FY 2022 FY 2023

Mental Health

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

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

Project AWARE............................................................................................................................................... -- --

State Grants........................................................................................................................................................ 107.484 110.501

Civil Unrest.......................................................................................................................................................... 12.500 17.500

Evidence-Based/Culturally Relevant/Trauma Support for Students (Sect. 7134 SUPPORT Act)(non-add).......... 7.000 12.000

Subtotal, Project AWARE......................................................................................................................... 119.984 140.001

Mental Health Awareness Training.......................................................................................................................... 24.945 27.963

Healthy Transitions.................................................................................................................................................. 29.328 30.451

Infant and Early Childhood Mental Health............................................................................................................... 10.114 15.000

Children and Family Programs................................................................................................................................. 6.843 7.229

Consumer and Family Network Grants.................................................................................................................... 4.771 4.954

MH System Transformation and Health Reform...................................................................................................... 3.714 3.779

Project LAUNCH....................................................................................................................................................... 23.088 25.605

Primary and Behavioral Health Care Integration...................................................................................................... 52.403 55.877

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

Zero Suicide .................................................................................................................................................. 18.783 22.800

American Indian Alaska Native...................................................................................................................... 2.400 3.400

Subtotal, Zero Suicide........................................................................................................................ 21.183 26.200

National Strategy on Suicide Prevention............................................................................................................ 2.134 2.000

Subtotal, National Strategy on Suicide Prevention................................................................................... 23.318 28.200

Suicide Lifeline......................................................................................................................................................... 102.121 --

Capacity and Specialized Services for LGBTQ Youth (non-add)............................................................................. 7.200

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

988 and Behavioral Health Crisis Coordinating Office/1.......................................................................................... 501.618

Capacity and Specialized Services for LGBTQ Youth (non-add)............................................................................. 29.700

Behavioral Health Crisis Coordinating Office (non-add)........................................................................................ 7.000

Services for Spanish Speakers (non-add)............................................................................................................... 10.000

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

Discretionary Budget Authority.......................................................................................................................... 27.247 31.806

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

Subtotal, GLS - Youth Suicide Prevention - States..................................................................................... 39.247 43.806

GLS - Youth Suicide Prevention - Campus................................................................................................................ 6.818 8.488

AI/AN Suicide Prevention Initiative.......................................................................................................................... 2.662 3.931

Homelessness Prevention Programs........................................................................................................................ 30.614 33.696

Tribal Behavioral Health Grants............................................................................................................................... 20.683 22.750

Minority AIDS........................................................................................................................................................... 9.627 9.224

Criminal and Juvenile Justice Programs................................................................................................................... 6.521 11.269

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

Assertive Community Treatment for Individual with SMI........................................................................................ 8.788 9.000

GLS - Suicide Prevention Resource Center............................................................................................................... 8.957 11.000

Practice Improvement & Training............................................................................................................................ 7.916 7.828

Primary and Behavioral Health Care Integration TTA............................................................................................... 1.977 1.991

Consumer and Consumer Support TA Centers......................................................................................................... 1.898 1.918

Minority Fellowship Program................................................................................................................................... 10.042 11.059

Disaster Response.................................................................................................................................................... 1.743 1.953

Homelessness........................................................................................................................................................... 2.241 2.296

MH Crisis Response Grants...................................................................................................................................... 10.084 20.000

Interagency Task Force on Trauma-Informed Care.................................................................................................. 1.039 2.000

Total, Programs of Regional and National Significance......................................................................................... 587.036 1,053.453

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

Discretionary Budget Authority............................................................................................................................. 836.532 986.532

Evidence-Based Crisis Systems (Non add)........................................................................................................... 41.827 49.327

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

Subtotal, Mental Health Block Grant.......................................................................................................... 857.571 1,007.571

Certified Community Behavioral Health Clinics........................................................................................................ 315.000 385.000

National Child Traumatic Stress Initiative................................................................................................................ 81.887 93.887

Children's Mental Health Services............................................................................................................................ 125.000 130.000

Children's Mental Health Services 10% set-aside for youth in prodrome phase of psychosis (Non-add).................. 12.500 13.000

Projects for Assistance in Transition from Homelessness........................................................................................ 64.635 66.635

Protection and Advocacy for Individuals with Mental Illness................................................................................... 38.000 40.000

Mental Health Totals -- --

Discretionary Budget Authority............................................................................................................................... 2,048.090 2,755.507

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

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

Total, Mental Health Program Level..................................................................................................................... 2,081.129 2,788.546

Final

The Substance Abuse and Mental Health Services Administration

Operating plan for FY 2023

Dollars in Millions

Activities Final 
FY 2022 FY 2023

Substance Abuse Treatment -- --

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

Opioid Treatment Programs/Regulatory Activities.................................................................................................. 9.212 10.724

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

Discretionary Budget Authority.......................................................................................................................... 29.496 31.840

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

Subtotal, Screening, Brief Intervention and Referral to Treatment........................................................... 31.496 33.840

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

Other Targeted Capacity Expansion.................................................................................................................... 11.192 11.416

Medication-Assisted Treatment for Prescription Drug and Opioid Addiction..................................................... 100.989 111.000

AI/AN Medication-Assisted Treatment for Prescription Drug and Opioid Addiction (Non add).......................... 12.000 14.500

Subtotal, Targeted Capacity Expansion-General....................................................................................... 112.181 122.416

Grants to Prevent Prescription Drug/Opioid Overdose............................................................................................ 13.886 16.000

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

First Responder Training .................................................................................................................................... 20.345 25.000

Rural Focus.......................................................................................................................................................... 26.000 31.000

Rural Public and Non-Profit Fire and EMS agencies (Non add) ........................................................................ 7.500 10.500

Subtotal, First Responder Training (CARA)............................................................................................... 46.345 56.000

Improving Access to Overdose Treatment............................................................................................................... 1.062 1.500

Pregnant & Postpartum Women.............................................................................................................................. 34.806 38.931

Building Communities of Recovery (CARA).............................................................................................................. 12.932 16.000

Recovery Community Services Program.................................................................................................................. 2.503 4.434

Children and Families............................................................................................................................................... 29.845 30.197

Treatment Systems for Homeless............................................................................................................................ 36.143 37.114

Minority AIDS .......................................................................................................................................................... 65.668 66.881

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

Other Criminal Justice Activities......................................................................................................................... 18.605 20.000

Drug Court Activities........................................................................................................................................... 70.390 74.000

Subtotal, Criminal Justice Activities......................................................................................................... 88.995 94.000

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

Minority Fellowship Program................................................................................................................................... 5.827 7.136

Peer Support Technical Assistance Center............................................................................................................... 0.994 2.000

Treatment, Recovery, and Workforce Support........................................................................................................ 9.990 12.000

Comprehensive Opioid Recovery Centers................................................................................................................ 4.613 6.000

Emergency Department Alternatives to Opioids...................................................................................................... 5.975 8.000

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

Youth Prevention and Recovery Initiative................................................................................................................ 2.000

Total, Programs of Regional and National Significance......................................................................................... 519.517 572.219

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

Discretionary Budget Authority............................................................................................................................. 1,828.879 1,928.879

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

Subtotal, Substance Abuse Block Grant........................................................................................................ 1,908.079 2,008.079

State Opioid Response Grants............................................................................................................................ 1,439.500 1,488.500

 Federal Administrative Expenses, Training, Technical Assistance, and Evaluation........ .................................. 30.500 31.500

 Set Aside for States with Highest Opioid Mortality Rates (Non add)............................................................... 220.500 228.000

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

Subtotal, State Opioid Response Grants....................................................................................................... 1,525.000 1,575.000

Substance Abuse Treatment Totals -- --

Discretionary Budget Authority............................................................................................................................... 3,873.396 4,076.098

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

Total, Substance Abuse Treatment Program Level............................................................................................... 3,954.596 4,157.298

Substance Abuse Prevention -- --

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

SPF Partnerships for Success............................................................................................................................... 117.484 125.484

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

Subtotal, Strategic Prevention Framework................................................................................................... 127.484 135.484

Mandatory Drug Testing.......................................................................................................................................... 4.978 5.139

Minority AIDS........................................................................................................................................................... 41.205 43.205

National Adult-Oriented Media Public Service Campaign................................................................................... 2.071 2.500

Community-based Coalition Enhancement Grants............................................................................................. 8.902 11.000

Intergovernmental Coordinating Committee on the Prevention of Underage Drinking .................................... 1.027 1.000

Subtotal, Sober Truth on Prevention Underage Drinking (STOP Act).............................................................. 12.000 14.500

Tribal Behavioral Health Grants............................................................................................................................... 20.750 23.665

Center for the Application of Prevention Technologies........................................................................................... 7.493 9.493

Science and Service Program Coordination.............................................................................................................. 3.988 4.072

Minority Fellowship Program................................................................................................................................... 0.321 1.321

Substance Abuse Prevention Totals -- --

Discretionary Budget Authority............................................................................................................................... 218.219 236.879

Total, Substance Abuse Prevention Program Level............................................................................................... 218.219 236.879

Activities Final Final
FY 2022 FY 2023

Health Surveillance and Program Support -- --

Health Surveillance.................................................................................................................................................. -- --

Discretionary Budget Authority ............................................................................................................................ 18.195 20.195

PHS Evaluation Funds ........................................................................................................................................... 30.439 30.428

Subtotal, Health Surveillance..................................................................................................................... 48.634 50.623

Program Support...................................................................................................................................................... 81.500 84.500

Performance and Quality Information Systems....................................................................................................... 10.000 10.200

Drug Abuse Warning Network................................................................................................................................. 10.000 13.000

Public Awareness and Support................................................................................................................................. 13.000 13.260

PHS Evaluation Funds ........................................................................................................................................... 0.989 1.000

Subtotal, Behavioral Health Workforce Data.............................................................................................. 0.989 1.000

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

Community Project Funding/Congressionally Directed Spending............................................................................ 127.535 160.777

Health Surveillance and Program Support Totals -- --

Discretionary Budget Authority............................................................................................................................... 260.230 301.932

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

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

Total, Health Surveillance and Program Support Program Level........................................................................... 293.158 334.860

Totals, SAMHSA -- --

Discretionary Budget Authority............................................................................................................................... 6,399.935 7,370.416

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

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

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

Total, SAMHSA Program Level............................................................................................................................. 6,547.102 7,517.583

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

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

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

Activities Final Final