2005 Authorization Expired
Purpose and Method of Operations
Programs of Regional and National Significance (PRNS) account for CSAP's entire
discretionary budget, supporting a variety of prevention programs and providing
the means to implement the Strategic Prevention Framework. Funding will support
279 grants and contracts, consisting of 190 continuations and 89 new.
In SAMHSA, there are two program categories within Programs of Regional and
National Significance. The first category promotes capacity expansion through
services programs, which provide funding to implement a service improvement
using a proven evidence based approach; and through infrastructure programs,
which identify and implement needed systems changes. Key success indicators for
most programs of this type are positive systems changes, enhanced capacity, and
improved participant outcomes. The second category promotes effectiveness
through local best practices programs, which help communities and providers to
identify, adapt, implement, and evaluate best practices; and service to science
programs, which document innovative practices thought to have potential for
broad service improvement. In general, the outcomes of these programs are
measured by indicators such as the identification of a practice to be
implemented and pilot adoption; satisfaction with information or assistance
received; actual changes to practice that have occurred; and participant
outcome data. While many activities contribute to CSAP's accomplishments, two
major programs account for the majority of funding.
CSAP utilizes its State Incentive Grants (SIG) program ($85.1 million in FY
2005) to carry out many of its services, infrastructure, and local best
practices efforts. In FY 2004, the $47.8 million is available for new SIG
grants of which $30 million will emphasize prevention of underage drinking. In
FY 2005, CSAP will expand the program to include Service to Science Grants for
underage drinking prevention and `Reach Out Now' which distributes messages on
underage drinking prevention to fifth and sixth graders. Consistent with the
Strategic Prevention Framework, FY 2005 SIG funding will expand data
infrastructure development to support data collection and reporting, and the
assessment of promising practices to determine readiness for consideration for
the National Registry of Effective Programs. A total of 44 States received a
basic SIG award by FY 2003. By 2004, an estimated 1300 community based
organizations will be funded that will implement or enhance more than 3250
local prevention programs.
In addition, the SPF SIG program will support States that have previously been
awarded an original SIG grant to implement the Strategic Prevention Framework.
The three-part goal of this grant program is (1) preventing the onset of
substance abuse; (2) reducing the progression of substance use and abuse
through early intervention among those who have already begun; and (3) reducing
substance abuse-related problems in communities.
The Substance Abuse Prevention and HIV Prevention in Minority Communities:
Services Grants program ($39.6 million in FY 2005, the same as FY 2004) will
award a new cohort of approximately 55 grants, using funds from grants that
expire in FY 2004. This program is designed to increase prevention services
capacity in minority communities which are disproportionately impacted by HIV
disease. In FY 2003, 108 service programs that integrated substance abuse
prevention and HIV prevention services were funded.
$10 million will continue to fund the Fetal Alcohol Spectrum Disorders (FASD
formerly FAS/FAE) Center for Excellence and programs for 10 states, 5 judicial
venues for adolescents, and 28 communities. Funding supports the building of
infrastructure in states, the implementation of evidence-based prevention
approaches in the judicial venues, and the overlay of FASD prevention and
treatment on existing health systems within communities, especially those in
American Indian/Alaska Native communities.
Funding levels for the PRNS program over the past five years were as follows: