SAMHSA 2005 Budget

 

Center for Substance Abuse Treatment
Summary Listing of Activities

(Dollars in thousands)
     
FY 2004
  
   
FY 2003
Final  
FY 2005
Programs of Regional & National Significance
  
Actual
Conference
Estimate
BEST PRACTICES:      
Co-occurring, Other
$40
$---
$---
Pharmacologic Activities
5,071
6,539
6,539
Addiction Technology Transfer Centers
8,219
8,171
8,171
Women, Children, and Family Activities
1,648
1,865
1,865
Minority Fellowship Program
540
537
537
Homeless Families
2,100
---
---
HIV/AIDS, Knowledge Application
298
296
296
Rehabilitation and Restitution (CJ)
2,444
2,686
2,686
Criminal JusticeActivities
1,434
643
643
Special Initiatives/Outreach
7,107
7,065
7,065
Support to States
3,930
4,151
5,000
Knowledge Application Program (KAP)
4,780
4,473
4,500
Program Coordination and Evaluation
8,641
9,182
8,347
Technical Assistance
7,079
2,780
2,780
      Subtotal, Best Practices  
53,331
48,388
48,429
     
TARGETED CAPACITY EXPANSION:      
Co-occurring SIGs
6,649
6,610
6,610
Pharmacologic Actitivies
3,918
2,397
3,670
State TCE - SBIRT  a/
21,732
23,667
25,667
TCE - General 
39429
34,794
34,794
Congressional Projects
8,875
6,293
---
PPW
2,992
9,941
9,941
Strengthening Treatment Access and Retention
6,401
3,852
3,852
Recovery Community Services Program
9,588
9,225
9,225
Access to Recovery Program (ATR)
---
99,410
200,000
Youth - Outpatient
8,820
11,087
19,127
Youth - Residential
8,077
8,040
---
Adolescent Alcohol Activities
5,290
9,726
9,726
Children's SIG
---
2,982
2,982
State Capacity for Emergency Response
1,696
1,686
---
Grants for Benefit of Homeless Individuals
28,053
29,677
29,677
Joint NOFA w/HUD to End Chronic Homelessness
4,000
4,275
4,300
Minority AIDS Initiative (MAI)
61,509
61,146
61,146
Violent Offender Reentry Program, w/DOJ/DOL
6,000
---
---
Drug Courts
15,373
15,808
15,808
Adolescent Reentry Program
---
5,965
5,965
Criminal Justice Activities
500
497
497
Program Coordination and Evaluation   b/
17,245
16,539
18,359
Clinical Technical Assistance
7,800
7,214
7,257
     Subtotal, Targeted Capacity Expansion  
263,947
370,831
468,603
     
Total, Substance Abuse Treatment  
$317,278
$419,219
$517,032
     
a/ FY 2005 includes $2.0 million from PHS evaluation funds.
b/ FY 2005 includes $2.3 million for SAIS IT contract.
Substance Abuse Treatment Programs

Rating: Adequate
Program Type: Competitive Grants

Program Summary:
Substance Abuse Treatment Programs of Regional and National Significance is comprised of a variety of grants and activities intended to improve the quality and availability of drug treatment services.

The assessment indicates:

    1. The overall purpose of the program is clear, but the relationship between activities to expand access to drug treatment and activities to improve the quality of drug treatment, such as training, communications and regulatory efforts, is less
    clear.

    2. Grant awards are based on merit and competition is open.

    3. The program has not regularly used performance information to improve outcomes and some activities have never been evaluated. The program also lacks data to indicate progress on newly adopted performance benchmarks.

    4. A previous evaluation of drug treatment services grants indicates an impact. The 1997 National Treatment Improvement Evaluation Study indicates the program's treatment services demonstration grants were effective. Key findings include drug use declined from 73% to 38% one year after treatment, selling drugs declined 78%, arrests declined 64%, employment increased from 51% to 60%, and alcohol/drug-related medical visits declined 53%.

    5. Evidence of impact is not available for research related activities and other efforts.

In response to these findings, the Administration:

    1. Proposes $200 million as part of the President's drug treatment initiative to expand access to treatment using vouchers. Vouchers will enable individuals to determine where they will receive treatment. The initiative will involve a variety of settings, including criminal justice and health care systems, to reach out to those in need of treatment and determine the type and level of services needed.

    2. Proposes $50 million at the 2003 Budget level for performance-based grants to states.

    3. Proposes to redirect $8 million from research related activities and other efforts lacking evidence of effectiveness to drug treatment services grants.

    4. Will increase support for the National Treatment Outcome Monitoring System to provide current data on the effectiveness of drug treatment services.

    5. Will further improve the effectiveness of services grants by introducing grant funding incentives and reductions based on performance.

Program Funding Level (in millions of dollars)

2002 Actual 2003 Estimate 2004 Estimate
291
358
557

See Also:

Programs of Regional and National Significance
PRNS Program Priority by Type (Best Practices)
PRNS Program Priority by Type (Targeted Capacity Expansion)
PART Corrective Action Plan
CSAT Set-aside Table