CARF Conference 2006

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Who is SAMHSA?

• SAMHSA consists of three Centers and supporting
  Offices that administer and fund grant programs
  to support States efforts to address substance
  abuse and mental health issues.

• Center for Mental Health Services (CMHS)
• Leads Federal efforts to provide community-based
  services for adults with serious mental illnesses
  and children with serious emotional disturbances.
• Center for Substance Abuse Prevention (CSAP)
• Works to improve the quality of substance abuse
  prevention practices in every community,
  nationwide, through its discretionary grant
  programs.
• Center for Substance Abuse Treatment (CSAT)
• Promotes the quality and availability of
  community-based substance abuse treatment
  services for individuals and families who need
  them.

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The Matrix

• SAMHSAs budget, programs, and policies have been
  aligned to match a series of core priority issues
  and cross-cutting principles. These priorities
  are represented on the SAMHSA matrixan evolving
  tool that keeps the Agencys work focused on the
  most critical issues in behavioral health.

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The Four Redwoods

• Substance Abuse Treatment Capacity
• Strategic Prevention Framework
• Co-occurring Mental and Substance Use Disorders
• Mental Health System Transformation

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Substance Abuse Treatment Capacity

• The Presidents Access to Recovery programa
  100 million State-run voucher program to expand
  treatment capacity and promote consumer choice.

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Strategic Prevention Framework
The Five Steps
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Co-Occurring Disorders
Co-Occurrence of SMI and Substance Use Disorders
among Adults Aged 18 or Older 2003
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Mental Health System Transformation
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Mental Health System Transformation State
Incentive Grants

• The grants provide seed money to help States
  develop the infrastructure needed to transform
  mental health services.
• Seven States-Connecticut, Ohio, Oklahoma,
  Washington, Maryland, New Mexico, and Texashave
  been selected to receive a 2.7 to 3 million per
  year investment, over the next 5 years.
• States will unite all of their State agencies
  behind a common vision of mental health.

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SAMHSAs National Outcome Measures (NOMs)

• Abstaining from drug use and alcohol abuse,
  decreasing symptoms of mental illness and
  improving functioning
• Getting/keeping a job, staying in school
• Decreasing criminal justice involvement
• Finding safe and stable living conditions
• Improving social connectedness to others in the
  community
• Increasing access to services
• Reduced use of psychiatric inpatient beds
• Improving client perception of care
• Increasing the use of evidence-based practices
• Maintaining cost effectiveness

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Consensus Statement on Recovery
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Institute of Medicines ReportImproving the
Quality of Health Care for Mental and
Substance-Use Conditions

• Clinicians and health care organizations will
  not be able to fully achieve coordination of
  patient care without complimentary and
  supporting activities on the part of Federal and
  state governments, health care purchasers,
  quality oversight organizations, and other
  organizations that shape the environment in
  which clinical care is delivered.

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