The $30 million increase requested for mental health services Programs of
Regional and National Significance (PRNS) reflects investment in a new State
Incentive Grants for Transformation program, supporting the
recommendations of the President's New Freedom Commission on Mental Health.
This program will increase the number of persons served as well as improving
outcomes for program participants. Specific targets have not been set, pending
award of grants and collection of baseline data.
The $4 million increase requested for the Children's Mental Health Services
Program will support the award of additional grants to implement comprehensive,
community based systems of care for children and adolescents with serious
emotional disturbance. Outcomes of this program (e.g., school performance; rate
of arrests; problem behaviors) have been consistently positive.
The $5 million increase requested for the PATH program will result in 7,500 more
homeless individuals with serious mental illness being contacted through
outreach efforts, and an increase from 44% to 47% in those contacted who become
enrolled in community based services.
The $1 million increase requested for the Mental Health Block grant will help to
maintain the current level of services, which, according to new data, reach a
system-wide total of about 4,276,000 individuals. This total includes those
served in the public mental health system, which includes other funding sources
such as Medicaid dollars.
The $10 million request for the Samaritan Initiative will fund the HHS
contribution to this interagency initiative, which will permit States and
localities to access the full range of services that chronically homeless
The $98 million increase requested for substance abuse treatment services PRNS
will provide most of the funding needed to bring total funding for the Access to
Recovery program to $200 million in FY 2005. The requested increase
supports the President's Drug Treatment Initiative.
The $53 million increase requested for the Substance Abuse Prevention and
Treatment (SAPT) Block Grant will maintain current services. The requested
increase supports the fourth year of the President's Drug Treatment Initiative,
and will result in an estimated total of 1,950,000 individuals served through
Block Grant funds.
FY 2006 Plans for Budget/Performance Integration
SAMHSA is prepared to submit a fully integrated performance budget for FY 2006.
SAMHSA is in the process of incorporating performance planning and reporting
within its budget plan. Mental health services, substance abuse prevention, and
substance abuse treatment will remain SAMHSA's performance program areas. Each
performance program area will contain goals, measures, and indicators
consistent with SAMHSA's strategic goals: Accountability, Capacity, and
A number of agency activities are facilitating SAMHSA's transition to a fully
integrated performance budget. In 2002, SAMHSA developed and implemented a new
statement of vision, mission, goals, and objectives, which was included in the
FY 2004 budget submission. In applying that framework, SAMHSA developed
standard grant announcements for its discretionary grants and mapped out a
transition from the current substance abuse and mental health block grant
programs to performance partnerships with States that emphasize flexibility and
accountability. Concurrently, SAMHSA has been examining its program measures
and developing a consolidated set, which will be applied, to the extent
possible, across competitive and block/formula grant programs. These efforts
have enabled SAMHSA to meet short term objectives such as reducing the number
of measures in performance plans and including an efficiency measure for each
Funding by Program Priority Area