention to be used to help prevent, delay, and/or reduce disability from substance 

abuse which take 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 

the organizations that perform mandatory drug testing for Federal and non-federal employees 

across the nation. The Lab Certification program is a crucial component to the Mandatory Drug 

Testing program because it certifies the laboratories that Federal agencies use to test samples, 

and ensures that all testing is done to the same standards. 

Minority AIDS

The Minority AIDS program, is a 2-tier approach to expand the capacity of community-based 

organizations: 1) planning and infrastructure development and, 2) prevention intervention 

services delivery. The program seeks to expand and sustain the capacity of community-based 

organizations to provide substance abuse prevention, HIV prevention and hepatitis prevention 

services. The programs target population includes minority populations reentering the 

community after release from incarceration. The program was implemented in FY 2000; so far 

six cohorts of grants have been funded. 

The 2007 target for 30-day use of other illicit drugs age 12 and up was substantially exceeded. 

The result was based on limited data for HIV Cohorts IV and V. More complete data is 

expected for future cohorts. This measure is being replaced by a several revised measures that 

will reflect use for both those who had used drugs before entering the program and those who 

had not. 

Perceived risk, on the other hand, fell 14 percent short of the target, with 75 percent of 

respondents rating the risk of substance abuse as moderate or great, rather than the target of 

89 percent. This result was likely caused by differences in data collection/reporting standards 

CSAP – 15 
CSAP – 16 

among the different cohorts. Because the failure to meet the target is likely due to data issues, 

plans are being developed to provide all HIV grantees with technical assistance and training in 

data collection and reporting at the next grantee meeting. Some baseline data are somewhat 

delayed due to a system problem in the online data collection and reporting system. 

Prevention Targeted Capacity Expansion

Targeted Capacity Expansion (TCE) is being proposed in FY 2009 to help communities bridge 

gaps in prevention services. In general, TCE funding of $7 million will support 14 new 

grants awarded to units of local governments, community based organizations and tribal entities 

to expand or enhance a community’s ability to provide rapid, strategic, comprehensive, 

integrated and creative, community-based prevention programs, practices and strategies to 

specific, well-documented emerging needs. This program will foster the provision of evidencebased prevention practices. It is anticipated that grants will be awarded to address unmet and 

emerging needs such as those related to methamphetamine or alcohol activities. Priority areas 

will be identified in competitive funding announcements and applicants will document local 

needs. This new program will leverage Federal resources and promote sustainability by 

requiring a 10% match.

 

Approximately 3500 individuals per year will be served through this grant program based on the 

particular emerging needs identified by States and local communities. Performance 

measurement will vary according to the emerging needs identified. For programs that provide 

community and participant level prevention services, the SAMHSA National Outcome Measures 

(NOMs) will be used as relevant to the need targeted. These NOMs include 30 day use, 

perceived risk, disapproval, age of first use, perceived workplace policy, school attendance, 

alcohol related car crashes and injuries, alcohol and drug related crime, number of persons 

served, number of evidence based programs and strategies, percent of youth seeing, reading 

watching or listening to a prevention message, and family communication about drug use.

Methamphetamine Prevention

The Methamphetamine program, initiated in 2003, awards grants to communities that most 

need resources to combat the rising methamphetamine epidemic. The program implements the 

Strategic Prevention Framework in the context of methamphetamine abuse and allows 

communities and coalitions to find solutions that best suit their unique prevention needs. 

Data Coordination and Consolidation Center

The Data Coordination and Consolidation Center is SAMHSA’s Center for Substance Abuse 

Prevention’s main vehicle to collect prevention performance data. This is part of the 

Government Performance and Results Act data collection and analysis process, and used to 

improve management of CSAP programs. 

Sober Truth on Preventing Underage Drinking (STOP Act)

The STOP Act, initiated in FY 2008, is to prevent underage drinking by bolstering communitybased coalitions. This program will provide 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 enhance current initiatives by adding a focus on underage drinking prevention. This 
CSAP – 17 

program will strengthen the collaborative efforts and increase participation among all 

stakeholders (e.g. community organizations, coalitions, State and government). These activities 

will be continued as part of the general SAMHSA portfolio and grant announcements in FY 

2009. For example, over 80 percent of current SPF grantees focus on reducing underage 

drinking. The SPF grants provide funding to States and federally recognized Tribes and Tribal 

organizations to: prevent the onset and reduce the progression of substance abuse, including 

childhood and underage drinking; reduce substance abuse-related problems in communities; 

and, build prevention capacity and infrastructure at the State/Tribal and community levels. 

Funding History 

 FY Amount

2004 $68,104,000

2005 $66,180,000

2006 $53,274,000

2007 $55,165,000

2008 $62,833,000

Budget Request 

The FY 2009 President’s Budget request is $49.4 million, a decrease of $13.4 million from the 

FY 2008 Enacted level. Funding is eliminated for the STOP Act for $5.4 million and funding is 

reduced for Mandatory Drug Testing, Methamphetamine and Data Coordination and 

Consolidation Center for a total of $11.4 million. The Congressional projects are coming to a 

natural end for $3.7 million. Seven million is available to start a new Prevention Targeted 

Capacity Expansion program. 
CSAP – 18 

Outcomes and Outputs for Minority AIDS Program 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Actual Target Actual Target

Long-Term Objective: to expand and sustain community-based organizations to provide substance abuse, HIV 

and hepatitis prevention services to local and re-entry (post incarceration) populations residing in communities of 

color. 

2.3.3

4 

30-day use of other illicit 

drugs age 12 and up ** Base line 

15.7% 

*** 15% *** 8% Retiring Retiring

2.3.3

5 

Percent of program 

participants that rate the 

risk of substance abuse 

as moderate or great**

(age 12-17) 

 Base 

line 88.6% 89% 75.1% 75.8% 76.6%

2.3.3

8 

Percent of program 

participants that rate the 

risk of substance abuse 

as moderate or great 

b)age 18 and up 

 Base 

line 83.4% 84.2% 85.1%

2.3.3

9 

Percent of participants 

who used alcohol at pretest who report a 

decrease in use of 

alcohol at post-test (user 

decrease): 

a) age 12-20 

 Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

0 b) age 21 and up Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

1 

Percent of participants 

who report no alcohol 

use at pre-test who 

remain non-users at 

post-test (non-user 

stability): 

a) age 12-20 

 Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

2 b) age 21 and up Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

3 

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

 Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

4 b) age 18 and up Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

5 

Percent of participants 

who report no illicit drug 

use at pre-test who 

remain non-users at 

post-test (non-user 

stability): 

a) age 12-17 

 Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline
CSAP – 19 

2.3.4

6 b) age 18 and up Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

2.3.4

7 

Percent of program 

participants (age 12-17) 

who somewhat 

disapprove or strongly 

disapprove of substance 

use

Base 

line 80.4 81% 82% 

 

2.3.3

6 

Number of individuals 

exposed to substance 

abuse/hepatitis 

education services 

Base 

line May-08 

1% 

above 

baseline 

2% 

above 

baseline

# Key Outputs

FY 2004 

Actual

FY 2005

Actual

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

Target/ 

Est. Actual Target/ Est. Actual

2.3.4

8 

Number of evidencebased policies, 

practices, and strategies 

implemented by HIV 

program grantees 

Baseline May08 81 85 

Appropriated Amount 

($ Million) $39.7 $39.8 $39.4 $39.4 $39.4 $39.4 $39.4 $39.4 

Size of Awards for Minority AIDS Program 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award $265,932 $303,213 $310,118 

Range of Awards $250,000 - $350,000 $250,000 - $400,000 $254,000 - $400,000 
CSAP – 20 

Page intentionally left blank
All Science and Service 

FY 2007 FY 2008 FY 2009 FY 2009 +/- 

All Science and Service..........................

Actual Enacted Estimate FY 2008

$32,413,000 $26,580,000 $13,220,000 -$13,360,000

Authorizing Legislation.............................................Sections 516 and 519D of the PHS Act 

2009 Authorization..............................................................................................................Expired 

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

Program Description and Accomplishments 

SAMHSA’s Science and Service programs are complements to the Capacity programs. The 

programs within Science and Service include the Fetal Alcohol Spectrum Disorder Center for 

Excellence, 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 both 

longitudinally and laterally. By strengthening the framework between community organizations, 

coalitions, State and local government, the Science and Services activities ensure that 

SAMHSA’s Capacity programs build and improve services in the most efficient, effective and 

sustainable way possible. The Science and Service programs are also essential to building 

effective capacity in communities that do not receive grant funds from SAMHSA. 

Fetal Alcohol Spectrum Disorder Center for Excellence (FASD)

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 FASD Center for Excellence has integrated prevention and intervention 

approaches into existing service delivery systems, and developed, implemented, and evaluated 

policies and procedures to screen, make referrals for diagnosis, to help prevent FASD. In 

addition, through its trainings and technical assistance, the Center for Excellence has been a 

catalyst in fostering a significant improvement in the State response to FASD. 

National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP), initiated in 1997, is 

a searchable online registry of mental health and substance abuse interventions that have been 

reviews 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 

CSAP – 21 
CSAP – 22 

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 approximately 50 interventions is currently available, and new 

intervention summaries (approximately five to 10 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, new interventions to address service needs will be 

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, includes the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC). SHIN provides the public and professionals with one-stop, quick 

access to information, materials, and services for mental health and substance abuse 

prevention and addictions treatment. To reinforce the Secretary’s Value-Driven health care 

priority, the SAMHSA Health Information Network will be expanded in FY 2009 to become a 

network that provides a suite of information services by leveraging shared, SAMHSA-wide 

technical and intellectual infrastructure. Performance measures for Satisfaction, Usage, and 

System, Staff and Process performance will be developed and data gathered to lead to a much 

improved user experience and eliminate the inefficiency of multiple systems. 

The SHIN network program responds to 45,000 public inquiries each month (in English and 

Spanish); manages and fills approximately 19,000 publication orders each month; maintains 

and updates related web site contents and receive over one million visits per month; provides 

materials and promotion of SAMHSA programs and products. The SHIN network also supports 

Office of National Drug Control Policy’s media campaign and manages product inventory for 

ONDCP. 

Funding History for All Science and Service 

 FY Amount

2004 $44,024,000 

2005 $44,513,000 

2006 $33,649,000 

2007 $32,413,000 

2008 $26,580,000 

Budget Request 

The FY 2009 President’s Budget request is $13.2 million, a decrease of $13.4 million from the 

FY 2008 Enacted level. The Minority Fellowship Program will be terminated. Funding for the

Center for the Application of Prevention Technologies, while eliminated in the PRNS program,

will be funded at a reduced amount under the SAPTBG Set-Aside in FY 2009. The focus will be 

on providing information to the American people through NREPP and SHIN. Please see the 

Supplementary Tables section for a detailed rationale explaining all terminations. 
Substance Abuse Prevention and Treatment (SAPT) Block Grant 

20% Prevention Set-aside 

FY 2007 FY 2008 FY 2009 FY 2009 +/- 

20% SAPTBG (non-add)..........................

Actual Enacted Estimate FY 2008

$351,718,200 $351,745,600 $355,718,200 $3,972,600

NOTE: The Substance Abuse Prevention and Treatment (SAPT) Block Grant is also discussed 

in the CSAT SAPT Block Grant section and in the SAMHSA specific section. 

Authorizing Legislation......................................Section 1921 of the Public Health Services Act 

2009 Authorization..........................................................................................................Expired 

Allocation Method .................................................................................................. Block Grants

Program Description and Accomplishments 

CSAP administers the 20% 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 services. As 

required by legislation, 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 of accountability, the Block Grant reporting system has been 

redesigned to collect data on the National Outcome Measures (NOMs). In FY 2006, the 

prevention National Outcome Measures were posted on the SAMHSA website. These activities 

are supported by the State Outcomes Measurement and Management System (SOMMs). 

Starting in FY 2008, States are required to submit NOMs as part of their application for the 

Substance Abuse Prevention and Treatment Block Grant. 

Essential to the transition to a data driven Block Grant is support for State 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. 

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. Each State has 

negotiated annual targets for reducing illegal retail sales, and the law specifies penalties for 

failure to reach these targets. Performance has steadily improved, and for the last two years, all 

States met or exceeded the 20 percent goal. The mean violation rate across all 

States/Territories was 10.42 percent. Further, 46 States/Territories reported sales violation 

rates of 15 percent or under, and 26 reported rates below 10 percent, showing that those States 

achieved significantly better results than those required by law. In FY 2007, 52 States and 

Territories achieved a retail sales violation rate of 20 percent or less. These numbers reflect not 

only a substantial change in retailers’ sales patterns but also a swift and dramatic change in 

CSAP – 23 
CSAP – 24 

tobacco enforcement programs, which were nonexistent in most States and jurisdictions prior to 

the Synar program. Because of such significant improvement, CSAP has set a new program 

goal for States to reduce the sales rate to less than 10 percent. 

Over six million participants were served in prevention programs in 2007; this number is 

expected to more than double in 2008 as more States begin reporting on this new measure. 

Outcome measures for this program are based on national data from the National Survey on 

Drug Use and Health. The targets for perception of harm, never using drugs, and 30-day were 

slightly missed. The result for each of these measures varied two-tenths of a percentage point 

or less from the previous years’ result. These measures have been relatively stable for the past 

several years. Beginning in 2008, the program will be reporting on a new set of performance 

measures based on state-level estimates from the National Survey on Drug Use and Health. 

The Substance Abuse Prevention and Treatment Block Grant program received a PART review 

in 2003 and was rated as Ineffective (including both the treatment and prevention portions). 

The review cited clear purpose and collaboration with other agencies as strong attributes of the 

program. As a result of the PART review, the program has included performance measures in 

the block grant application and is conducting an independent and comprehensive evaluation of 

the national program. 

Funding History 

 FY Amount

2004 $355,829,000 

2005 $355,111,000 

2006 $351,485,000 

2007 $351,718,000 

2008 $351,746,000 

Budget Request 

The FY 2009 President’s Budget request is $355.7 million, an increase of $4.0 million above the 

FY 2008 Enacted level. Twenty percent of the Substance Abuse Prevention and Treatment 

Block Grant is directed to prevention services. The increase is associated with the new 

provision to provide supplemental awards to the top 20 percent recipients for superior 

performance and submission of data for the National Outcome Measures. A detailed listing of 

the activities and funding levels for the CSAP portion of the five percent set-aside is provided in 

the SAPT Set-aside section. The program supports HHS Strategic Objective 2.3, promote and 

encourage preventive health care including mental health, life long healthy behaviors, and 

recovery. 
CSAP – 25 

Outcomes and Outputs

# Key Outcomes FY 2004 

Actual

FY 2005

Actual Target 

FY 2006

Actual Target 

FY 2007 

Actual 

FY 2008 

Target 

FY 2009

Target 

OutYear 

Target 

Long-Term Objective: To reduce incidence and prevalence of substance abuse by providing assistance to 

States to improve State and community systems, activities and services and accountability 

2.3.5

0 

Increase 

perception of harm 

of drug use* 

72.3% 40% 73.2% 75% 73% Retiring Retiring

Improvements in 

non-use (percent 

2.3.5

1 

ages 12 and older 

who report that 

they have never 

used illicit 

54.2% 55% 53.9% 56% 53.9% Retiring Retiring

2.3.5

2 

substances)* 

Improvements in 

use (30-day use)* 7.9% 7.4% 8.1% 6.9% 8.3% Retiring Retiring

 

2.3.5

4 

Number of 

participants served 

in prevention 

programs 

Base 

line 

6,322,55

1 

17,482,0

60 

17,482,0

60 

2.3.5

5 

Percent of services 

within cost bands 

for universal, 

selected, and 

indicated 

interventions 

Base 

line 49% 54% 54% 

2.3.4

9 

Increase number of 

States* whose 

retail sales 

violations is at or 

below 20% 

49 50 52 52 52 52 Retiring Retiring

2.3.6

2 

Number of States* 

reporting retail 

tobacco sales 

violation rates 

below 10% 

*States include the 50 States, the District of Columbia, and Puerto Rico 

Base 

line 27 28 29 

# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Est. 

Target/ 

Est. Actual Target/ Est. Actual 

2.3.5

3 

Number of 

evidence-based 

policies, practices, 

and strategies 

implemented 

Baseline 10,090 11,000 12,000 

Appropriated 

Amount $355.8 $355.1 $351.5 $351.5 $351.7 $351.7 $351.7 $355.7 

($ Million) 
CSAP – 26 

Page intentionally left blank 
CSAT-1

Programs of Regional 

National Significance

& 

FY 2007 

Actual

No. Amount No.

FY 2008

Enacted

Amount

FY 2009

Estimate

No. Amount

Capacity 

Grants/Coop. Agree.:

 Continuations ..................................

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

 Supplements ...................................

 Subtotal ......................................

Contracts:

 Continuations .................................

 New ....................................................

 Supplements ...................................

 Subtotal .......................................

Technical Assistance ............................

Review Cost .........................................

318

136

13

$153,238

146,030

5,974

300

159

7

$219,632

69,047

2,100

298

117

---

$226,281

53,887

---

454

21

8

 ---

305,242

51,487

11,165

150

459

13

40

 ---

290,779

43,941

34,982

250

415

19

1

 ---

280,168

42,036

500

 ---

29

---

---

62,802

---

1,296

53

---

---

79,173

---

1,278

20

---

---

42,536

---

---

 Subtotal ...................................... 29 64,098 53 80,451 20 42,536

Subtotal, Capacity

Science and Service

Grants/Coop. Agree.:

 Continuations..................................

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

 Supplements....................................

 Subtotal.......................................

Contracts:

 Continuations..................................

 New..................................................

 Supplements .....................................

 Subtotal .......................................

Technical Assistance..........................

Review Cost.......................................

483 369,340 512 371,230 435 322,704

1

19

 ---

720

8,336

---

15

5

12

7,800

836

781

15

---

---

7,800

---

---

20

14

24

 ---

9,056

15,334

4,463

---

20

9

27

 ---

9,417

11,775

6,572

---

15

1

---

 ---

7,800

6,344

---

---

38

---

---

19,797

756

---

36

---

---

18,347

850

---

1

---

---

6,344

---

---

 Subtotal.......................................... 38 20,553 36 19,197 1 6,344

Subtotal, Science and Service

(PHS Eval.:Non-add) ...........................

Total, PRNS .................................

58

---

29,609

(4,300)

56

---

28,614

(4,300)

16

---

14,144

(11,192)

541 398,949 568 399,844 451 336,848

SAPT BG........................................

SAPT BG Set-aside:(Non-add) ............

PHS funds: (Non-add) ..........................

60

---

---

1,758,591

(87,930)

(79,200)

60

---

---

1,758,728

(87,936)

(79,200)

60

---

---

1,778,591

(88,930)

(79,200)

TOTAL, CSAT ..................................... 601 $2,157,540 628 $2,158,572 511 $2,115,439

Center for Substance Abuse Treatment

Mechanism Table

(Dollars in thousands)
Page intentionally left blank

CSAT-2
Substance Abuse Treatment 

Programs of Regional and National Significance 

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 Budget includes a total of $336.8 million for Substance Abuse Treatment PRNS, including: 

• $99.7 million (including $1.7 million in PHS evaluation funds) for Access to Recovery to

support 24 continuation grants to States and Tribal organizations to provide substance 

abuse treatment and recovery support services through a voucher-based system, and 

an evaluation of the program; 

• $56.2 million for Screening, Brief Intervention, Referral, and Treatment for 

grants/cooperative agreements to add screening and brief intervention services within 

States, campuses and general medical settings; 

• $166.8 million for Other Capacity activities, including Minority AIDS ($63.1 million), 

Criminal Justice ($37.8 million), Homelessness ($32.6 million), Targeted Capacity 

Expansion – General ($17.8 million), and other activities ($15.5 million); 

• $14.1 million for Science and Service activities, including Addiction Technology Transfer 

Centers ($8.6 million), the SAMHSA Health Information Network ($4.2 million), and the 

National Registry of Evidence-Based Programs and Practices ($1.3 million). 

The Substance Abuse Treatment Programs of Regional and National Significance received a 

PART review in 2002 and was rated Adequate. The review cited strong design and positive 

impact as strong attributes of the program. As a result of the PART review, 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 beginning 

to better integrate the monthly tracking system of performance into team leader and project 

officer monitoring of grantees. 

CSAT-3
Programs of Regional & National Significance

FY 2007

Actual

FY 2008

Enacted

FY 2009

Estimate

FY 2009 +/-

FY 2008

CAPACITY:

Co-occurring State Incentive Grants (SIGs)

Opioid Treatment Programs/Regulatory Activities

Screening, Brief Intervention, Referral, & Treatment a/

TCE - General 

Pregnant & Postpartum Women

Strengthening Treatment Access and Retention

Recovery Community Services Program

Access to Recovery b/ 

 Methamphetamine Treatment (non-add)

Children and Families

Treatment Systems for Homeless

Minority AIDS 

Criminal Justice Activities

 Drug Courts (non-add)

Services Accountablity c/

Clinical Technical Assistance

Congressional Projects

 Subtotal, Capacity

$6,395

7,483

29,624

30,706

10,098

3,562

9,270

98,703

25,000

29,336

34,841

62,488

23,243

10,217

22,357

1,234

---

$4,263

8,903

29,106

28,989

11,790

3,550

5,236

96,492

25,000

24,278

42,500

63,129

23,693

9,940

23,093

---

6,208

$ ---

6,017

56,151

17,798

---

---

---

99,716

25,000

---

32,594

63,129

37,823

37,823

9,476

---

---

-$4,263

- 2,886

+27,045

- 11,191

- 11,790

- 3,550

- 5,236

+3,224

---

- 24,278

- 9,906

---

+14,130

+27,883

- 13,617

---

- 6,208

369,340 371,230 322,704 - 48,526

SCIENCE AND SERVICE:

Addiction Technology Transfer Centers 10,634 9,081 8,603 - 478

Seclusion and Restraint 20 20 --- - 20

Minority Fellowship Program 536 536 --- - 536

Special Initiatives/Outreach 4,452 4,455 --- - 4,455

State Service Improvement 907 --- --- ---

Information Dissemination 4,372 4,553 --- - 4,553

National Registry of Evidence-Based Programs & Practices 500 500 1,286 +786

SAMHSA Health Information Network 3,431 4,255 4,255 ---

Program Coordination and Evaluation d/

 Subtotal, Science and Service

TOTAL, PRNS

4,757 5,214 --- - 5,214

29,609

$398,949

28,614

$399,844

14,144

$336,848

- 14,470

-$62,996

a/ Includes PHS evaluation funds for SBIRT evaluation in the amount of $2.0 million in FY 2007, FY 2008 and 

b/ Includes PHS evaluation funds for ATR in the amount of $1.7 million in FY 2009.

c/ Includes PHS evaluation funds for SAIS contract which supports CSAT's data collection activities,in the 

amount of $2.3 million in FY 2007, FY 2008 and $7.5 million in FY 2009.

d/ Includes Recovery activities.

Center for Substance Abuse Treatment

Programs of Regional & National Significance

Summary Listing of Activities

(Dollars in Thousands)

CSAT-4
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2007 FY 2008 FY 2009

Actual Enacted Estimate

No. Amount No. Amount No. Amount

CAPACITY:

Co-occurring State Incentive Grants (SIGs) 

 Grants

 Continuations ................................................................... 7 2,368 4 3,199 --- --- 

 New/Competing ................................................................. 2 1,100 --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

9 3,468 4 3,199 --- --- 

 Contracts

 Continuations ................................................................... 3 2,752 2 744 --- --- 

 New/Competing ................................................................. 1 25 --- 320 --- --- 

 Supplements .....................................................................

 Subtotal

 --- 150 --- --- --- --- 

 4 2,927 2 1,064 --- --- 

 Total, Co-occurring State Incentive Grants (SIGs) 13 6,395 6 4,263 --- ---

Opioid Treatment Programs/Regulatory Activities

 Grants

 Continuations ................................................................... 5 1,692 1 500 7 2,000

 New/Competing ................................................................. 1 500 6 1,500 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

6 2,192 7 2,000 7 2,000

 Contracts

 Continuations ................................................................... 7 5,241 4 4,183 5 3,517

 New/Competing ................................................................. 1 50 5 2,470 1 500

 Supplements .....................................................................

 Subtotal

 --- --- --- 250 --- --- 

 8 5,291 9 6,903 6 4,017

 Total, Opioid Treatment Programs/Regulatory Activities 14 7,483 16 8,903 13 6,017

Screening, Brief Intervention, Referral, & Treatment a/

 Grants

 Continuations ................................................................... 10 26,624 4 11,076 18 24,870

 New/Competing ................................................................. --- --- 14 13,798 29 27,049

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

10 26,624 18 24,874 47 51,919

 Contracts

 Continuations ................................................................... 1 3,000 1 2,000 2 4,232

 New/Competing ................................................................. --- --- 1 2,232 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 1 3,000 2 4,232 2 4,232

 Total, Screening, Brief Intervention, Referral, & Treatment 11 29,624 20 29,106 49 56,151

TCE - General 

 Grants

 Continuations ................................................................... 41 18,948 23 11,296 30 11,446

 New/Competing ................................................................. 16 7,988 21 6,943 --- --- 

 Supplements .....................................................................

 Subtotal

1 50 --- --- --- --- 

57 26,986 44 18,239 30 11,446

 Contracts

 Continuations ................................................................... --- --- 1 7,280 1 6,352

 New/Competing ................................................................. 1 3,720 --- 3,470 --- --- 

 Supplements .....................................................................

 Subtotal

Total,TCE - General

 --- --- --- --- --- --- 

 1 3,720 1 10,750 1 6,352

58 30,706 45 28,989 31 17,798

CSAT-5
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

No.

FY 2007

Actual

Amount No.

FY 2008

Enacted

Amount

FY 2009

Estimate

No. Amount

Pregnant & Postpartum Women 

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

8 

 --- 

11 

 4,142

 ---

 5,429

8

16

 ---

3,166

7,874

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 8 

 ---

 --- 

 --- 

 9,571

527

 ---

 ---

 24 

 ---

 ---

 --- 

11,040

 ---

750

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 --- 

 --- 527 --- 750 --- --- 

Total, Pregnant & Postpartum Women 

Strengthening Treatment Access and Retention

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

8

7

 --- 

 --- 

10,098

2,246

 ---

 ---

24

7

 --- 

 --- 

11,790

2,250

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

7

1

 --- 

 --- 

2,246

1,316

 ---

 ---

7

 ---

 1

 --- 

2,250

 ---

1,300

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 --- 

1 1,316 1 1,300 --- --- 

Total, Strengthening Treatment Access and Retention

Recovery Community Services Program

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

8

15

8

 --- 

3,562

5,225

2,767

 ---

8

15

 ---

 ---

3,550

5,236

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

23

1

 --- 

 --- 

7,992

1,278

 ---

 ---

15

 ---

 ---

 ---

5,236

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 --- 

 1 1,278 --- --- --- --- 

Total, Recovery Community Services Program

Access to Recovery b/

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

24

 --- 

24

1

9,270

 ---

95,963

495

15

 24

 ---

 ---

5,236

94,455

 ---

 ---

 ---

24

 ---

 ---

 ---

96,716

 --- 

 --- 

24

 --- 

1

 --- 

96,458

 ---

2,245

 ---

24

1

 ---

 --- 

94,455

2,037

 ---

 ---

 24

1

 ---

 ---

 96,716

3,000

 --- 

 --- 

 1 2,245 1 2,037 1 3,000

Total, Access to Recovery 25 98,703 25 96,492 25 99,716

CSAT-6
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

No.

FY 2007

Actual

Amount No.

FY 2008

Enacted

Amount

FY 2009

Estimate

No. Amount

Children and Families

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

39

18

 --- 

14,227

5,953

 ---

40

1

7

12,949

700

2,100

 --- 

 --- 

 --- 

 --- 

 --- 

 --- 

 57 

1

1

 --- 

20,180

5,606

3,550

 ---

 41 

2

 ---

 --- 

15,749

8,429

100

 ---

 --- 

 --- 

 --- 

 --- 

 --- 

 --- 

 --- 

 --- 

 2 9,156 2 8,529 --- --- 

Total, Children and Families

Treatment Systems for Homeless

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

59

77

 --- 

29,336

30,462

 ---

43

77

21

24,278

30,552

8,549

 ---

68

6

 ---

27,202

2,304

 --- --- --- --- --- --- 

77

2

 --- 

 --- 

30,462

4,379

 ---

 ---

98

 ---

1

 --- 

39,101

1,819

1,580

 ---

74

 1

 --- 

 --- 

29,506

3,088

 --- 

 --- 

 2 4,379 1 3,399 1 3,088

Total, Treatment Systems for Homeless

Minority AIDS 

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

79

60

67

 --- 

34,841

27,869

31,759

 ---

99

77

52

 --- 

42,500

36,776

20,853

 ---

75

129

 --- 

 --- 

32,594

57,629

 --- 

 --- 

127

 ---

 --- 

 --- 

59,628

2,860

 ---

 ---

129

 ---

 1

 --- 

57,629

2,500

3,000

 ---

129

1

 --- 

 --- 

57,629

5,500

 ---

 --- 

 --- 2,860 1 5,500 1 5,500

Total, Minority AIDS

Criminal Justice Activities

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

127

49

 ---

 ---

62,488

19,435

 ---

 ---

130

20

28

 ---

63,129

8,177

8,830

 ---

130

22

82

 --- 

63,129

6,418

24,534

 --- 

49

2

3

 ---

19,435

3,233

575

 ---

48

2

5

 ---

17,007

1,934

4,752

 ---

104

7

 --- 

 --- 

30,952

6,871

 --- 

 --- 

5 3,808 7 6,686 7 6,871

Total, Criminal Justice Activities 54 23,243 55 23,693 111 37,823

CSAT-7
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2007 FY 2008 FY 2009

Actual Enacted Estimate

No. Amount No. Amount No. Amount

Services Accountability c/

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... 2 21,357 --- 14,293 1 9,476

 New/Competing ................................................................. --- 1,000 1 8,800 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

2 22,357 1 23,093 1 9,476

Total, Services Accountability 2 22,357 1 23,093 1 9,476

Clinical Technical Assistance

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... 1 1,234 --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

1 1,234 --- --- --- --- 

Total, Clinical Technical Assistance 1 1,234 --- --- --- ---

Congressional Projects

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- 25 6,208 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- 25 6,208 --- --- 

 Contracts

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Total, Congressional Projects --- --- 25 6,208 --- ---

 Subtotal, Capacity 483 369,340 512 371,230 435 322,704

CSAT-8
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

FY 2007 FY 2008 FY 2009

Actual Enacted Estimate

No. Amount No. Amount No. Amount

SCIENCE AND SERVICE:

Addiction Technology Transfer Centers 

 Grants

 Continuations ................................................................... --- --- 15 7,800 15 7,800

 New/Competing ................................................................. 15 7,800 --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- 12 781 --- --- 

15 7,800 15 8,581 15 7,800

 Contracts

 Continuations ................................................................... 1 234 1 250 1 803

 New/Competing ................................................................. 1 2,600 1 250 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

2 2,834 2 500 1 803

Total, Addiction Technology Transfer Centers 17 10,634 17 9,081 16 8,603

Seclusion and Restraint

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... --- 20 --- 20 --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- 20 --- 20 --- --- 

 Total, Seclusion and Restraint --- 20 --- 20 --- ---

Minority Fellowship Program

 Grants

 Continuations ................................................................... --- --- --- --- --- ---

 New/Competing ................................................................. 4 536 4 536 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

4 536 4 536 --- --- 

 Contracts

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Total, Minority Fellowship Program 4 536 4 536 --- --- 

Special Initiatives/Outreach 

 Grants

 Continuations ................................................................... 1 720 --- --- --- --- 

 New/Competing ................................................................. --- --- 1 300 --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

1 720 1 300 --- --- 

 Contracts

 Continuations ................................................................... 6 2,598 5 1,822 --- --- 

 New/Competing ................................................................. 3 1,134 9 2,333 --- --- 

 Supplements .....................................................................

 Subtotal

 Total, Special Initiatives/Outreach 

 --- --- --- --- --- --- 

9 3,732 14 4,155 --- --- 

10 4,452 15 4,455 --- ---

CSAT-9
Center for Substance Abuse Tre

echanism Table by Summary of 

(Dollars in Thousands) 

atment 

M Activities 

FY 2007 FY 2008 FY 2009

Actual Enacted Estimate

No. Amount No. Amount No. Amount

State Service Improvement 

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... 1 907 --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

1 907 --- --- --- --- 

 Total, State Service Improvement 1 907 --- --- --- ---

Information Dissemination

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... 1 4,372 1 4,553 --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

1 4,372 1 4,553 --- --- 

 Total, Information Dissemination 1 4,372 1 4,553 --- ---

National Registry of Evidence-Based 

Programs & Practices

 Grants

 Continuations ................................................................... --- --- --- --- --- --- 

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- --- --- --- --- --- 

 Contracts

 Continuations ................................................................... --- 500 --- 500 --- 1,286

 New/Competing ................................................................. --- --- --- --- --- --- 

 Supplements .....................................................................

 Subtotal

 --- --- --- --- --- --- 

 --- 500 --- 500 --- 1,286

 Total, National Registry of Evidence-Based 

Programs & Practices

 --- 500 --- 500 --- 1,286

CSAT-10
Center for Substance Abuse Treatment 

Mechanism Table by Summary of Activities 

(Dollars in Thousands) 

No.

FY 2007

Actual

Amount No.

FY 2008

Enacted

Amount

FY 2009

Estimate

No. Amount

SAMHSA Health Information Network

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 ---

 ---

 ---

 ---

 ---

3,431

 ---

 ---

 ---

 ---

 ---

 ---

 ---

 4,255

 ---

 ---

 ---

 ---

 ---

 ---

 --- 

 4,255

 --- 

 --- 

 --- 3,431 --- 4,255 --- 4,255

 Total, SAMHSA Health Information Network

Program Coordination and Evaluation

 Grants

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 Contracts

 Continuations ...................................................................

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

 Supplements .....................................................................

 Subtotal

 ---

 ---

 ---

 ---

3,431

 ---

 ---

 ---

 ---

 ---

 ---

 ---

4,255

 ---

 ---

 ---

 ---

 ---

 ---

 ---

4,255

 --- 

 --- 

 --- 

 ---

5

20

 ---

 ---

4,028

729

 ---

 ---

2

17

 ---

 ---

1,225

3,989

 ---

 ---

 ---

 ---

 ---

 --- 

 --- 

 --- 

 --- 

25 4,757 19 5,214 --- --- 

 Total, Program Coordination and Evaluation 

 Subtotal , Science and Service

TOTAL, PRNS

25

58

541

4,757

29,609

398,949

19

56

568

5,214

28,614

399,844

 ---

16

 451

 ---

14,144

 336,848

a/ Includes PHS evaluation 

b/ Includes PHS evaluation 

c/ Includes PHS evaluation 

$7.5 million in FY 2009. 

funds 

funds 

funds 

for SBIRT evaluation in the amount of $2.0 million in FY 2007, FY 2008 and FY 2009. 

for ATR in the amount of $1.7 million in FY 2009

for SAIS contract which supports CSAT's data collection activities, in the amount of $2.3 million in FY 2007, FY 2008 and 

CSAT-11
Page intentionally left blank

CSAT-12
Access to Recovery 

FY 2007 FY 2008 FY 2009 FY 2009 +/-

Actual Enacted Estimate FY 2008

Program Level................ $98,703,000 $96,492,000 $99,716,000 +$3,224,000

PHS Evaluation Funds..... (---) (---) (1,716,000) +(1,716,000)

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2009 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, and women with dependent children. 

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 fifteen grantees served over 199,000 clients during the three year 

period of the program. FY 2007 outcomes data show that 85 percent of the clients had success 

achieving and maintaining abstinence from substance use. In addition, over 61 percent report 

being employed and 60 percent report being housed by the time of discharge. 

A second cohort of 24 three-year ATR grants was awarded in September 2007. In response to 

a growing awareness of the devastating impact of methamphetamine use, a number of grantees 

in this cohort will target services to methamphetamine users. 

CSAT-13
Access to Recovery received a PART review in 2007 and was rated Moderately Effective. The 

review 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 PART review, 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

2004 $99,410,000 

2005 $99,200,000 

2006 $98,208,000 

2007 $98,703,000 

2008 $96,492,000 

Budget Request 

The FY 2009 President's Budget request is $99.7 million, (including $1.7 million in PHS 

evaluation funds) an increase of $3.2 million over the FY 2008 Enacted level. Funding for this 

Presidential initiative, supports the third installment of funding to the 24 grantees initially funded 

in FY 2007, including $25.0 million which is dedicated to methamphetamine abuse and an 

evaluation of the program. 

The FY 2007-FY 2009 cohort of ATR grantees is expected to serve a total of 160,000 

individuals over the three-year period of the projects. The FY 2009 request will support the third 

year of these projects, during which approximately 65,000 clients will be served (given that ATR 

grant awards are made toward the end of the fiscal year, these clients will primarily be served 

during FY 2010). Approximately 52,650 (or 81 percent) of these clients can be expected to 

refrain from substance use. 

CSAT-14
Outcomes and Outputs

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 

FY 

2008 

Target 

FY 

2009 

Target 

OutYear 

(FY 

2010) 

Target 

Target Actual Target Actual

Long-Term Objective: Increase the quality of life as reflected by drug use, employment, housing, social 

connectedness and Criminal Justice involvement of clients served 

Increase the 

percentage of adults 

1.2.33 receiving services who: 

a) had no past month 

78% 79% 81.4% 81% 84.7% 80% 81% 82% 

substance use 

1.2.34 b) had improved family 

and living conditions 62% 63% 51% 52% 59.9% 52% 52% 52% 

c) had no/reduced 

1.2.35 involvement with the 

criminal justice 95% 95% 96.8% 97% 97.6% 96% 96% 97% 

system 

1.2.36 d) had improved social 

support 89% 90% 90% 90% 75.1% 90% 90% 91% 

1.2.37 

e) were currently 

employed or engaged 

in productive activities 

56% 57% 50% 50% 61.7% 53% 53% 53% 

1.2.38 f) had improved 

retention in treatment 22.8% 24% 30.2% 31% 35.6%

Nov07 Retiring 

1.2.39 cost-per-client served $1,605 $1,605 $1,588 $1,572 

# Key 

Outputs

FY 

2004 

Actual

FY 

2005 

Actual 

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

Target/ 

Target/ Est. 

Est. Actual Target/ Est. Actual 

1.2.32 

Increase the 

number of 

clients gaining 

access to 

treatment 1/

23,138 50,000 96,959 50,000 79,150 30,000 65,000 65,000 

Appropriated 

Amount 

($ Million) 

$99.4 $99.2 $98.2 $98.7 $96.5 $99.7 

 i

 s

1/ Initial Access to Recovery grants were made in August 2004, close to the end of FY 2004. Services are not necessarily provided 

n 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 

erved over the three year grant period. The first cohort of grantees ended in FY 2007, and the second cohort of grants was 

awarded in September 2007. 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award................. $4,112,625 $4,020,500 $4,154,833 

Range of Awards............... $1,650,000-$4,830,000 $1,650,000-$4,830,000 $1,650,000-$4,830,000

CSAT-15
Page Intentionally Left Blank 

CSAT-16
Screening, Brief Intervention, Referral and Treatment 

FY 2007 FY 2008 FY 2009 FY 2009 +/-

Actual Enacted Estimate FY 2008

Program Level................ $29,624,000 $29,106,000 $56,151,000 +$27,045,000

PHS Evaluation Funds..... (2,000,000) (2,000,000) (2,000,000) (---)

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2009 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. Substance abuse is one of our Nation's most significant public health challenges. 

The SBIRT program has the potential to fundamentally transform substance abuse treatment 

and prevention in the United States. The SBIRT approach can intervene early in the disease 

process before individuals become dependent and/or addicted, and motivate the addicted to 

pursue a referral to treatment. This powerful tool can not only prevent the human misery 

caused by substance abuse but also save millions in health care and treatment costs. 

Currently, the Program consists of 11 grants, including 10 to States and 1 to a Tribal 

organization. As seen in the data, SBIRT has greatly expanded capacity by serving over 

138,000 clients in FY 2007. The Administration will expand its legacy with the SBIRT program 

in the FY 2009 President’s Budget by supporting these three initiatives: 

• Promoting Sustainability. To ensure that the program is sustainable the program will 

now, as a condition of award, require grantee acknowledgement that federal resources 

are intended to catalyze local support for this effective program and also require local 

matching funding. 

• Supporting Training. SBIRT grants for teaching hospitals will set-aside a portion of the 

grant funds for training. The training has a two-fold purpose, to (1) provide initial training 

for personnel to implement SBIRT within a teaching hospital system (2) become a focus 

for state-wide training of SBIRT, by training-the-trainer for wider dissemination. The 

train-the-trainer approach will leverage the initial trainings and further expand the impact 

of the program. 

• Expanding SBIRT to Emergency Departments/Trauma Centers. The President's Budget 

proposes expanding SBIRT to emergency departments and trauma centers (ED/TCs), 

especially those affiliated with a medical school that does not already support an SBIRT 

program. Focusing on ED/TCs will maximize opportunities for reaching a broad range of 

the population with high incidence of substance-related emergencies, create 

opportunities to educate medical students and medical residents on SBIRT and provide 

CSAT-17
an opportunity for linking research efforts to SBIRT activities. Research findings drawn 

from these programs could be invaluable in improving future SBIRT initiatives. 

The target for number of clients served for FY 2007 was missed due to one of the primary 

grants in the program experiencing problems with their internal processes. CSAT has worked

with the State to ensure that better processes are currently in place. Seven of the eleven 

current grantees are in the last year of funding in FY 2008 and are 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

2004 $23,444,000

2005 $25,909,000

2006 $29,624,000 

2007 $29,624,000 

2008 $29,106,000 

Budget Request 

The FY 2009 President's Budget request is $56.2 million, an increase of $27.1 million from the 

FY 2008 Enacted level. The increase will fully fund all grant and contract continuations and 29 

new SBIRT grants. This amount of funding is expected to serve 184,597 persons. This 

corresponds with an average cost per client served of $223. Approximately 78 percent of the 

clients seen in SBIRT programs have been screened only, with further intervention or treatment 

determined to be unnecessary. Approximately 50 percent of clients receiving treatment through 

SBIRT can be expected to have no past month substance use six months after admission. 

Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target 

Out-Year 

Target Target Actual Target Actual (FY 2010)

Long-Term Objective : Expand screening for substance abuse and the provision of brief intervention and 

brief treatment in primary care settings 

1.2.41 

Increase the 

percentage of clients 

receiving services who 

had no past month 

substance use 

39.8% 41.8% 47.5% 48% 45.7% 48% 50% 50% 

CSAT-18
# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual 

FY 2006 FY 2007 FY 

2008 

Target

FY 

2009 

Target

Out-Year 

Target/ Est. 

(FY 2010) 

1.2.40 

Increase the 

number of 

clients served 

69,161 155,267

Target

/ Est. 

156,820

Actual 

182,770

Targe

t/ Est. 

184,597

Actual 

138,267

/ Est. 

139,650 

/ Est. 

139,650 139,650 

Appropriated 

Amount 

($ Million) 

$23.4 $25.9 $29.6 $29.6 $29.6 $29.6 $29.1 $56.2 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award................. $2,962,400 $1,617,000 $1,194,702 

Range of Awards............... $1,500,000-$2,800,000 $375,000-$2,676,000 $375,000-$2,676,000

CSAT-19
Page Intentionally Left Blank

CSAT-20
Other Capacity 

FY 2007 FY 2008 FY 2009 FY 2009 +/-

Actual Enacted Estimate FY 2008

Program Level................ $241,013,000 $245,632,000 $166,837,000 -$78,795,000

PHS Evaluation Funds..... (2,300,000) (2,300,000) (7,476,000) +(5,176,000)

Authorizing Legislation...................Section 506, 509 and 514 of the Public Health Service Act 

2009 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, Criminal 

Justice, 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 were 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 2007, 35,516 clients were served. Positive outcomes were

also seen for these clients from intake to 6 months, including an abstinence from substance use 

rate of 59 percent and improved employment rate of 57 percent. Performance is not reported 

individually for each Capacity activity. 

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. 

The FY 2009 President's Budget request includes $63.1 million, the same level as the FY 2008 

Enacted level. This level will fully fund all grant and contract continuations. 

CSAT-21
Criminal Justice

To help States break the pattern of incarceration and reduce the high rate of recidivism, 

SAMHSA’s Criminal Justice Activities include grant programs which focus on diversion and 

reentry for adolescents, teens, and adults with 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. 

The criminal justice programs are Treatment Drug Courts. These programs provide treatment, 

housing, vocational, and employment services. 

Treatment Drug Courts are 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. 

The FY 2009 President's Budget request includes $37.8 million, an increase of $14.1 million 

above the FY 2008 Enacted level. The request will fully fund all grant and contract 

continuations and 82 new Drug Court grants. SAMHSA and DOJ work in tandem to ensure that 

an individual drug court does not receive grant funds from both agencies for overlapping drug 

court activities and or populations. The DOJ drug courts typically provide money to establish 

and or enhance the operational activities of the drug court itself; a very small percentage if any, 

of these funds are used for treatment services for drug court participants. 

The GAO found that in 2005 there were over 1,200 drug court programs in addition to about 500 

being planned. Even with the large number of drug courts, there is a limited amount of 

treatment, mental health and recovery support services available and the SAMHSA drug court 

services are in high demand. In 2007, Treatment Drug Courts served 1,322 clients. Nearly 77 

percent of clients had no past month substance abuse 6 months after intake; 77 percent were 

currently employed or engaged in productive activities; nearly 73 percent had a permanent 

place to live in the community (exceeding the target by 14 percentage points), 92.8 percent had 

no involvement with the criminal justice system, and 92.1 percent had no or reduced health, 

behavioral, or social consequences related to alcohol or illegal drug use. 

Homelessness

Grants to Benefit Homeless Individuals (GBHI) provides grants to community-based public and

private non-profit entities to support projects that incorporate a new intervention into an 

integrated, comprehensive, community-based system. GBHI enables communities to expand 

and strengthen their treatment services for persons who are homeless and also have substance 

use disorders, mental illness, or with co-occurring substance use disorders and mental illness. 

The FY 2009 President's Budget request includes $32.6 million, the same level as the FY 2008 

Enacted level. The request will fully fund all grant and contract continuations. 

Targeted Capacity Expansion-General

Targeted Capacity Expansion (TCE) General was initiated in FY 1998 to help communities 

bridge gaps in treatment services. In general, TCE funding supports grants to units of State and 

CSAT-22
local governments and tribal entities to expand or enhance a community’s ability to provide 

rapid, strategic, comprehensive, integrated and creative, community-based responses to a 

specific, well documented substance abuse capacity problem, including technical assistance. 

This program also fosters the provision of evidence-based treatment practices. 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, Racial and ethnic minority 

populations, rural areas, campus screening and brief interventions, methamphetamine abuse, 

and innovative treatment methods. 

The FY 2009 President's Budget request includes $17.8 million, a decrease of $11.1 million 

from the FY 2008 Enacted level. The request will fully fund all grant and contract continuations. 

Other Activities 

Other Substance Abuse Treatment capacity activities include: Opioid Treatment Activities, and

Services Accountability. The FY 2009 President's Budget request includes $15.5 million for 

these activities. The FY 2009 President's Budget request funding level eliminates 6 programs 

from the Treatment capacity portfolio: Co-occurring State Incentive Grants (SIGs), Pregnant & 

Postpartum Women, Strengthening Treatment Access and Retention, Recovery Community 

Services Program, Children and Families, and Congressional Projects. Please see the 

Supplementary Tables section for a detailed rationale explaining all terminations. 

Funding History 

FY Amount

2004 $249,963,000 

2005 $260,546,000 

2006 $241,553,000 

2007 $241,013,000 

2008 $245,632,000 

Budget Request 

The FY 2009 President's Budget request includes a total of $166.8 million, a decrease of $78.8 

million from the FY 2008 Enacted level, for “Other” Substance Abuse Treatment Capacity 

activities. The FY 2009 President's Budget request funding level eliminates the following 6 

programs from the Treatment capacity portfolio: Co-occurring State Incentive Grants (SIGs); 

Pregnant & Postpartum Women; Strengthening Treatment Access and Retention; Recovery 

Community Services Program, Children and Families, and Congressional Projects. The FY 

2009 President's Budget request will fully fund all grant and contract continuations and 118 new 

grants and contracts. Please see the Supplementary Tables section for a detailed rationale 

explaining all terminations. 

CSAT-23
Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target 

Out-Year 

Target Actual Target Actual Target 

Long-Term Objective : Increase the quality of life as reflected by drug use, employment, housing, social 

connectedness and CJ involvement of clients served 

1.2.25 

Had no past month 

substance use 

(same as long term 

measure) 

63% 64.1% 67% 63% 63% 59% 63% 61% ** 

1.2.27 

Increase percentage 

of adults receiving 

services who: 

a) Were currently 

employed or 

engaged in 

productive activities 

45% 48.9% 49% 52% 52% 57% 52% 50% ** 

# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target/ 

Est. 

FY 

2009 

Target/ 

Est. 

OutYear 

(FY 

2010) 

Target/ 

Est. 

Target/ 

Est. Actual Target/ Est. Actual 

1.2.26 Increase the number of 

clients served 30,217 34,014 34,300 35,334 35,334 35,516 35,334** 

31,659

** 

Appropriated Amount 

($ Million) $250.0 $260.5 $241.6 $241.6 $241.0 $241.0 $245.6 $166.8

** Targets for FY 2009 and FY 2010 are lower than actual data as grants are coming to a natural end. 

Size of Awards 

(whole dollars) FY 2007 FY 2008 FY 2009 

Average Award................. $573,840 $555,729 $484,991 

Range of Awards............... $100,000-$500,000 $100,000-$500,000 $100,000-$500,000 

CSAT-24
Science and Service 

FY 2007 FY 2008 FY 2009 FY 2009 +/-

Actual Enacted Estimate FY 2008

Budget Authority...... $29,609,000 $28,614,000 $14,144,000 -$14,470,000

Authorizing Legislation.....................................Section 509 of the Public Health Service Act 

2009 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, and the Virgin Islands. The Regional

Centers support national activities and implement programs and initiatives in response to 

regional needs. 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 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. For example, SAMHSA’s National ATTC, with funding 

support from the Department of Justice (DOJ), is developing and will disseminate guides for 

professionals to assist in screening, intervening, and referring individuals to treatment for 

prescription drug abuse and dependence in an effort to enhance linkages between DOJ 

prescription drug monitoring programs and State addiction treatment systems. SAMHSA and 

DOJ continue to help States and the Federal Government address the non-medical use of 

prescription drugs. In addition, knowledge dissemination occurs through training events and 

technical assistance. 

Data show that over 20,000 people were trained in 2007. Approximately 90 percent of 

participants report implementing improvements in treatment methods based on the information 

they received from the training they attended. 

CSAT-25
National Registry of Evidence-based Programs and Practices

The National Registry of Evidence-based Programs and Practices (NREPP), initiated in 1997, 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 approximately 50 interventions is currently available, and new 

intervention summaries (approximately five to 10 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, new interventions to address service needs will be 

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, includes the National 

Clearinghouse for Alcohol and Drug Information (NCADI) and the National Mental Health 

Information Center (NMHIC). SHIN provides the public and professionals with one-stop, quick 

access to information, materials, and services for mental health and substance abuse 

prevention and addictions treatment. To reinforce the Secretary’s Value-Driven health care 

priority, the SAMHSA Health Information Network will be expanded in FY 2009 to become a 

network that provides a suite of information services by leveraging shared, SAMHSA-wide 

technical and intellectual infrastructure. Performance measures for Satisfaction, Usage, and 

System, Staff and Process performance will be developed and data gathered to lead to a much 

improved user experience and eliminate the inefficiency of multiple systems. 

The SHIN network program responds to 45,000 public inquiries each month (in English and 

Spanish); manages and fills approximately 19,000 publication orders each month; maintains

and updates related web site contents and receive over one million visits per month; provides 

materials and promotion of SAMHSA programs and products. The SHIN network also supports 

Office of National Drug Control Policy’s media campaign and manages product inventory for 

ONDCP. 

Funding History 

FY Amount 

2004 $46,402,000 

2005 $36,710,000 

2006 $29,290,000 

2007 $29,609,000 

2008 $28,614,000 

CSAT-26
Budget Request 

The FY 2009 President's Budget request is $14.1 million, a decrease of $14.5 million from the 

FY 2008 Enacted level. The budget eliminates funding for: Seclusion and Restraint; Minority 

Fellowship Program; Special Initiatives/Outreach; Information Dissemination and Program 

Coordination and Evaluation. Please see the Supplementary Tables section for a detailed 

rationale explaining all terminations. 

Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 FY 

2008 

Target 

FY 

2009 

Target

OutYear 

Target Actual Target Actual Target

Long-Term Objective: Enhance knowledge dissemination through trainings, technical assistance and 

meetings 

1.4.01 

Report implementing 

improvements in 

treatment methods on 

the basis of information 

and training provided by 

the program 

83% 87% 89% 93% 93% 90% 90% 90% 

# Key Outputs

FY 

2004 

Actual

FY 

2005 

Actual 

FY 2006 FY 2007 FY 

2008 

Target

/ Est. 

FY 

2009 

Target

/ Est. 

OutYear 

Target

/ Est. 

Target

/ Est. Actual Target/ Est. Actual 

Increase the 

1.4.02 number of 

individuals 35,370 28,630 28,916 23,141 23,141 20,516 20,516 20,516 

trained per year 

Appropriated 

Amount $46.4 $36.7 $29.3 $29.3 $29.6 $29.6 $28.6 $14.1 

($ Million) 

CSAT-27
Page Intentionally Left Blank

CSAT-28
Substance Abuse Prevention and Treatment (SAPT) Block Grant 

(Dollars in Thousands) 

FY 2007 FY 2008 FY 2009 FY 2009 +/-

Actual Enacted Estimate FY 2008

SAPT Block Grant.............. $1,758,591,000 $1,758,728,000 $1,778,591,000 +$19,863,000

PHS Evaluation Funds....... (79,200,000) (79,200,000) (79,200,000) (---)

Authorizing Legislation................................Section 1921 of the Public Health Services Act 

2009 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 

through a formula, based upon specified economic and demographic factors. 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. 

Of the amounts appropriated for the Block Grant program, 95 percent are distributed to States 

through a formula prescribed by the authorizing legislation. Factors used to calculate the 

allotments include total personal income; State population data by age groups (total population 

data for territories); total taxable resources; and a cost of services index factor. 

As seen in the following table, the Block Grant Program has been successful in expanding 

treatment capacity in the latest year for which recipients that have reported actual data are 

available by supporting over 1.8 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 (68.3 percent) and 

alcohol (73.7 percent) use. 

The Substance Abuse Prevention and Treatment Block Grant program received a PART review 

in 2003 and was rated as Ineffective (including both the treatment and prevention portions). 

The review cited clear purpose and collaboration with other agencies as strong attributes of the 

program. As a result of the PART review, the program has included performance measures in 

CSAT-29
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 

2004: 

• For the 35 States that reported data in the Abstinence Domain, 34 of 35 identified 

improvements in client abstinence from alcohol and other substances. 

• For the 38 States that reported data in the Employment Domain, 33 of 38 identified 

improvements in client employment. 

• For the 27 States that reported in the Criminal Justice Domain, 26 of 27 reported a 

reduction in arrests. 

• For the 31 States that reported data in the Housing Domain, 27 of 31 identified 

improvements in stable housing for clients. 

Funding History 

Funding FTEs

1999.........................$1,585,000,000 28 

2000.........................$1,600,000,000 40 

2001.........................$1,665,000,000 40 

2002.........................$1,725,000,000 40 

2003 a/......................$1,753,932,000 40 

2004 b/......................$1,779,146,000 40 

2005 b/.....................$1,775,555,000 40

2006 b/.....................$1,757,425,000 40

2007 b/.....................$1,758,591,000 40

2008 b/.....................$1,758,728,000 40

a/ Includes $62.2 million from the PHS evaluation funds. 

b/ Includes $79.2 million from the PHS evaluation funds. 

Budget Request 

The FY 2009 President's Budget request includes a total of $1.8 billion, an increase of $20.0 

million from the FY 2008 Enacted level. The increase is associated with the new provision to 

provide supplemental awards to the top 20 percent for superior performance and submission of 

data for the National Outcome Measures. A detailed listing of the activities and funding levels 

for the CSAT portion of the five percent set-aside is provided in the SAPT Set-aside section. 

The FY 2009 Budget creates a financial incentive for States to report on National Outcome 

Measures (NOMs) linked to prevention and treatment services financed with block grant funds. 

Many states have been voluntarily reporting on selected outcome measures since FY 2002; 

however, more States have been coming on line each year, and all are expected to report 

NOMs by the end of FY 2008. As further incentive, the funding increase shown above has been 

provided for performance awards for the top 20% of SAPT Block Grant recipients that report on 

the NOMs. To receive an award, grantees would have to meet superior performance as 

determined by the Secretary. Awards would consist of a two-tiered approach: up to $2.5 million 

would be available for top performers receiving $21 million or greater in their prior year award 

CSAT-30
and up to $1.5 million would be available for the top performers receiving less than $21 million 

in their prior year award. Award recipients would not be able to receive more than 50 percent of 

their previous year’s award. All grantees would be responsible to report on the use of funding 

received as additional performance supplements, but would have the flexibility in the use of 

these funds. For example, the additional funds could be used to expand capacity and treatment 

services or to invest in data infrastructure. 

Outcomes and Outputs 

# Key Outcomes

FY 

2004 

Actual

FY 

2005 

Actual

FY 2006 FY 2007 

FY 

2008 

Target 

FY 

2009 

Target 

OutYear 

Target

FY 

2012 

Target Actual Target Actual

Long-Term Objective: Expand capacity to provide services nationwide to those affected 

disorders 

with substance use 

Increase the 

percentage of 

Technical 

1.2.46 Assistance events 

that result in 82% 100% 95% 100% Retiring Retiring Retiring Retiring 

systems, program 

or practice 

change 

Increase the 

percentage of 

1.2.47 States in 100% 100% 65% 100% Oct-08 100% 100% 

appropriate cost 

bands 

Percentage of 

clients reporting 

1.2.48 abstinence from 68.3% 68.3% Nov -08 69.3% 69.3%

drug use at 

discharge 

Percentage of 

clients reporting 

1.2.49 abstinence form 73.7% 73.7% Nov-08 74.7% 74.7%

alcohol at 

discharge 

 

FY Out- FY FY FY 2006 FY 2007 FY 2009 2008 Year # 2004 2005 Target/ Key Outputs Target/ Target/ Target/ Target/ Actual Actual Actual Actual Est. Est. Est. Est. Est. 

Number of 

admissions to 

substance abuse 

1.2.43 treatment 1,875,026 1,849,528 1,983,490 Oct-08 2,003,324 Oct-09 1,881,515* 1,881,515* 2,005,220

programs 

receiving public 

funding** 

Appropriated 

Amount $1,779.1 $1,775.6 $1,757.4 $1,757.4 $1,758.6 $1,758.6 $1,758.7 $1,778.6

($ Million) 

*Targets for FY 2008 and 2009 are lower than targets or actual data reported in previous years. 

**Formerly Number of Clients Served. Wording change approved by OMB 12/4/07 

CSAT-31
FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

Alabama $23,767,166 $23,767,733 $23,767,733 ---

Alaska 4,638,202 4,639,286 4,639,286 ---

Arizona 31,538,160 31,538,913 31,538,913 ---

Arkansas 13,288,892 13,289,209 13,289,209 ---

California 249,923,600 249,929,564 249,929,564 ---

Colorado 23,735,909 23,736,475 23,736,475 ---

Connecticut 16,750,519 16,750,919 16,750,919 ---

Delaware 6,594,716 6,595,230 6,595,230 ---

District Of Columbia 6,594,716 6,595,230 6,595,230 ---

Florida 94,336,531 94,338,783 94,338,783 ---

Georgia 50,348,525 50,349,727 50,349,727 ---

Hawaii 7,146,288 7,146,459 7,146,459 ---

Idaho 6,883,474 6,883,638 6,883,638 ---

Illinois 69,631,187 69,632,849 69,632,849 ---

Indiana 33,192,513 33,193,305 33,193,305 ---

Iowa 13,477,639 13,477,961 13,477,961 ---

Kansas 12,248,920 12,249,212 12,249,212 ---

Kentucky 20,593,289 20,593,780 20,593,780 ---

Louisiana 25,760,960 25,761,575 25,761,575 ---

Maine 6,594,716 6,595,230 6,595,230 ---

Maryland 31,868,920 31,869,681 31,869,681 ---

Massachusetts 33,912,526 33,913,335 33,913,335 ---

Michigan 57,698,012 57,699,389 57,699,389 ---

Minnesota 22,297,496 22,377,974 22,377,974 ---

Red Lake Indians 549,551 551,535 551,535 ---

Mississippi 14,208,700 14,209,039 14,209,039 ---

Missouri 26,067,598 26,068,220 26,068,220 ---

Montana 6,594,716 6,595,230 6,595,230 ---

Nebraska 7,865,512 7,865,700 7,865,700 ---

Nevada 12,866,296 12,866,603 12,866,603 ---

New Hampshire 6,594,716 6,595,230 6,595,230 ---

New Jersey 46,778,415 46,779,531 46,779,531 ---

New Mexico 8,684,637 8,684,844 8,684,844 ---

New York 115,112,286 115,115,033 115,115,033 ---

North Carolina $38,486,115 $38,487,034 $38,487,034 ---

Substance Abuse and Mental Health Services Administration

Substance Abuse and Prevention Treatment Block Grant (SAPTBG)

CFDA #93.959

CSAT-32
Substance Abuse and Mental Health Services Administration

Substance Abuse and Prevention Treatment Block Grant (SAPTBG)

CFDA #93.959

FY 2007 FY 2008 FY 2009 Difference

STATE/TERRITORY Actual Enacted Estimate +/- 2008

North Dakota $5,145,788 $5,146,990 $5,146,990 ---

Ohio 66,429,868 66,431,453 66,431,453 ---

Oklahoma 17,652,677 17,653,098 17,653,098 ---

Oregon 16,217,703 16,218,090 16,218,090 ---

Pennsylvania 58,882,620 58,884,025 58,884,025 ---

Rhode Island 6,594,716 6,595,230 6,595,230 ---

South Carolina 20,503,481 20,503,970 20,503,970 ---

South Dakota 4,758,419 4,759,531 4,759,531 ---

Tennessee 29,645,087 29,645,795 29,645,795 ---

Texas 135,515,147 135,518,381 135,518,381 ---

Utah 17,075,458 17,075,866 17,075,866 ---

Vermont 5,087,761 5,088,950 5,088,950 ---

Virginia 42,939,145 42,940,170 42,940,170 ---

Washington 34,856,808 34,857,640 34,857,640 ---

West Virginia 8,680,180 8,680,387 8,680,387 ---

Wisconsin 25,679,275 25,679,888 25,679,888 ---

Wyoming 

State Sub-Total

3,305,977

1,645,601,528

3,306,749

1,645,729,669

3,306,749

1,645,729,669

---

---

American Samoa 328,123 328,149 328,149 ---

Guam 886,616 886,685 886,685 ---

Northern Marianas 396,450 396,481 396,481 ---

Puerto Rico 21,813,077 21,814,775 21,814,775 ---

Palau 109,558 109,566 109,566 ---

Marshall Islands 291,176 291,199 291,199 ---

Micronesia 612,868 612,915 612,915 ---

Virgin Islands 622,054 622,103 622,103 ---

Territory Sub-Total 25,059,922 25,061,873 25,061,873 ---

Total States/Territories 1,670,661,450 1,670,791,542 1,670,791,542 ---

SAMHSA Set-Aside 87,929,550 87,936,458 88,930,000 +993,542

Performance Grant 18,869,458 +18,869,458

TOTAL SAPTBG $1,758,591,000 $1,758,728,000 $1,778,591,000 +$19,863,000

CSAT-33
Page Intentionally Left Blank

CSAT-34
Substance Abuse Prevention and Treatment Block Grant (Set-aside) 

(Dollars in Thousands) 

FY 2007 FY 2008 FY 2009 

Funding Sources

Actual Enacted Estimate

Budget Authority:

SAPT Block Grant 5% Set-aside $8,730 $8,736 $9,730

PHS Evaluation Funds:

SAPT Block Grant 79,200 79,200 79,200

Program Management 16,000 16,250 21,750

Total Program Level $103,930 $104,186 $110,680

SAMHSA Component

Office of Applied Studies $75,481 $78,518 $81,699

 Budget Authority (non-add) (4,012) (3,561) (4,417)

 PHS Evaluation SAPTBG (non-add) (55,469) (58,707) (55,532)

 PHS Evaluation Program Mgmt (non-add) (16,000) (16,250) (21,750)

Center for Substance Abuse Prevention 10,277 8,880 12,193

 Budget Authority (non-add) (1,685) (1,654) (1,698)

 PHS Evaluation SAPTBG (non-add) (8,592) (7,226) (10,495)

 PHS Evaluation Program Mgmt (non-add) (---) (---) (---)

Center for Substance Abuse Treatment 18,172 16,788 16,788

 Budget Authority (non-add) (3,033) (3,521) (3,615)

 PHS Evaluation SAPTBG (non-add) (15,139) (13,267) (13,173)

 PHS Evaluation Program Mgmt (non-add) (---) (---) (---)

Total, SAMHSA $103,930 $104,186 $110,680

 Budget Authority (non-add) (8,730) (8,736) (9,730)

 PHS Evaluation SAPTBG (non-add) (79,200) (79,200) (79,200)

 PHS Evaluation Program Mgmt (non-add) (16,000) (16,250) (21,750)

Set-aside-1
Center for Substance Abuse Treatment 

(Dollars in thousands) 

FY 2007 FY 2008 FY 2009 

Set-Aside Activities Actual Enacted Estimate

State Data Systems

 Block Grant Management Information $ 811 $ 865 $ 865

NASADAD --- 500 500

State Outcomes Measurement and 

Management System (SOMMS)

Subtotal, State Data Systems

8,503 3,500 3,500

9,314 4,865 4,865

Technical Assistance

TA to States for SOMMS 3,346 3,101 3,101

Treatment Improvement Exchange --- 2,000 2,000

Analyses Medicaid/Medicare/CMS --- 925 831

TA to States -Recovery/Faith-based Pgms 2,130 2,000 2,000

 FTE Support

Subtotal, Technical Assistance

3,033 3,521 3,615

8,509 11,547 11,547

Program Evaluation

 Dev. of Spending Estimates for MH/SAT 

 Subtotal, Program Evaluation

349 376 376

349 376 376

TOTAL CSAT $18,172 $16,788 $16,788

Set-aside-2
Center for Substance Abuse Prevention 

(Dollars in thousands) 

FY 2007 FY 2008 FY 2009 

Set-Aside Activities Actual Enacted Estimate

State Data Systems

BGAS --- 150 150

SOMMS/Data Collection Coordinating Center

Subtotal, State Data Systems

 229 472 1,489

229 622 1,639

Technical Assistance

SPFAS/ Synar 4,345 2,522 3,919

NASADAD --- 200 200

CAPTs 2,665 3,526 4,381

SHIN 1,000 --- ---

MDMS 353 356 356

 FTE Support

Subtotal, Technical Assistance

1,685 1,654 1,698

10,048 8,258 10,554

TOTAL CSAP $10,277 $8,880 $12,193

Office of Applied Studies 

(Dollars in thousands) 

FY 2007 FY 2008 FY 2009 

OAS Set-Aside Activities Actual Enacted Estimate

National Data Collection

DAWN $17,000 $17,000 $17,000

NSDUH 40,528 43,900 45,000

 National Analytic Center 967 1,589 2,000

DASIS 9,296 9,243 9,243

SOMMS - Central Services 4,804 3,900 5,516

Data Archive 851 851 851

FTE/Operations (6)

TOTAL OAS

2,035 2,035 2,089

75,481 78,518 81,699

Set-aside-3
Program Description and Accomplishments 

The block grant set-aside represents five percent of the funding appropriated to the 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. Additional funding is available from the Program Management budget line to 

augment funding for specific data collection activities managed by OAS. All of these activities 

are guided by SAMHSA’s Data Strategy which can be found at 

http://samhsa.gov/about/DataStrategyPlan.pdf. The 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. 

Center for Substance Abuse Treatment

CSAT manages several major state data system contracts, including the Block Grant 

Management Information System (BGAS) 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 NOMS data through the DASIS contract. As a result of 

start up delays, funding for the SOMMS state collection efforts has been reduced for 2 years 

(FY 2008 and 2009) and will be increased back to its annualized level in future years. In FY 

2007, 38 States reported at least one NOM or more and in FY 2008 47 States reported at least 

one NOM or more. 

These funds have been reallocated to technical assistance activities to help states not only 

collect NOMS data but to improve their outcomes. This assistance is provided through the

Treatment Improvement Exchange (TIE) and for Technical Assistance for Recovery and Faith 

Based programs over a two year period. 

Center for Substance Abuse Prevention

CSAP manages a single major state data system, the Data Collection and Coordination Center, 

(DCCC) which collects data from state grantees. This contract is funded from the block grant 

set-aside and from PRNS and provides support for data collection and analysis for all CSAP 

grantees. In FY 2009, the funding for the DCCC is $2.3 million in total (PRNS plus SAPT BG 

Set-aside). In addition, CSAP manages the Centers for the Advancement of Prevention 

Technologies (CAPTs). This contract has been funded from the block grant set-aside and from 

PRNS and provides support for technical assistance for state and discretionary grantees. In FY 

2009, the total funding for the CAPTS is $4.4 million. 

Office of Applied Studies

OAS manages several major national data collection contracts. By far the largest contract is for 

the National Survey on Drug Use and Health (NSDUH). OAS also manages a major state data 

collection contract, State Outcomes Measurement and Management Systems Central Services 

which support CSAT and CSAP in defining, refining and analyzing NOMS for the states. As a 

result of start up delays, funding for the SOMMS contract has been reduced for one year. 

Funds have been reallocated to NSDUH to restore the sample size for the next survey and to 

the National Analytic Center (NAC) to restore funding for additional analytic activities and 

ensure the integrity of this legacy system. 

Set-aside-4
Data on outcomes and outputs for the SAPT block grant are provided within the chapters for the 

CSAP and CSAT on pages CSAP-23 and CSAT-26. Outcomes and outputs for the CAPT 

program are included in SAMHSA’s on-line performance appendix. The latest information on the 

NOMs can be found on the web at 

http://www.nationaloutcomemeasures.samhsa.gov/./welcome.asp

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

2004 $104,957,000

2005 $104,778,000

2006 $103,930,000

2007 $103,930,000

2008 $104,186,000

 

Budget Request 

The FY 2009 President’s Budget request is $110.7 million, an increase of $6.5 million above the 

FY 2008 Enacted level, including $5.5 million from the PHS evaluation funds and $1.0 million 

from the new supplemental awards program for the top 20 percent grant recipients that have 

demonstrated superior performance. The overall increase will be used to provide additional 

funding for NSDUH to restore the 5% reduction in sample size and to restore other analytic 

activities and ensure the integrity of this legacy system. The remainder of the increase will be 

used to restore budget reductions in the NAC and reductions in state data collection and 

technical assistance for CSAP. The program supports the HHS Strategic Objective 1.2, 

Increase health care service availability and accessibility. 

Set-aside-5
Page intentionally left blank 

Set-aside-6
Program Management 

FY 2007 FY 2008 FY 2009 FY 2009 +/- FY 

Actual Enacted Estimate 2008

Program Level..................................

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

(Program Management)......................

(Block Grant Set-aside)......................

Total, FTE..........................................

$92,714,000

16,000,000

$93,131,000

17,750,000

$97,131,000

21,750,000

+$4,000,000

+$4,000,000

488

40

477

57

471

57

-6

---

528 534 528 -6

Authorizing Legislation..........................................Section 501 of the Public Health Service Act 

FY 2009 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. 

The SAMHSA request includes funding to support the President’s Management Agenda e-Gov 

initiatives and Departmental enterprise information technology initiatives identified through the 

HHS strategic planning process. 

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
Funding History 

 FY Amount FTEs 

2004 $75,915,000 492

2005 $75,806,000 511

2006 $75,989,000 524

2007 $76,714,000 528

2008 $75,381,000 534

Budget Request 

The FY 2009 President’s Budget request is $97.1 million, an increase of $4.0 million above the 

FY 2008 Enacted level. The FY 2009 budget requests 528 FTEs, a decrease of six FTEs from

FY 2008. Funding for the National Survey on Drug Abuse and Health will restore the 5 percent 

sample size reduction and other analyses. The reduction associated with the decrease in nine 

civilian FTEs and other operating expenses generates $3.4 million, of which $1.8 million 

supports the FY 2009 pay raise, $0.6 million supports the increase of five Commissioned Corps 

FTEs, and the net increase of $1.0 million supports other mandatory operating expenses 

including rent and other centralized Department activities (UFMS and Enterprise IT Fund). The 

SAMHSA budget also contains funding to provide for reasonable accommodation of disabled 

employees. 

PM-2
Summary of Changes (dollars in thousands) 

Increases:

Built-in:

Annualization of the 2008 civilian pay raise (3.5%)

Annualization of the 2008 Commissioned Corps pay raise 

(3.5%)

1/ Increase for January 2009 pay raise 

FTE Increase - increase of 5 Commissioned Corps FTEs

Increase in rental payments to GSA

Subtotal, Built-in

+$463

+51

+1,298

+589

+155

+2,556

Program:

National Surveys +4,000

Increase in Worker's Compensation +7

Enterprise Information Technology Fund +196

Unified Financial Management System (O&M)

Subtotal, Program

+637

+4,840

Total, Increases +7,396

Decreases:

Built-in:

FTE Reduction - decrease of 9 Civilian FTEs -1,115

One less compensable day in FY 2009 (261 days)

Subtotal, Built-in

-227

-1,342

Program:

Cost shift of Operating Costs -1,691

Unified Financial Management System (Implementation) -141

Unified Financial Management System (Other Administrative 

Systems) -44

HHS Consolidated Acquisition System

Subtotal, Program

-178

-2,054

Total, Decreases -3,396

Net Change +$4,000

Note: 

1/ FY 2009 includes a 2.9% pay raise for civilian personnel and a 3.4% pay raise for military personnel. 

PM-3
Saint Elizabeths Hospital 

Building and Facilities

 FY 2007 FY 2008 FY 2009 FY 2009 +/- FY 

Actual Enacted Estimate 2008

St. Elizabeths Hospital............. --- --- $772,000 +$772,000

Authorizing Legislation................................................Section 501 of Public Health Service Act 

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 MOU, DHHS is responsible for covering the cost of actions required to remediate this 

contamination. The DHHS Office of General Council has reviewed the MOU and concurs that 

this is a DHHS responsibility. 

Budget Request 

The FY 2009 President’s Budget request is $0.772 million, an increase of $0.772 million above 

the FY 2008 Enacted level to further investigate the extent of this contamination and develop a 

comprehensive plan and engineering design to clean it up. 

PM-4
Data Evaluation 

 FY 2007 FY 2008 FY 2009 FY 2009 +/- FY 

Actual Enacted Estimate 2008

Data Evaluation......................... --- --- $2,500,000 +$2,500,000

Authorizing Legislation................................................Section 505 of Public Health Service Act 

Authorization................................................................................................................. Indefinite 

Allocation Method ...................................................................................................... Contracts 

Program Description and Accomplishments 

Data Evaluation, initiated in 2009, is for a comprehensive needs assessment and evaluation of 

substance abuse data surveillance systems across the government to improve data collection, 

reduce costs, and eliminate duplicative systems. Several systems at the NIH, CDC, and 

SAMHSA collect substance abuse data on the same populations. Many of these systems were 

designed more than 10 years ago or more and may not reflect the current need for data to 

improve treatment services. The purpose of the study is to: 

· Review the Systems to assess possible duplication of data; 

· Identify possible data collection gaps; and 

This study will examine data collected across the: 

· Drug Abuse Warning Network (DAWN) 

· Health Behavior in School-Aged Children (HBSC) 

· Monitoring the Future (MTF) 

· National Comorbidity 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) 

A report will be submitted to the DHHS Data Council for review and comment. 

Recommendations will be sent to ONDCP. 

Budget Request 

The FY 2009 President’s Budget request is $2.5 million, an increase of $2.5 million above the FY 

2008 Enacted level for an independent and comprehensive evaluation of substance abuse data 

surveillance systems across the government to improve data collection, reduce costs, and 

promote efficiency. 

PM-5
Page intentionally left blank 

PM-6
FY 2007 FY 2008 FY 2009

Actual Enacted Estimate

Drug Resources by Drug Control Function:

Prevention $563.163 $564.492 $533.184

Treatment 1,879.993 1,881.331 1,837.426

Total $2,443.156 $2,445.823 $2,370.610

Drug Resources by Budget Decision Unit : 1/

Programs of Regional & National Significance:

 Prevention $192.902 $194.120 $158.040

SPF-SIG (non-add) 105.324 104.707 95.389

 Treatment 398.949 399.844 336.848

ATR (non-add) 98.703 96.492 99.716

SBIRT (non-add) 29.624 29.106 56.151

Adult, Juvenile, and Family Drug Courts (non-add) 10.217 9.940 37.823

2/ Substance Abuse Block Grant 1,758.591 1,758.728 1,778.591

3/ Program Management 92.714 93.131 97.131

Total $2,443.156 $2,445.823 $2,370.610

Drug Resources Personnel Summary

 Total FTEs (direct only) 528 534 528

Drug Resources as a Percent of Budget

 Total Agency Budget $3,327.0 $3,356.3 $3,158.1

 Drug Resources Percentage 73.4% 72.9% 75.1%

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

DRUG CONTROL BUDGET

FY 2009 RESOURCE SUMMARY

 ($ in millions)

1/ Includes both Budget Authority and PHS Evaluation funds. PHS Evaluation Fund 

levels are as follows: $120.9 million in FY 2007, $122.3 million in FY 2008, and $133.2 

million in FY 2009. 

2/ 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. 

3/ 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 
Page intentionally left blank 

DB-2 
Substance Abuse and Mental Health Services Administration 

Object Classification Tables – Direct 

(Dollars in Thousands)

Object Class

FY 2008 

Enacted

FY 2009 

Estimate +/- FY 2008

DIRECT OBLIGATIONS

Personnel Compensation:

 Full Time Permanent (11.1)..................................

 Other than Full-Time Permanent (11.3)...............

 Other Personnel Compensation (11.5)................

 Military Personnel Compensation (11.7)............

 Special Personal Services Payments (11.8)......

Subtotal Personnel Compensation: ...................

 Civilian Personnel Benefits (12.1)........................

 Military Personnel Benefits (12.2).....................

 Benefits for Former Personnel (13.1)...............

Subtotal Pay Costs: ..............................................

Travel (21.0).............................................................

Transportation of Things (22.0)...............................

Rental Payments to GSA (23.1)..............................

Rental Payments to others (23.2)...........................

Communications, Utilities and Misc. Charges (23.3

All Other (23.XX).............................................

Printing and Reproduction (24.0).............................

Other Contractual Services:

 Advisory and Assistance Services (25.1).............

 Other Services (25.2)...........................................

 Purchases from Government Accounts (25.3)....

Operation and Maintenance of Facilities (25.4)......

Research & Development Contracts (25.5).........

Medical Care (25.6)..........................................

Operation and Maintenance of Equipment (25.7)...

Subsistence & Support of Persons (25.8)............

 Subtotal Other Contractual Services:.............

 $40,294

 2,833

 546

 3,527

 100

 $40,511

 2,848

 549

 4,047

 100

+$217

+15

+3

+520

 ---

 47,300 48,055 +755

 10,568

 1,677

---

 10,625

 1,924

---

+57

+247

 ---

 59,545 60,604 +1,059

 1,400

 50

 6,218

---

 968

 404

 3,563

---

 10,667

 148,157

 159,895

 8,706

---

---

 210

---

 1,300

 45

 6,373

---

 592

 247

 2,179

---

 9,132

 89,911

 98,569

 5,325

---

---

 129

---

 -100

 -5

+155

 ---

 -376

 -157

 -1,384

 ---

 -1,535

 -58,245

 -61,326

 -3,381

 ---

 ---

 -82

 ---

 327,635 203,067 -124,569

Supplies and Materials (26.0)..................................

Equipment (31.0).....................................................

Land & Structures (32.0).................................

Investments & Loans (33.0)..............................

Grants, Subsidies, and Contributions (41.0)...........

Insurance Claims & Indemnities (42.0)...................

Interest & Dividends (43.0).................................

Refunds (44.0)................................................

Subtotal Non-Pay Costs.......................................

 450

 73

---

---

 2,832,406

 1,328

---

---

 416

 68

---

---

 2,748,742

 1,335

---

---

 -34

 -5

 ---

 ---

 -83,664

+7

 ---

 ---

 3,174,495 2,964,363 -210,131

Total Direct Obligations................................ 3,234,040 3,024,967 -$209,072

ST - 1 
Substance Abuse and Mental Health Services Administration 

Salaries and Expenses 

(Dollars in Thousands) 

Object Class

FY 2008 

Enacted

FY 2009 

Estimate +/- FY 2008

Personnel Compensation:

 Full Time Permanent (11.1)...................................

 Other than Full-Time Permanent (11.3).................

 Other Personnel Compensation (11.5)..................

 Military Personnel Compensation (11.7)...............

 Special Personal Services Payments (11.8).........

Subtotal Personnel Compensation: .....................

 Civilian Personnel Benefits (12.1)..........................

 Military Personnel Benefits (12.2)........................

 Benefits for Former Personnel (13.1)..................

Subtotal Pay Costs: ..............................................

Travel (21.0).............................................................

Transportation of Things (22.0)................................

Rental Payments to Others (23.2)............................

Communications, Utilities and Misc. Charges (23.3)

Printing and Reproduction (24.0)..............................

Other Contractual Services:

 Advisory and Assistance Services (25.1)...............

 Other Services (25.2)............................................

 Purchases from Government Accounts (25.3).......

Operation & Maintenance of Facilities (25.4)..........

Research and Development Contracts (25.5).........

Medical Care (25.6)..........................................

Operation & Maintenance of Equipment (25.7).........

Subsistence & Support of Persons (25.8)...............

 Subtotal Other Contractual Services:................

 $40,294

2,833

546

3,527

100

 $40,511

2,848

549

4,047

100

 +$217

+15

+3

+520

---

47,300 48,055 +755

10,568

1,677

---

10,625

1,924

---

+57

+247

---

59,545 60,604 +1,059

1,400

50

---

968

3,563

6,198

145,490

40,378

8,706

---

---

210

---

1,300

45

---

592

2,179

5,306

88,293

24,914

5,325

---

---

129

---

-100

-5

---

-376

-1,384

---

-892

-57,198

-15,464

-3,381

---

---

-81

---

200,982 123,967 -77,015

Supplies and Materials (26.0)...................................

Subtotal Non-Pay Costs.........................................

450

207,413

416

128,499

-34

-78,914

Total Salaries and Expenses:..........................

Rental Payments to GSA (23.1).............................

Grand Total, Salaries & Expenses and Rent.......

266,958

6,218

$273,176

189,103

6,373

$195,476

-77,855

+155

-$77,700

ST - 2 
 Substance Abuse and Mental Health Services Administration 

Details of Full-Time Equivalent Employment (FTE) 

Total Full-Time Equivalents (Workyears)

FY 2007 

Actual

FY 2008 

Enacted

FY 2009 

Estimate

1. Ceiling FTE

Direct: 

Program Management

a. CMHS

b. CSAP

c. CSAT

d. OA

e. OPPB

f. OAS

g. OPS

Direct: SAPT Block Grant Set-aside

Total, Direct Ceiling FTE

Reimbursable:

Program, Project or Activity:

a. Program Management - CMHS

b. Mental Health Block Grant (PHS Evaluation Funds)

c. Drug Free Communities

Total, Reimbursable Ceiling FTE

Total, Ceiling FTE

2. Statutory Exempt FTE

Direct

Reimbursable:

a. St. Elizabeths Hospital (DC Gov't)

Total Reimb Stat Exempt FTE

Total, Statutory Exempt FTE

Total Direct FTE

Total Reimbursable FTE

Total SAMHSA FTE

92

78

87

32

40

24

97

25

475

3

15

18

36

511

---

17

17

17

475

53

528

92

80

82

28

39

26

93

40

480

4

17

21

42

522

---

12

12

12

480

54

534

90

79

81

28

39

26

93

40

476

4

17

21

42

518

---

10

10

10

476

52

528

Average GS Grade

2004................................................................... 12.5

2005................................................................... 12.5

2006................................................................... 12.5

2007................................................................... 12.6

2008................................................................... 12.6

Note: While there are no FTE ceilings, there continue to be statutory categorizes of “ceiling exempt” 

FTE. The tables above include “ceiling exempt” FTE totaling: 17 in FY 2007; 20 in FY 2008; 20 FY 

2009 Planning level and 20 FY 2009 alternate.

ST - 3 
Substance Abuse and Mental Health Services Administration 

Details of Positions

FY 2007

Actual

FY 2008

Enacted

FY 2009

Estimate

---

---

---

---

Executive Level I

Executive Level II

Executive Level III

Executive Level IV

Executive Level V

---

---

---

1

---

---

---

---

1

---

Subtotal 1 1

Total 

SES

- Exec Level Salaries $145,400

14

$149,000

15

$153,321

15

Subtotal 14 15 15

Total, SES salaries

GM/GS-15

GM/GS-14

GM/GS-13

GS-12

GS-11

GS-10

GS-09

GS-08

GS-07

GS-06

GS-05

GS-04

GS-03

GS-02

GS-01

$2,144,215

71

119

136

34

21

3

26

15

29

18

---

3

---

1

---

$2,289,475

71

120

137

32

20

2

24

17

23

16

1

2

---

1

---

$2,442,770

71

119

136

32

20

24

16

23

16

1

---

---

Subtotal 476 466 463

Total, GS salaries

CC-08/09

CC-07

CC-06

CC-05

CC-04

CC-03

CC-02

CC-01

$44,669,966

1

---

16

7

9

7

8

---

$46,197,716

1

---

16

8

13

7

6

---

$47,283,281

---

17

---

Subtotal 1/ 48 51 51

Total, CC salaries

Average ES level

Average ES salary

Average SES level

Average SES salary

Average GS grade

Average GS salary

Average CC level

Average CC salaries

$5,225,430

ES

$145,400

SES

$153,158

12.6

$93,845

4.4

$108,863

$5,746,391

ES

$149,000

SES

$152,632

12.6

$99,137

4.5

$112,675

$5,841,820

ES

$153,321

SES

$162,851

12.6

$102,124

4.6

$114,546

1

1

2

2

1

1

9

10

9

5

1/ FTE numbers for Commissioned Corps do not include reimbursable FTEs for Officers

 detailed to D.C. Government i.e., 20 reimbursable FTEs allocated in FY 2007;

 20 allocated in FY 2008/2009.

ST - 4 
Substance Abuse and Mental Health Services Administration 

Programs Proposed for Elimination 

The following table shows the programs proposed for elimination or consolidation in the 

President’s 2009 Budget request. Termination of these 24 programs frees up approximately 

$176.5 million based on FY 2008 levels – for priority health programs that have a demonstrated 

record of success or that hold significant promise for increasing accountability and improving 

health outcomes. Following the table is a brief summary of each program and the rationale for 

its elimination 

CMHS PRNS FY 2008

 Seclusion and Restraint 2.4

 Children and Families Program 11.0

 Mental Health Transformation Activities 20.9

 Mental Health Transformation State Incentive Grants 26.0

 Behavioral/Mental & Physical Health Services 7.4

 Older Adults 4.8

 Adolescents at Risk 1.9

 Consumer and Consumer Support Technical Assistance Centers 1.9

 Homelessness 2.3

 Minority Fellowship Program 3.8

 Disaster Response 1.1

 Congressional Projects

 Subtotal, CMHS PRNS

8.9

92.5

CSAP PRNS

 Underage Drinking Initiative (STOP Act) 5.4

 Best Practices Program Coordination 4.8

 Minority Fellowship Program 0.1

 Congressional Projects

 Subtotal, CSAP PRNS

3.7

13.9

CSAT PRNS

 Co-Occurring State Incentive Grants 4.3

 Pregnant and Postpartum Women 11.8

 Strengthening Treatment and Retention 3.6

 Recovery Community Services Program 5.2

 Children and Families 24.3

 Seclusion & Restraint 0.0

 Minority Fellowship Program 0.5

 Special Initiatives/Outreach 4.5

 Information Dissemination 4.6

 Program Coordination and Evaluation 5.2

 Congressional Projects

 Subtotal, CSAT PRNS

6.2

70.1

TOTAL, SAMHSA PRNS 176.5

ST - 5 
Substance Abuse and Mental Health Services Administration 

Programs Proposed for Elimination 

Program Description

Mental Health Programs of Regional & National Significance

Seclusion & Restraint (-$2.4 million) 

Budget does not request funds for Seclusion and Restraint infrastructure-building activities. 

States that have an emerging need to reduce seclusion and restraint in institutional and 

community-based setting are eligible to apply for Federal funding through a new grant program 

designed to support mental health needs identified by States and local communities. States 

may also use funding received through the Community Mental Health Services Block Grant for 

this purpose. This activity was implemented in 2001, yet no performance data is available. The 

Centers for Medicare & Medicaid Services recently issued new rules mandating more rigorous 

training of health care workers in the use of restraints and seclusion, thereby creating an 

impetus for service providers to reduce and even eliminate the use of these high risk 

interventions. 

Children and Family Programs (-$11.0 million) 

The FY 2009 Budget does not request funds for the technical assistance, infrastructure-building 

activities supported through the Children and Family Programs. Instead the budget requests 

increases for the Children's Mental Health Services Program which have proven successful in 

improved behavioral outcomes, better school performance, and fewer disciplinary and law 

enforcement encounters among children and adolescents with a serious emotional disturbance. 

Mental Health Transformation Activities (-$20.9 million) 

The Mental Health Transformation Activities, including Transformation Accountability System, 

are being eliminated. Transformation of mental health systems has been integrated across all 

grant activities. The Community Mental Health Services Block Grant allows grantees the 

flexibility to implement programs without being overly restrictive. 

Mental Health Transformation State Incentive Grants (-$26.0 million) 

Many of the Mental Health Transformation State Incentive Grants are coming to a natural end 

and a few others are being discontinued to focus resources on the activities with the highest 

impact. The Community Mental Health Services Block Grant allows grantees the flexibility to 

implement programs without being overly restrictive. 

Behavioral/Physical Health Services Program (-$7.4 million) 

Budget does not request separate funding for the Behavioral/Physical Health Services Program. 

Communities that are interested in further integrating behavioral and physical services are 

eligible to apply for Federal funding through a new grant program designed to support mental 

health needs identified by States and local communities. States can also direct Community 

Mental Health Services Block Grant funds for the integration of mental health and physical 

services. 

 

Older Adults Programs (-$4.8 million) 

Older persons with mental health needs will continue to be supported through the Centers for 

Medicare and Medicaid Services, the Administration on Aging, and the Health Resources and 

ST - 6 
Services Administration. This population can be served through the Community Mental Health 

Services Block Grant and the new Mental Health Targeted Capacity Expansion program. 

Adolescents at Risk ($-1.9 million)

The FY 2009 Budget does not request funding through the Adolescents at Risk funding line for 

the evaluation and documentation of school-based suicide prevention programs. SAMHSA is 

conducting a cross-site evaluation of 38 Garrett Lee Smith grantees providing school-based 

suicide prevention programs; the evaluation data is made available to the grantees to utilize. 

Additionally, the FY 2009 Budget includes $200 million within the National Institute of Mental 

Health for Services and Intervention Research to evaluate mental health interventions for 

children, adolescents, and adults. 

Consumer and Consumer Support Technical Assistance Centers (-$1.9 million) Funding is

not requested for the Consumer and Consumer Support Technical Assistance Centers in order 

to avoid redundancy with other activities. Many of these activities could be provided by the 

SAMHSA Health Information Network. 

Minority Fellowship Program (-$3.8 million) 

The Budget does not request funds for the MFP. The goal of this program is better addressed 

through HRSA Programs. The goal of the MFP is to places practitioners in clinical settings; 

however, only twenty percent of nursing program participants end up working in clinical care 

settings, only 15 percent of psychiatry participants move on to a primary clinical work setting 

and only one percent of social work participants move on to a clinical setting. The population 

could be better served through HRSA. The FY 2009 Budget include $120 million for the 

recruitment and retention of clinicians to the National Health Service Corps, which places 

clinicians including behavioral health professionals in communities of greatest need such as 

underserved racial/ethnic minority communities. 

Disaster Response (-$1.1 million) 

The Budget does not include funds for these technical assistance and training activities. The 

Federal Emergency Management Agency will continue to support crisis intervention services 

during time of national emergencies. 

Homelessness Science and Service (- $2.3 million) 

The Budget discontinues funding for Homelessness prevention activities through the Science 

and Service category, but includes an increase of $6 million for Projects for Assistance in

Transition from Homelessness ($60 million total) for grants to States and Territories to provide 

assistance to individuals suffering from severe mental illness who are facing homelessness. 

States and Territories match at least 33 percent of the Federal investment in this program, 

enabling more clients to be enrolled in services and to advance along the path toward having a 

permanent place to live. 

Congressional Projects (- $8.9 million) 

These earmarks, which are not awarded through the merit-based or competitive process, do not 

represent the most effective use of Federal dollars. These earmarks divert funding from other 

higher priority programs, circumvent competitive processes, and divert people and associated 

financial resources from the Agency’s core mission activities. 

ST - 7 
CSAP Programs of Regional & National Significance

Sober Truth on Preventing Underage Drinking (STOP Act) (-$5.4 million) 

The Budget supports STOP Act activities within general SAMHSA grant activities such as the $7 

million for a new Targeted Capacity Expansion activity to address emerging prevention needs 

identified by States and local communities, which could include alcohol focused activities. Fifty 

six million is also requested for activities that screen and provide brief interventions for 

individuals with a drug addition, including alcohol. Ninety five million for the SPF grants. Over 

80 percent of current SPF grantees focus on reducing underage drinking. The SPF grants 

provide funding to States and federally recognized Tribes and Tribal organizations to: prevent 

the onset and reduce the progression of substance abuse, including childhood and underage 

drinking; reduce substance abuse-related problems in communities; and, build prevention 

capacity and infrastructure at the State/Tribal and community levels. 

Best Practices Program Coordination (-$4.8 million) 

The Best Practices program activities could be provided by SAMHSA’s Health Information 

Network (SHIN). 

Minority Fellowship Program (-$0.1 million) 

The Budget does not request funds for the MFP. The goal of this program is better addressed 

through HRSA Programs. The goal of the MFP is to places practitioners in clinical settings; 

however, only twenty percent of nursing program participants end up working in clinical care 

settings, only 15 percent of psychiatry participants move on to a primary clinical work setting 

and only one percent of social work participants move on to a clinical setting. The population 

could be better served through HRSA. The FY 2009 Budget include $120 million for the 

recruitment and retention of clinicians to the National Health Service Corps, which places 

clinicians including behavioral health professionals in communities of greatest need such as 

underserved racial/ethnic minority communities. 

 

Congressional Projects (- $3.7 million) 

These earmarks, which are not awarded through the merit-based or competitive process, do not 

represent the most effective use of Federal dollars. These earmarks divert funding from other 

higher priority programs, circumvent competitive processes, and divert people and associated 

financial resources from the Agency’s core mission activities. 

CSAT Programs of Regional & National Significance

Co-Occurring State Incentive Grants (SIGs) (-$4.3 million)

SAMHSA remains committed to addressing co-occurring disorders throughout its grant portfolio.

Grant announcements throughout the agency will include language requiring screening and 

services for individuals with co-occurring disorders where appropriate. In addition, SAMHSA 

plans to continue technical assistance efforts in this area. 

Seclusion & Restraint (-$.02 million) 

Budget does not request funds for Seclusion and Restraint infrastructure-building activities.

States that have an emerging need to reduce seclusion and restraint in institutional and 

community-based setting are eligible to apply for Federal funding through a new grant program 

designed to support mental health needs identified by States and local communities. States 

may also use funding received through the Community Mental Health Services Block Grant for 

this purpose. This activity was implemented in 2001, yet no performance data is available. The 

Centers for Medicare & Medicaid Services recently issued new rules mandating more rigorous 

ST - 8 
training of health care workers in the use of restraints and seclusion, thereby creating an 

impetus for service providers to reduce and even eliminate the use of these high risk 

interventions. 

Pregnant and Postpartum Women (-$11.8 million)

The Budget does not request separate funding for Pregnant and Postpartum Women. 

Treatment facilities receiving funding through the Substance Abuse Prevention and Treatment 

Block Grant are required to give preference in admissions to pregnant women who would 

benefit from their services and to publicize that such preference is given. Twenty-one percent of 

grantees have exceeded approved cost bands, slightly exceeding the established threshold of 

20 percent. 

Strengthening Treatment Access and Retention (-$3.6 million)

The Budget does not request funding for Strengthening Treatment Access and Retention which 

assists States in streamlining administrative procedures and improving processes but does not

support service provision. 

Recovery Community Support Services Program (-$5.2 million) 

The Recovery Community Services Program grant funding comes to a natural end and to focus 

resources on providing these services through more coordinated programs, such as Access to 

Recovery and Drug Courts. Services provided through this program are not required to be 

evidence-based. 

Children and Families (-$24.3 million) 

The Budget does not request separate funding for the Children and Families program. States 

are encouraged to support effective substance abuse treatment practices for adolescents and 

their families with funding received through the Substance Abuse Prevention and Treatment 

Block Grant. 

Minority Fellowship Program (-$0.5 million)

The Budget does not request funds for the MFP. The goal of this program is better addressed 

through HRSA Programs. The goal of the MFP is to places practitioners in clinical settings; 

however, only twenty percent of nursing program participants end up working in clinical care 

settings, only 15 percent of psychiatry participants move on to a primary clinical work setting 

and only one percent of social work participants move on to a clinical setting. The population 

could be better served through HRSA. The FY 2009 Budget include $120 million for the 

recruitment and retention of clinicians to the National Health Service Corps, which places 

clinicians including behavioral health professionals in communities of greatest need such as 

underserved racial/ethnic minority communities. 

Special Initiatives/Outreach (-$4.5 million)

Funding is not requested for Special Initiatives/Outreach in order to avoid redundancy with other

activities. Many of these activities could be provided by the SAMHSA Health Information 

Network. 

Information Dissemination (-$4.6 million) 

The Information Dissemination program is being eliminated to reduce the number of redundant 

activities and to focus resources on the activities with the highest impact. Many of the activities 

of this program could be provided by SAMHSA’s Health Information Network (SHIN). 

ST - 9 
Program Coordination and Evaluation (-$5.2 million) 

Funding is not requested for Program Coordination and Evaluation in order to avoid redundancy 

with other activities. Many of these activities could be provided by the SAMHSA Health 

Information Network. 

Congressional Projects (- $6.2 million) 

These earmarks, which are not awarded through the merit-based or competitive process, do not 

represent the most effective use of Federal dollars. These earmarks divert funding from other 

higher priority programs, circumvent competitive processes, and divert people and associated 

financial resources from the Agency’s core mission activities. 

ST - 10 
Financial Management Systems 

Unified Financial Management System Operations and Maintenance (UFMS Operation & 

Maintenance): UFMS has now been fully deployed. The Program Support Center, through the 

Service and Supply Fund, manages the ongoing Operations and Maintenance activities for 

UFMS. The scope of Operations and Maintenance services includes post deployment support 

and ongoing business and technical operations services, as well as an upgrade of Oracle 

software from version 11.5.9 to version 12.0. SAMHSA will use $1,377,677 for these 

Operations and Maintenance costs in FY 2009. 

ST - 11 
HHS Consolidated Acquisition System 

The HHS Consolidated Acquisition System (HCAS) initiative is a Department-wide contract

management system that will integrate with the Unified Financial Management System. The 

applications within the HCAS are Compusearch PRISM and a portion of the Oracle 

Compusearch Interface. PRISM is a federal contract management system that streamlines the 

procurement process. PRISM automates contract writing, simplified acquisitions, electronic 

approvals and routing, pre-award tracking, contract monitoring, post award tracking, contract 

closeout and reporting. SAMHSA will use $65,349 to support the completion of HCAS 

implementation in FY 2009. 

ST - 12 
FY 2009 HHS Enterprise Information Technology Fund-PMA e-Gov Initiatives 

The SAMHSA will contribute $261,000 of its FY 2009 budget to support Department enterprise 

information technology initiatives as well as the President’s Management Agenda Expanding EGovernment initiatives. Operating Division contributions are combined to create an Enterprise 

Information Technology Fund that finances both the specific HHS information technology 

initiatives identified through the HHS Information Technology Capital Planning and Investment 

Control process and the President’s Management Agenda 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. The HHS Department 

initiatives also position the Department to have a consolidated approach, ready to join in 

President’s Management Agenda initiatives. Of the amount specified above, $125,078 is 

allocated to support the President’s Management Agenda Expanding E-Government initiatives 

for FY 2009. This amount supports the President’s Management Agenda E-Government 

initiatives as follows: 

PMA e-Gov Initiative FY 2009 Allocation 

Business Gateway $1,638 

E-Authentication $0

E-Rulemaking $0

E-Travel $0

Grants.Gov $34,790

Integrated Acquisition $0 

Geospatial LOB $0 

Federal Health Architecture LoB $0 

Human Resources LoB $1,094 

Grants Management LoB $3,644 

Financial Management LoB $1,080 

Budget Formulation & Execution LoB $718 

IT Infrastructure LoB $0 

Integrated Acquisition – Loans and Grants $32,113 

Disaster Assistance Improvement Plan $50,000 

TOTAL $125,078 

Prospective 

Business 

forms; comp

G

l

businesses v

answer busi

benefits from these initiatives are: 

ateway: Provides cross-agency access to government information including:

iance assistance resources; and, tools, in a single access point. The site offers 

arious capabilities including: “issues based” search and organized agency links to 

ness questions; links to help resources regarding which regulations businesses 

need to comply with and how to comply; online single access to government forms; and, 

streamlined submission processes that reduce the regulatory paperwork burdens. HHS’ 

participation in this initiative provides HHS with an effective communication means to provide its 

regulations, policies, and forms applicable to the business community in a business-facing, 

single access point. 

Grants.gov: Allows HHS to publish grant funding opportunities and application packages 

online while allowing the grant community (state, local and tribal governments, education and 

research organizations, non-profit organization, public housing agencies and individuals) to 

search for opportunities, download application forms, complete applications locally, and 

ST - 13 
electronically submit applications using common forms, processes and systems. In FY 2007, 

HHS posted over 1,000 packages and received 108,436 application submissions – more than 

doubling 52,088 received in FY 2006. SAMHSA increased its applications submissions 26 

percent from 801 in FY 2006 to 1,012 submissions in FY 2007. 

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 HHSdesignated 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 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. 

Integrated Acquisition Environment for Loans and Grants: Managed by the General 

Services Administration, all agencies participating in the posting and/or awarding of Loans and 

Grants are required by the Federal Funding Accountability and Transparency Act to disclose 

award information on a publicly accessible website. Cross-government cooperation with the 

Office of Management and Budget’s Integrated Acquisition Environment initiative in determining 

unique identifiers for Loans & Grants transactions furthers the agency in complying with the 

Transparency Act, which enhances transparency of federal program performance information, 

funding, and Loans & Grants solicitation. 

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. The DAIP program office, 

during its first year of operation, will quantify and report on the benefits and cost savings or cost 

reductions for each member agency. 

For detailed information regarding SAMHSA's IT activities, please refer to SAMHSA's FY 2009 

Exhibit 300: Capital Asset Plan and Business Case Summaries. This information will be posted 

on the HHS website by February 19, 2008, at www.hhs.gov/exhibit300. 

ST - 14 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

Issues Addressed by Both the House and Senate 

(H.R. 110-231 and S.R. 110-107) 

Item

Outreach to elderly - Outreach to elderly persons conducted in places frequented by 

seniors, such as senior centers, meal sites, primary care settings and other locations, is 

needed. The elderly treatment and outreach program is the only Federally-funded 

services program dedicated specifically to the mental health care of older adults. It is for 

this reason that within the funds provided, the Committee recommends that no less than 

the level allocated in fiscal year 2007 be allocated for the older adults program. The 

Administration did not request funding for this program. Additionally, SAMHSA is urged 

to study, or to commission a study, examining the mental health workforce needed to 

address the healthcare needs of older adults. (p. 177) 

Action taken or to be taken

With the funding provided at the FY 2008 Enacted level, the Older Adults program within 

CMHS, is provided at $4.8 million, A SAMHSA-wide workforce workgroup is 

collaborating to identify core competencies for behavioral health practice including work 

with older adults. In addition, SAMHSA has two on-line resources to address mental 

health workforce issues: “An Action Plan on Behavioral Health Workforce Development 

and Strengthening Professional Identity – Challenges of the Addictions Treatment 

Workforce.” 

Item

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. In fact, older white 

males (age 85 and over) currently have the highest rates of suicide of any group in the 

United States. The Committee acknowledges the efforts of SAMHSA to address the 

mental and behavioral health needs of older adults through the targeted capacity 

expansion grant program. The Committee encourages increased support for 

communities to assist them 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. 166) 

Action taken or to be taken

With the funding provided at the FY 2008 Enacted level, the Older Adults program within 

CMHS, is provided at $4.8 million, A SAMHSA-wide workforce workgroup is 

collaborating to identify core competencies for behavioral health practice including work 

with older adults. In addition, SAMHSA has two on-line resources to address mental 

health workforce issues: “An Action Plan on Behavioral Health Workforce Development 

and Strengthening Professional Identity – Challenges of the Addictions Treatment 

Workforce.” 

SI - 1 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

Issues Addressed by Both the House and Senate 

(H.R. 110-231 and S.R. 110-107) 

Item

 Treatment drug court program- The Committee urges SAMHSA to ensure, through 

the grant application process, that successful applicants for the treatment drug court 

program demonstrate evidence of direct and extensive consultation and collaboration 

with the corresponding State substance abuse agency in the planning, implementation 

and evaluation of the grant. (p. 180) 

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 has included the Committee language in the FY 2008 

Treatment Drug Courts Request for Applications which requires applicants to 

demonstrate evidence of direct and extensive consultation and collaboration with the 

corresponding State substance abuse agency in the planning, implementation, and 

evaluation of the project by including a letter from the agency Director or designated 

representative in the application that indicates involvement of the agency. 

Item

Criminal justice activities- The Committee recommendation includes an increase of 

$13,709,000, as requested by the administration, for criminal justice activities including 

treatment drug court grants. The Committee urges SAMHSA to ensure through the

grant application process that successful applicants for treatment drug court programs 

demonstrate evidence of consultation and collaboration with the corresponding State 

substance abuse agency in the planning, implementation and evaluation of the grant. 

(p. 170) 

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 has included the Committee language in the FY 2008 

Treatment Drug Courts Request for Applications which requires applicants to 

demonstrate evidence of direct and extensive consultation and collaboration with the 

corresponding State substance abuse agency in the planning, implementation, and 

evaluation of the project by including a letter from the agency Director or designated 

representative in the application that indicates involvement of the agency. 

Item

Underage drinking - The Committee commends the Surgeon General’s “Call to Action” 

on underage drinking, and shares the Surgeon General’s concern about new research 

indicating that the developing adolescent brain may be particularly susceptible to long 

term harms from alcohol use, including neurocognitive impairment. The Committee 

SI - 2 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

Issues Addressed by Both the House and Senate 

(H.R. 110-231 and S.R. 110-107) 

urges the Interagency Coordinating Committee on the Prevention of Underage Drinking 

(ICCPUD) to develop and pursue efforts to carry out the Surgeon General’s Call to 

Action, including supporting and assisting State and local efforts. The Committee 

encourages the Surgeon General and the administrator of SAMHSA to continue 

speaking out on the issue. (p. 182) 

Action taken or to be taken

The ICCPUD agencies are and will continue to disseminate the “Call to Action” and to 

encourage and support State and local efforts to carry it out. For example, the Acting 

Surgeon General addressed national meetings of key ICCPUD programs and 

stakeholders (including the Enforcing the Underage Drinking Laws conference, the 

National Conference for the Office of Safe and Drug Free Schools, and the national 

meeting of the National Association of Alcohol and Drug Abuse Directors, and 

encouraged them to use the Call to Action to inform their programming. In 2008, 

ICCPUD and SAMHSA will again sponsor Town Hall Meetings in all 50 States, and 

communities are encouraged to use the Call to Action and the accompanying guides to 

inform both community awareness and planning. In addition, the Acting Surgeon 

General, in cooperation with the Leadership to Keep Children Alcohol Free, has and will 

continue to roll the Call to Action out in various States, often in concert with the First 

Spouses and other State leaders. Similarly, the SAMHSA Administrator has and will 

continue to speak out on the issue. As part of this effort, both the Acting Surgeon 

General and the SAMSHA will continue to meet with senior officials and the underage 

drinking teams in the States and encourage them to use the Call to Action as a blueprint 

for addressing the issue. 

Item

Preventing underage drinking - The Committee expects the Intergovernmental 

Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) and its 

member agencies to continue coordinating national efforts to prevent and reduce 

underage drinking and its consequences, and developing and pursuing efforts to carry 

out the Surgeon General’s “Call to Action”. Those efforts should include supporting and 

assisting State and local efforts to carry out the Surgeon General's recommendations. In 

reporting Monitoring the Future and other substance use surveillance data, the 

Committee expects SAMHSA to collaborate with NIDA and other ICCPUD agencies to 

separately and prominently highlight alcohol-related findings. (p. 172/173) 

Action taken or to be taken

The ICCPDUD agencies will continue to coordinate national efforts to prevent and 

reduce underage drinking and its consequences, as well as continuing to pursue effort to 

carry out the Surgeon General‘s Call to Action. The Acting Surgeon General addressed 

national meetings of key ICCPUD programs and stakeholders, including the Enforcing 

the Underage Drinking Laws conference, the National Conference for the Office of Safe 

and Drug Free Schools, and the national meeting of the National Association of Alcohol 

and Drug Abuse Directors (NASDAD), and encouraged them to use the Call to Action to 

inform their programming. In 2008, ICCPUD and SAMHSA will again sponsor Town Hall 

SI - 3 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

Issues Addressed by Both the House and Senate 

(H.R. 110-231 and S.R. 110-107) 

Meetings in all 50 States, and communities are encouraged to use the Call to Action and 

the accompanying guides to inform both community awareness and planning. In 

addition, the Acting Surgeon General, in cooperation with the Leadership to Keep 

Children Alcohol Free, has and will continue to roll the Call to Action out in various 

States, often in concert with the First Spouses and other State leaders. With regard to 

data, SAMHSA has and will continue to highlight alcohol-findings from the agency’s data 

sets. The ICCPUD will also continue to encourage its members to highlight alcoholrelated findings in their reports, and will continue to include data in its reports from 

various ICCPUD members’ data sets, including Monitoring the Future, the Youth Risk 

Behavior Survey and the National Survey on Drug Use and Health. 

Item

Use of strategic prevention framework State incentive grant funds - The strategic 

prevention framework State incentive grant (SPF SIG) program is designed to promote, 

bolster, and sustain prevention infrastructure in every State in the country. The 

Committee recognizes 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 strategies that are most 

appropriate for the populations in their own jurisdiction. (p. 182/183) 

Action taken or to be taken

The SPF SIG grant program allows each State to tailor prevention strategies. 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 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. 

Item

Strategic prevention framework State incentive grant program - The Committee 

recommendation includes funding at last year’s level for the strategic prevention 

framework State incentive grant (SPF SIG) program, which is designed to promote, 

bolster and sustain prevention infrastructure in every State in the country. The 

Committee recognizes 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. 172) 

SI - 4 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

Issues Addressed by Both the House and Senate 

(H.R. 110-231 and S.R. 110-107) 

Action taken or to be taken

The SPF SIG grant program allows each State to tailor prevention strategies. 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 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. 

SI - 5 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 House Appropriation Committee Report Language (H.R. 110-231) 

Item

Eating disorders - Data indicate that eating disorders are almost as prevalent as 

alcohol or drug problems among middle and high school female students, but that far 

less time is spent on preventing eating disorders than on substance abuse prevention 

programs. Therefore, the Committee urges SAMHSA to integrate eating disorder 

education and prevention programs into its core mental health programs, particularly 

those that serve middle and high school students. (p. 176) 

Action taken or to be taken

SAMHSA recognizes the impact that eating disorders have on both physical and mental 

health. While SAMHSA does not have any current programs focusing specifically on this 

issue, initiatives that target youth have the ability to integrate information regarding 

eating disorders into program activities as needed. 

Item

Supportive services for veterans - The Committee recognizes that veterans returning 

from Iraq and Afghanistan have enhanced needs for mental health care and other 

supportive services that they may want to access through the community. To improve 

veterans’ access to mental health and related services, the Committee encourages 

SAMHSA to fund a pilot internet-based veterans’ portal within the network of care. The 

portal should include a comprehensive service directory; a veteran-specific library; links 

to advocacy and support groups; and state-of-the-art, interactive technology for personal 

recordkeeping, and information sharing. Such a resource will enable veterans and their 

families to identify and access available services, educate themselves about mental 

illnesses, facilitate communications with providers and others, and overcome the stigma 

that often prevents veterans from seeking care. According to CDC, teen suicide rates in 

the U.S. increased by 18 percent between 2003 and 2004. The Committee is deeply 

concerned by this disturbing development and urges SAMHSA to strengthen its efforts to 

assist local educational systems and nonprofit entities to implement mental health 

screening and suicide prevention programs and to identify evidence-based practices for 

facilitating treatment for youth at risk. As evidence-based programs are developed and 

identified, the Committee urges SAMHSA to support activities in fiscal year 2008 to 

determine how these practices can be best implemented at the community level. (p. 

177/178) 

Action taken or to be taken

As part of the on-going effort to support appropriate services for veterans with substance 

abuse and mental health needs, SAMHSA will consult with the Department of Veterans 

Affairs about available web resources and materials for veterans and strategies for how 

appropriate resources for veterans can be coordinated with SAMHSA’s web portal 

resources. 

Since 2005, SAMHSA has funded local educational systems or non-profit entities 

through the Linking Adolescents at Risk for Suicide to Mental Health Services grant 

program to evaluate voluntary school-based programs that focus on identification and 

SI - 6 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 House Appropriation Committee Report Language (H.R. 110-231) 

referral of high school youth who are at risk for suicide or suicide attempts. In FY 2008, 

program grantees will complete assessments of strategies for identifying high school 

youth at risk for suicide and related referral processes for mental health treatment and/or 

other services. SAMHSA intends to conduct a project in FY 2008 to develop materials 

for use by schools that will take advantage of the knowledge acquired from program 

grantees. This project includes the development of materials and a corresponding 

dissemination plan to encourage the implementation of the identified best practices 

within communities upon completion of grant program activities. 

Item 

Outreach – The Committee encourages 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 Asian Americans and Pacific 

Islanders (AAPI) populations across the U.S. (p. 180) 

Action taken or to be taken 

SAMHSA continues to ensure that its grant programs and technical assistance programs 

are culturally relevant for AAPI and other minority groups. Grant funding 

announcements routinely reflect the requirement for cultural competence and the 

SAMHSA peer review process ensures that the overall portfolio is replete with programs 

serving a variety of minority communities with services delivered in a culturally 

appropriate and responsive manner. 

Currently, SAMHSA has 10 discretionary grants in seven distinct programs targeted at 

the provision of treatment services for AAPI populations. Geographically, the grants 

span the country from New York and Kentucky to California and Hawaii. These grants 

range from the expansion of culturally appropriate behavioral health services for AAPI 

populations in California, to the provision of targeted services to methamphetamine 

users in Hawaii. One grant in California provides intensive services for young women 

(ages 13 to 18) who are under court jurisdiction for drug offenses and offers them 

treatment alternatives, mentoring, and vocational and educational programming. 

In addition, SAMHSA’s Substance Abuse Prevention and Treatment Block Grant funds 

are distributed not only to States with significant AAPI populations (e.g., Hawaii) but also 

to the territories of American Samoa, Guam, the Marshall islands, Micronesia, the 

Northern Mariana Islands and Palau. Technical assistance and consultation is available, 

in person or by electronic means, to each of these jurisdictions through SAMHSA’s 

Centers. 

Finally, SAMHSA offers both prevention and treatment materials in a variety of 

languages, including Chinese, Korean and Vietnamese. These materials are available 

to the public at no cost and can be accessed by mail, telephone or through the internet 

at: http://www.kap.samhsa.gov/mli/. 

SI - 7 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 House Appropriation Committee Report Language (H.R. 110-231) 

Item

Substance abuse prevention - The Committee urges SAMHSA to promote maximum 

flexibility in the use of prevention set-aside funds in order to allow each State to employ 

prevention strategies that match State and local circumstances. (p. 182) 

Action taken or to be taken

The Substance Abuse Prevention and Treatment Block Grant is very flexible with regard 

to the use of the prevention set-aside funds. Within the Block Grant, States are 

statutorily permitted to utilize their funds in the following categories: information 

dissemination, education, alternatives, problem identification and referral, communitybased processes, environmental strategies, other, and tobacco use among minors. 

Some States fund programs and services, while other States fund infrastructure, (e.g. 

coalitions, technical assistance centers, training institutes), and some States do a 

variation of both. All are in compliance with the broad goals of the Substance Abuse 

Prevent and Treatment block grant set-aside. Center for Substance Abuse Prevention 

provides States with a variety of technical assistance, through the Centers for the 

Application of Prevention Technologies, the National Registry of Evidence-based 

Programs and Practices, State Epidemiological Outcome Workgroups and other 

mechanisms to assist them in developing State plans to empower communities to 

implement comprehensive locally developed strategies to reduce substance abuse and 

its related problems. State and their communities have the flexibility to allocate the 

funds in accordance with State and local circumstances. 

Item

Outreach to tribal organizations - The Committee recognizes that substance abuse is 

at critically high levels among American Indians and Alaska Natives and is deeply 

concerned about the epidemic of mental health and substance abuse problems on 

reservations and among urban Indian populations. According to CDC, rates of 

substance abuse and dependency are the highest among the American Indian and 

Alaska Native population at 14.1 percent. The Committee is deeply troubled by recent 

reports, which state that 30 percent of American Indian youths have experimented with 

methamphetamines. The Committee encourages SAMHSA to strengthen outreach to 

tribal organizations, particularly with respect to the access to recovery and targeted 

capacity expansion-general programs, in order to increase tribal participation in these 

programs. Furthermore, the Committee requests SAMHSA to submit a report to the 

House Committee on Appropriations not later than six months after the enactment of this 

Act on its past outreach efforts to tribal organizations, the current participation rates of 

eligible tribal organizations, and barriers to access facing tribal organizations. 

Additionally, the Committee includes adequate funding to ensure that no less than 

$4,070,000 shall be made available to tribes and tribal organizations for treatment 

programs for mental illness and substance abuse. (p. 175) 

Action taken or to be taken

SAMHSA’s commitment in providing outreach to Tribal organizations is a key part of the 

agency’s vision to provide “A Life in the Community for Everyone.” SAMHSA is actively 

SI - 8 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 House Appropriation Committee Report Language (H.R. 110-231) 

engaged in the Department of Health and Human Services’ Regional Tribal Consultation 

Sessions. These sessions provide an opportunity for the Department to reach out to the 

tribal communities in an effort to provide a cohesive approach in providing health-related 

services, including mental health and substance abuse prevention and treatment, 

activities that are appropriate for Native Americans. In FY 2006, SAMHSA initiated a 

new policy geared toward expanding tribal eligibility to more grant programs which 

resulted in the awarding of grants to 12 tribal service organizations across the country. 

In FY 2007, 19 tribal service organizations received grants. Examples of SAMHSA 

programs with tribal participation include: 

• Center for Mental Health Services - Garrett Lee Smith State/Tribal Youth Suicide 

Prevention Grants: seven grants awarded for a total of $2.8 million in FY 2006 to 

the Native American Rehabilitation Association; United American Indian 

Involvement; Tohono O’odham Nation; Montana Wyoming Tribal Leaders 

Council; White Mountain Apache/Johns Hopkins, Maniilaq Association; and 

Standing Rock Sioux Tribe. 

• Center for Substance Abuse Prevention - Strategic Prevention Framework State 

Incentive Grants: – five grants awarded for a total of $6.8 million in FY 2006 to 

Cook Inlet Tribe Council, Inc., Anchorage; Native American Health Center, Inc., 

Oakland; Grand Traverse Band of Ottawa and Chippewa, Peshawbestown; The 

Cherokee Nation, Tahlequah; and Great Lakes Intertribal Council, Inc., Lac du 

Flambeau 

• Center for Substance Abuse Treatment: Access to Recovery: five ATR grants 

totaling $15.7 million were awarded in FY 2007 to Southcentral Foundation in 

Anchorage, AK; California Rural Indian Health Board; Inter-Tribal Council of 

Michigan, Inc.; Montana-Wyoming Tribal Leaders Council; and Cherokee Nation 

of Oklahoma. These grants include a focus on treatment for Methamphetamine 

use. 

SAMSHA expects to provide its report to the House Committee on Appropriations in 

early summer 2008. 

Item

State underage drinking and enforcement activities - Within the total, the Committee 

recommends $7,000,000 to carry out programs authorized by the Sober Truth on 

Preventing (STOP) Underage Drinking Act: $5,000,000 for community-based coalition

enhancement grants; $1,000,000 for the Intergovernmental Coordinating Committee on 

the Prevention of Underage Drinking (ICCPUD); and, $1,000,000 to continue and 

enhance the national adult-oriented media public service campaign to prevent underage 

drinking. The Committee intends that the funding provided to ICCPUD will be used to 

provide a report to the House and Senate Committees on Appropriations on State 

underage drinking prevention and enforcement activities consistent with the STOP 

Underage Drinking Act, including a comprehensive summary of the actions taken to 

accomplish the recommendations in the Surgeon General’s call to action. (p. 182) 

SI - 9 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 House Appropriation Committee Report Language (H.R. 110-231) 

Action taken or to be taken

The ICCPUD agencies are and will continue to disseminate the “Call to Action” and to 

encourage and support State and local efforts to carry it out. For example, the Acting 

Surgeon General addressed national meetings of key ICCPUD programs and 

stakeholders (including the Enforcing the Underage Drinking Laws conference, the 

National Conference for the Office of Safe and Drug Free Schools, and the national 

meeting of the National Association of Alcohol and Drug Abuse Directors, and 

encouraged them to use the Call to Action to inform their programming. In 2008, 

ICCPUD and SAMHSA will again sponsor Town Hall Meetings in all 50 States, and 

communities are encouraged to use the Call to Action and the accompanying guides to 

inform both community awareness and planning. In addition, the Acting Surgeon 

General, in cooperation with the Leadership to Keep Children Alcohol Free, has and will 

continue to roll the Call to Action out in various States, often in concert with the First 

Spouses and other State leaders. Similarly, the SAMHSA Administrator has and will 

continue to speak out on the issue. As part of this effort, both the Acting Surgeon 

General and the SAMSHA will continue to meet with senior officials and the underage 

drinking teams in the States and encourage them to use the Call to Action as a blueprint 

for addressing the issue. 

A comprehensive summary of the actions being taken to accomplish the 

recommendations in the Surgeon General’s Call to Action will be addressed in the final 

Appropriations report to Congress. 

SI - 10 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

Item

Trauma-related mental disorders - The Committee reiterates its strong support for the 

National Child Traumatic Stress Network (NCTSN). The recommendation includes 

$35,000,000 to support grants through the NCTSN that will develop knowledge of best 

practices, offer trauma training to mental health and other child-serving providers, and 

provide mental health services to children and families suffering from post-traumatic 

stress disorder (PTSD) and other trauma-related disorders as a result of having 

witnessed or experienced a traumatic event. The Committee encourages the expansion 

of the number of network centers, with preference to applicants with prior experience in 

the NCTSN and extensive experience in the field of trauma-related mental disorders in 

children, youth, and families. (p. 165/166) 

Action taken or to be taken

Consistent with the FY 2008 Enacted Bill, SAMHSA will provide $33,092,000 for the 

National Child Traumatic Stress Network program. The National Child Traumatic Stress 

Network consists of organizations working to address the complex issue of child

traumatic stress as a result of various types of trauma and through a variety of childserving agencies and systems. Requirements and priorities in SAMHSA’s request for 

applications mirrors that in the authorizing language which states, “the Secretary shall 

give priority to mental health agencies and programs that have established clinical and 

basic research experience in the field of trauma-related mental disorders.” SAMHSA’s 

competitive application process permits previously funded grantees to reapply for 

funding under this initiative. 

Item

Disaster Mental Health - The Committee recognizes the significant impact that natural 

and human-made disasters can have on mental and behavioral health. In particular, 

such events can lead to negative mental and behavioral health consequences for 

vulnerable populations, including older adults, children, individuals with disabilities, and 

ethnic minorities. The Committee acknowledges the role of the Emergency Mental 

Health and Traumatic Stress Services Branch in supporting the emotional recovery of 

those impacted by trauma and disasters. The Committee encourages this branch, in 

collaboration with FEMA, to increase attention to the mental and behavioral health needs 

of vulnerable populations during and in the aftermath of a disaster. (p. 166) 

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, when appropriate, referring individuals 

considered being vulnerable populations such as children, frail elderly, recent 

immigrants and individuals with serious mental illness or addiction disorder. 

SAMHSA staff have also provided consultation to the Centers for Medicare and 

Medicaid on longer term mental health needs and infrastructure needs related to the 

SI - 11 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

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 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. 

Item 

Juvenile Justice - The Committee encourages SAMSHA to give high priority to projects 

that coordinate, screen, assess, diagnose and treat juveniles who have had encounters 

with the juvenile justice system. The Committee is encouraged by the results of such 

programs that have shown significant decreases in contacts with law enforcement. (p. 

166) 

Action taken or to be taken

The Comprehensive Community Mental Health Services for Children and Their Families 

(Systems of Care) program has consistently served youth involved with the juvenile 

justice system, ranging from 11 percent to 19 percent. Throughout the program’s history, 

the percentage of youth served in systems of care who have reported some contact with 

law enforcement at intake into services has increased, averaging 37 percent. These 

youth, however, consistently demonstrate a decrease in subsequent law enforcement 

contacts at 6 months, with an average decrease of 33 percent. According to a study 

done on the System of Care, the percentage of youth reporting they had been arrested 

in the previous 6 months decreased significantly over time. Nearly 20 percent reported 

having been arrested at intake, but the figure dropped to just over 12 percent at 18 

months, a statistically significant decrease. In studies comparing systems of care to 

traditional service delivery systems, results indicate that risk of subsequent juvenile 

justice involvement was reduced when children received mental health services in 

systems of care rather than in comparison service delivery systems. 

In addition, SAMHSA Adolescent Substance Abuse Treatment Grants have consistently 

served youth who have had involvement with the juvenile justice system. Since 1997,

between 60 percent and 80 percent of youth who received treatment through CSAT 

adolescent treatment grant programs have been related to the juvenile justice system. 

SAMHSA anticipates that future adolescent substance abuse treatment grant programs 

will continue to provide coordination, screening, assessment, diagnosis and treatment 

for youth, with a particular focus on youth who have been involved in the juvenile justice 

system. 

Item

Teenage Depression and Suicide - According to the Centers for Disease Control and 

Prevention, teen suicide rates in the United States increased by 18 percent between 

2003 and 2004. The Committee is deeply concerned by this disturbing development and 

urges SAMHSA to strengthen its efforts to assist local educational systems and nonprofit entities to implement mental health screening and suicide prevention programs 

and to identify evidence-based practices for facilitating treatment for youth at risk. As 

SI - 12 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

evidence-based programs are developed and identified, the Committee strongly urges 

SAMHSA to determine how these practices can be best implemented at the community 

level. (p. 166) 

Action taken or to be taken

SAMHSA has been providing substantial support to implement and evaluate mental 

health screening and suicide prevention programs and to identify evidence based 

practices for facilitating treatment for youth at risk. The Garrett Lee Smith State and 

Tribal Youth Suicide Prevention and Early Intervention grant program is currently 

supporting youth suicide prevention and early intervention efforts in 31 States and seven 

tribes or tribal organizations, and a Request for Applications for this grant program has 

been issued by SAMHSA for FY 2008. Currently, most of the 38 grantees are providing 

school based suicide prevention programs. SAMHSA is funding a cross site evaluation 

of these programs. Among the areas examining is the extent to which youth identified 

as at risk for suicide are referred and actually receive mental health treatment. The 

cross site evaluation is also examining the extent to which school “gatekeepers” who are 

trained in techniques such as identifying the warning signs of suicide, actually utilize 

what they have learned. This evaluation data is made available for grantees to utilize, 

and technical assistance for implementation issues provided through the Suicide 

Prevention Resource Center. 

SAMHSA has also funded eight Adolescents at Risk grants to evaluate the effectiveness 

of school based suicide prevention programs in linking at risk youth to services. In FY 

2007, the grantees were given an additional year to continue their work. 

Finally, SAMHSA’s Suicide Prevention Resource Center has been collaborating with 

SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP).

The Suicide Prevention Resource Center has worked to identify suicide prevention 

programs and assist them in becoming ready for NREPP review. Of the seven suicide 

prevention programs currently on the NREPP registry, there are three school based 

programs, the American Indian Life Skills Development curricula, the Signs of Suicide 

program, and the Columbia University Teen Screen program. There are several 

additional suicide prevention programs, including school based programs that are 

currently under review. NREPP ranks each program on strength of evidence and the 

ability to be disseminated. After all the suicide prevention programs have been through 

the NREPP review process, SAMHSA and the Suicide Prevention Resource Center will 

systematically address the problems through knowledge dissemination. 

Item

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 

SI - 13 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

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. 167) 

Action taken or to be taken

The FY 2008 Community Mental Health Services Block Grant Plan Guidance required 

States to describe how the service needs of older adults would be addressed. States 

will submit their annual Implementation Report summarizing the activities related to 

serving this population by December 1, 2008. 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. 

Item

Blood Borne Pathogens - The Committee is concerned about the prevalence of 

substance abuse, hepatitis and other blood borne pathogens and encourages SAMHSA 

to promote liver health education and primary prevention activities. This effort could 

include the promotion of healthy lifestyle behaviors for all age groups and secondary 

prevention to promote recovery for those infected with blood borne pathogens. (p. 170) 

 

Action taken or to be taken

All Minority AIDS grantees (currently 127 discretionary grants funded in FY 2007) require 

that grantees offer HIV rapid testing and follow-up services for all clients that test 

positive. Testing in the past has been done through coordination with a local health 

department or an AIDS services organization. However, beginning in FY 2008, CSAT 

Minority AIDS grantees will be required to offer testing on-site (employing trained and 

State-certified counselors). The cost of test kits, staff time, and training may be 

budgeted in the grant. If a client tests HIV positive using the rapid test and has a second 

confirmatory test which is also positive, the grantee must assure that the HIV/AIDS 

medical needs of the client will be addressed. Grantees also must provide a plan to 

track all referrals and outcomes of HIV positive clients who are referred for treatment. 

Grantees will be required to collect and submit testing and counseling data for all clients 

receiving services purchased with grant funds. These data include, but are not limited 

to, rapid and confirmatory test results, past HIV test results, reason for referral, risky 

behaviors, and referrals. The data will be reported using the standard GPRA data 

collection tool and entered and submitted through the GPRA/Services Accountability 

Improvement System website or collected through the multi-site evaluation. 

In addition, all Minority AIDS grantees are expected to provide HIV/AIDS related 

services (including referral for treatment for Sexually Transmitted Infections, 

Tuberculosis, and Hepatitis A, B and C). Grantees are also expected to develop 

memoranda of agreement with community-based organizations with experience in 

providing recovery support and other services in the targeted communities. 

SI - 14 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

We have worked with the Hepatitis Foundation International and estimate that we have 

trained 3,000 SAMHSA grantees in the past three years. The Hepatitis Foundation 

International has made presentations at grantee conferences, national conferences 

including grantees and at grantee organizations around the country. 

In addition, SAMHSA is conducting Hepatitis C testing and a Hepatitis A and B 

vaccination project. In September 2005, under a SAMHSA Hepatitis Vaccination 

Demonstration Project, a firm fixed price contract was awarded to an (8a) small business 

to ship and track 43,950 doses of Hepatitis A/B vaccine and needles. Invitation letters to 

programs were sent from CSAT in Nov 2005 and initial vaccine shipments began in Jan 

2006. By the end of September 2006, all vaccine doses had been ordered with requests 

for significantly more than were available for 38 programs in 21 States covering 82 

vaccination sites. Throughout this time period, there was rapidly increasing interest from 

State Hepatitis C Coordinators operating out of State health departments and local/State 

public health departments to increase vaccinations in vulnerable populations who would 

not have otherwise received any Hepatitis immunizations. Within the short time-frame of 

this demonstration project, some programs began forming necessary support 

relationships with public health agencies so that immunizations recommended by 

Centers for Disease Control and Prevention could occur as a ‘one-stop’ patient care 

service and patients could be effectively immunized against Hepatitis A and B virus that 

could otherwise result in significant disability or death. Other programs had strong 

internal immunization capability and were rapidly able to increase their immunization 

efforts such that the strong demand expressed by patient or outreach community 

populations could be addressed. 

An initiative begun in FY 2007 adds support for home testing for Hepatitis C virus (HCV) 

in individuals who are receiving methadone treatment for opiate addiction through the 

purchase and distribution of Hepatitis C home test kits. The current initiative 

continues support of hepatitis immunization against Hepatitis A and B virus infection that 

should help prevent additional serious liver disease through the purchase of hepatitis 

vaccines to be used by participating opioid treatment programs. 

Opioid Treatment Programs participating in the vaccination demonstration 

project will work with the program coordinator to provide demographic and risk 

information, and numbers of vaccinations received by those agreeing to be vaccinated. 

The evaluations reflect the different types of programs and populations served, as well 

as the inherent capability to either directly vaccinate the population at risk, or develop 

the relationships necessary between public health and substance abuse 

prevention/treatment programs to facilitate provision of recommended preventive 

services. 

The goal of this project is to evaluate the feasibility of a multi-modal approach that 

includes prevention and patient care, and will: 

 

SI - 15 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

1. Support home testing for Hepatitis C infection in HIV+ clients in treatment within 

participating substance abuse treatment programs, 

2. Promote a reduced risk of progressive liver disease through vaccination against 

infection by Hepatitis A and B virus, allowing use of an accelerated vaccine

schedule for enhanced compliance in community-outreach or brief intervention 

settings, 

3. Collect information on any OTP case management and referral initiatives to 

hepatitis evaluation and care for those individuals who test positive for Hepatitis 

C infection, and 

4. Collect information on any OTP Case management and referral initiatives to HIV 

evaluation and care for those individuals who are diagnosed to be HIV positive 

The objectives of this project are as follows: 

1. Establish a 'just in time' shipping strategy of vaccine and test products to 

minimize on-site storage and potential waste problems while reaching the 

maximum number of patients that can benefit from hepatitis vaccination or testing 

services. 

2. Establish partnership agreements with up to 10 substance abuse treatment 

programs comprising methadone programs, mobile outreach programs, or 

buprenorphine certified physicians. 

3. Document numbers of patients receiving vaccinations that would not otherwise 

have been given and numbers of patients screened and treated for hepatitis 

and/or HIV who also have a substance use disorder. 

4. Define within these participating programs, a cost-effective delivery of enhanced 

health services to an ethnic minority population receiving interventions for opioid 

dependence within a treatment setting that has the potential to increase 

recommended vaccination and hepatitis testing services. 

5. Establish a model cost of implementing this service, with improvement

opportunities for achieving greater efficiency through a quality 

assurance/improvement process. 

6. Assure that the population served meets the requirements of MAI funding. 

Item

Screening Persons with HIV - According to the nationally representative HIV Cost and 

Services Utilization Study (HCSUS), almost half of persons with HIV screened positive 

for illicit drug use or a mental disorder, including depression and anxiety disorder. 

Unfortunately, health care providers fail to notice mental disorder and substance use 

problems in almost half of patients with HIV/AIDS, and mental health and substance use 

screening is not common practice in primary care settings. 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. 170) 

Action taken or to be taken

SI - 16 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

In the past SAMHSA has supported collaboration with HRSA on training for mental 

health and substance abuse treatment provision and screening in primary care settings 

for individuals with HIV. HRSA and SAMHSA continue to collaborate and HRSA 

includes information about SAMHSA-sponsored mental health resources within its AIDS 

Education and Training Centers materials. At the community level, grantees in the 

CMHS Mental Health HIV Services Collaborative Program commonly engage in 

outreach and coordination with local HRSA-funded testing and treatment projects to 

foster linkages between mental health treatment and specialty care services for persons 

with HIV/AIDS. 

Item

Preventing substance use among youth through environmental and populationbased strategies - The Committee expects CSAP to focus its efforts on preventing 

substance use among youth through 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 

reallocated for any other programs or purposes within SAMHSA. (p. 172) 

Action taken or to be taken

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 “training of trainers” 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 receiving funds under the Strategic Prevention 

Framework State Incentive Grant (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 a part of 

the State's strategic plan. The SPF SIG grantees require their sub-recipients to include

environmental strategies as a 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 sub recipients to implement environmental 

SI - 17 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

strategies in an effort to affect population level change. For example, one State, 

Indiana, is using an after school program, Indiana Rocks an impressive environmental 

strategy, to raise awareness and increase age of first use among the State's 10-14 year 

olds. 

Item

Centers for the Application of Prevention Technologies - The Committee provides 

funding at no less than last year’s level for the Centers for the Application of Prevention 

Technologies (CAPTs) instead of the proposed elimination of this program. The 

Committee is extremely concerned with SAMHSA's proposal to eliminate the CAPTs. 

The purpose of the CAPTs is to translate the latest substance abuse prevention science 

and improve the practices of prevention professionals and community coalition 

members. The CAPTs are SAMHSA’s only regional network system that provides 

substance abuse prevention workforce training through regional conferences, 

workshops, customized technical assistance, curriculum development, online courses, 

and trainer events. (p. 172) 

Action taken or to be taken

SAMHSA 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. 

Item

Accomplishments of the Fetal Alcohol Spectrum Disorder - The Committee

supports the continuation and enhancement of SAMHSA’s Fetal Alcohol Spectrum

Disorders (FASD) Center for Excellence, and has included funding at last year's level for 

FASD activities. The Committee requests that SAMHSA submit a progress report in its 

fiscal year 2009 congressional budget justification on the Center’s accomplishments and 

lessons learned in preventing and reducing fetal alcohol spectrum disorders. The report 

should outline future plans for the Center, including programmatic and funding priorities. 

(p. 173) 

Action taken or to be taken

SAMHSA supports the FASD Center for Excellence (CFE). The FASD CFE was 

established in 2001 as a national resource for FASD information and to increase 

effectiveness of FASD prevention and treatment options for women of childbearing age 

and affected individuals. The FASD Center for Excellence has integrated prevention and 

intervention approaches into existing service delivery systems, and developed, 

implemented, and evaluated policies and procedures to screen, make referrals for 

diagnosis, to help prevent FASD. In addition, through its trainings and technical 

assistance, the Center for Excellence has been a catalyst in fostering a significant 

improvement in the State response to FASD. SAMSHA expects to provide its report to 

the House Committee on Appropriations in early summer 2008. The FY 2009 budget 

requests $9.8 million for the continuation of the program. 

SI - 18 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

With less than a year into a new contract awarded in 2007, the program has already 

made significant strides toward accomplishing its goals. The overall services to be 

provided include: 

1. Identifies, assesses, and disseminates evidence-based interventions and service 

delivery improvement strategies for children and adults with an FASD and their families. 

2. Provides technical assistance to communities that do not have a comprehensive 

system of care for such individuals and their families. 

3. Provides training to community leaders, mental health and substance abuse 

professionals, families, law enforcement personnel, judges, health professionals, 

persons working in financial assistance programs, social service personnel, child welfare 

professionals, and other service providers on the implications of FASD and early 

identification of and referral for such conditions. 

4. Updates SAMHSA’s Health Information Network about products, services (including 

trainings) that are made available by the Center and its network at

http://www.fasdcenter.samhsa.gov/educationTraining/fasdBasics.cfm. 

5. Supports a group of State, community, and juvenile justice subcontractors as they 

integrate evidence based interventions for the prevention and treatment of FASD. 

Progress to Date 

In the 3 months since this new contract was awarded in 2007, the contractor has 

accomplished the following: 

1. With recommendations from SAMHSA, the Center recruited an Expert Panel to guide 

and advise the Center as it develops and implements its work. 

2. The Center helped SAMHSA mark FASD Awareness Day 2007 with an event that 

featured the SAMHSA Administrator as the keynote speaker. Over 70 people attended. 

3. Center for Excellence staff presented the opening address at the Emory University, 

Spray Foundation Leadership Institute “Intervention and Treatment for Alcohol-Affected 

Individuals: The Next Challenge.” Staff also delivered a poster presentation on the first

round of FASD integration subcontracts at the 2007 American Public Health Association 

Annual Meeting on November 5, 2007. 

4. The national FASD website, www.fasdcenter.gov, continued to grow and continues to 

be a prime source of FASD information to the American people. 

5. The first meeting of the National Association of FASD State Coordinators was held in 

November 2007 

6. The training and Technical Assistance plan for the coming year was submitted to 

SAMHSA, and the FASD Center for Excellence expert conducted training events in 

Alaska, Pennsylvania, South Carolina, Virginia and Maryland. The Center for Excellence 

has responded to requests for technical assistance from Alaska (Medicaid Waiver 

project), Washington State, Virginia, Pennsylvania, and Arizona. 

Future Plans 

1. Expert Panel members convened for their first meeting in December 2007. 

SI - 19 
Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Senate Appropriation Committee Report Language (S.R. 110-107) 

2. The Center for Excellence will award new FASD integration subcontracts in January 

2008 and plans to conduct two kickoff meetings in March 2008. 

3. The 5th Building State Systems Meeting will be held in May 2008. Center for 

Excellence staff are in the midst of selecting the site and assembling a planning 

committee. 

4. The program requests a budget of $9.8 million in FY 2009. 

5. SAMHSA will submit a progress report to Congress as required. 

 

Item

Accomplishments of Fetal Alcohol Spectrum Disorders Center - The Committee 

supports the continuation and enhancement of SAMHSA’s fetal alcohol spectrum 

disorders (FASD) center for excellence, and requests that SAMHSA submit a progress 

report within six months of enactment of this bill on the center’s accomplishments and 

lessons learned in preventing and reducing FASD. The report should outline future 

plans for the center, including programmatic and funding priorities. (House Report 110-

231, page 183) 

Action taken or to be taken

SAMHSA supports the FASD Center for Excellence (CFE). The FASD CFE was 

established in 2001 as a national resource for FASD information and to increase 

effectiveness of FASD prevention and treatment options for women of childbearing age 

and affected individuals. The FASD Center for Excellence has integrated prevention and 

intervention approaches into existing service delivery systems, and developed, 

implemented, and evaluated policies and procedures to screen, make referrals for 

diagnosis, to help prevent FASD. In addition, through its trainings and technical 

assistance, the Center for Excellence has been a catalyst in fostering a significant 

improvement in the State response to FASD. SAMSHA expects to provide its report to 

the House Committee on Appropriations in early summer 2008. The FY 2009 budget 

requests $9.8 million for the continuation of the program. 

SI - 20 
` 

Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Conference Report (110-424) 

Item

Trauma-related mental disorders - Within the total for mental health programs of 

regional and national significance, the conference agreement includes $33,680,000 for 

the National Child Traumatic Stress Initiative instead of $32,360,000 as proposed by the 

House and $35,000,000 as proposed by the Senate. In funding new grants, the 

conferees direct SAMHSA to give high priority to centers providing services in areas 

impacted by Hurricanes Katrina and Rita and who have previous experience in providing 

such services. 

Action taken or to be taken

Consistent with the FY 2008 Enacted Bill, SAMHSA will provide $33,092,000 for the 

national Child Traumatic Stress Network program. The National Child Traumatic Stress 

Network consists of organizations working to address the complex issue of child 

traumatic stress as a result of various types of trauma and through a variety of childserving agencies and systems. 

SAMHSA will issue a new funding announcement in FY 2008. This announcement will 

give high priority to centers providing services in areas impacted by Hurricanes Katrina 

and Rita and who have previous experience in providing such services. SAMHSA’s 

competitive application process permits previously funded grantees to reapply for 

funding under this initiative. 

Item

Behavioral/physical health services - Within the total for mental health programs of

regional and national significance, the conference agreement includes $7,500,000 for a 

wellness initiative, instead of $15,000,000 as proposed by the Senate, to assist local 

communities in the coordination and improvement of the integration of 

behavioral/physical health services. In carrying out this wellness initiative, the conferees 

expect SAMHSA to collaborate with HRSA and CDC. The conferees intend that funding 

provided will allow local communities to undertake a range of prevention and health 

promotion activities and expect that grantees must be able to evaluate the success of 

the program based on their ability to provide evidence-based services. The House did 

not propose funding for this initiative.

Action taken or to be taken

In FY2008, SAMHSA will implement a comprehensive wellness initiative that will 

encourage the integration of behavioral and physical health through a range of 

promotion and prevention activities. Funding will support a new grant program for 

children from birth to age 8 and their families that will work across service systems to 

promote positive health outcomes and the overall well-being of children. The initiative is 

planned as a collaborative effort with other HHS partners, including HRSA, CDC and 

ACF. Grantees will be required to participate in a cross-site evaluation focused on the 

implementation of evidenced-based practices and community collaboration. To support 

the integration of behavioral health and primary care service plans at the state level, 

SAMHSA will work with State Mental Health Authorities on pilot projects to integrate 

SI - 21 
` 

Substance Abuse and Mental Health Services Administration 

SIGNIFICANT ITEMS IN HOUSE, SENATE AND CONFERENCE 

APPROPRIATIONS REPORTS 

FY 2008 Conference Report (110-424) 

behavioral health and primary care service systems. SAMHSA’s efforts will also include 

wellness efforts focused on consumer and family involvement. 

SI - 22