Through its grant programs, public and professional education initiatives, and communications activities, SAMHSA has pursued an aggressive science-to-services agenda that moves new evidence-based knowledge in behavioral health services to community-level services programs nationwide. Working from its vision of "a life in the community for everyone," the matrix of program and principles has guided SAMHSA’s work consistent with the goals and objectives of the Department and the Administration. Most recently, SAMHSA’s work has focused directly on those elements of the matrix; that effort will continue into the future. Key activities and achievements include:

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Access to Recovery: In his 2003 State of the Union, President Bush announced a new initiative, Access to Recovery, to provide people seeking drug and alcohol treatment with vouchers to pay for a range of appropriate community-based services. SAMHSA has secured $100 million for the first year of that program and has announced a new discretionary grant program to move the President’s vision for accessible drug treatment to people in need of care. The program supports State and Tribal leadership in substance abuse treatment by funding voucher programs that achieve three key objectives: consumer choice, effective treatment outcomes, and increased treatment capacity. Critically, these dollars are intended to supplement current programs. Access to Recovery will help States and Tribal Organizations open new pathways to recovery and rapidly build strong, outcome-oriented performance incentives into the substance abuse treatment system.

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The President’s New Freedom Commission on Mental Health: In April 2002, President Bush established the President’s New Freedom Commission on Mental Health. The final report of the Commission, submitted to the President in the summer of 2003, identified both the needs of people with mental illnesses and the barriers to care. It investigated community-based service models that have had success in both coordinating and providing mental health services. The report also included recommendations for immediate action by the public and private sectors to improve coordination and quality of services with existing resources. At the direction of Secretary Thompson, SAMHSA is completing the Administration’s first review and response to this historic document: a thorough review and assessment of the report, coupled with the development of an action plan to strengthen our mental health system.

Leading on Co-Occurring Mental and Substance Use Disorders: SAMHSA’s December 2002 Report to Congress on co-occurring mental and substance use disorders delineated long-standing barriers to appropriate treatment and support services for people with these disorders, including separate administrative structures, eligibility criteria, and funding streams. It emphasized that people with co-occurring disorders can and do recover with appropriate treatment and support services. The report recommended creation of a system in which both disorders are addressed and treated as primary illnesses and proffered a five-year plan action to improve the opportunity for recovery for people with co-occurring disorders. Since then, six State Incentive Grant for Co-occurring Disorders have been funded; a national co-occurring disorders prevention and treatment technical assistance and cross-training center has been established. SAMHSA also is identifying known-effective programs for the prevention and treatment of co-occurring disorders through its evidence-based practice initiative and is expanding its national registry of effective programs to include effective treatments for co-occurring disorders.

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When Terror Strikes: Addressing the Nation’s Mental Health and Substance Abuse Needs: Working with SAMHSA, HHS Secretary Thompson convened a national summit in New York City in November , 2001, to examine the mental health and substance abuse needs of individuals and communities before, during, and after acts and threats of terrorism. Over 42 governor-appointed state teams. teams from 5 jurisdictions and the District of Columbia, and over 100 representatives of national organizations participated met and refined disaster plans to ensure readiness of mental health and substance abuse services for the ongoing war on terrorism and in the event of future attack. Since the meeting, SAMHSA has been making planning grants available to States to support the integration of behavioral health into disaster health planning.

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Reach Out Now: Talk with Your Fifth Graders about Underage Drinking: In a collaboration among SAMHSA, the U.S. Department of Education, and Scholastic, Inc., since 2002, fifth-grade classroom teachers nationwide have received Reach Out Now, specially designed materials on underage drinking for use by fifth-grade students, their families, and teachers. The materials include a four-page set of lessons and classroom activities, and a take-home packet for parents. Product evaluation found that in their first year alone, the materials reached nearly 100,000 teachers and 3 million students; over 75% of teachers surveyed recalled receiving the program. The average for similar in-school programs is 46%. Of those who recalled receiving the materials, 67% had already used them; another 21% said they planned to use them.

Promoting Evidence-based Practices in Mental Health Services and Substance Abuse Treatment: SAMHSA has been synthesizing information on evidence-based practices and preparing useful and timely protocols for clinicians working in mental health services and substance abuse treatment and prevention. Building on its start in substance abuse prevention, SAMHSA continues to identify, evaluate, and certify model programs through its National Registry of Effective Programs. The Evidence-Based Practices Project is developing and testing six specific implementation toolkits to promote the delivery of effective practices for people with serious mental illnesses and co-occurring substance use disorders. The substance abuse-related Treatment Improvement Protocol series is reaching its 40th installment of topic-specific tools for substance abuse treatment providers, now including materials for people in treatment for substance use. Clinical curricula in specific TIPs-related areas are also under development.

Over the years, SAMHSA programs have translated research to practice — bringing new science-based knowledge to community-based services for people with or at risk for mental and substance abuse disorders. The results are being measured in significant improvements in how the Nation responds to substance abuse and mental illnesses. Today, we know more than ever before. Prevention and treatment work; recovery is possible. As the substance abuse and mental health systems of services evolve, SAMHSA will be at the forefront of that transformation to promote a life in the community for everyone with or at risk for mental and substance abuse disorders.

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SAMHSA supports programs, policy, and knowledge development about substance abuse prevention, addiction treatment, and mental health services through three major funding streams: (1) Block and Formula Grants; (2) Targeted Capacity Expansion Grants; and (3) Programs of Regional and National Significance. For detailed information about current grant opportunities, browse the SAMHSA website at www.samhsa.gov and click on "grant opportunities." Visit regularly for updates.