Reducing Substance Abuse in America: Building the Nation's Demand Reduction Infrastructure A Framework for Discussion

The Vision: A Life in the Community for Everyone
The Challenge: Stopping Drug use Before It Starts…Healing America’s Drug Users
The Commitment: Meeting the Challenges Through National Leadership
The Charge: Building the Nation’s Demand Reduction Infrastructure
The Programs: Building Resilience
The Programs: Facilitating Recovery
The Programs: Building Treatment Capacity
Cross-Cutting Infrastructure and Services
Making It Count: Ensuring Accountability Through Data-Driven Decision-making
The Charge: Building the Nation’s Demand Reduction Infrastructure

SAMHSA’s Three Strategic Goals: Accountability, Capacity, and Effectiveness (ACE)

SAMHSA has streamlined its operations and has developed a strategy that allows it to pursue its mission as a one-SAMHSA in the most deliberate manner possible. The Strategic Plan is designed around three "ACE" goals:

  • Accountability
  • Capacity
  • Effectiveness

The Accountability goal targets results with regard to programs, policies, and practices that SAMHSA promulgates through grants, contracts, and knowledge dissemination. It ensures that appropriate data collection is established for the purposes of measuring performance and managing agency processes. The Capacity goal reflects SAMHSA's activities to build the infrastructure that provides mental health and substance abuse services throughout the Nation. SAMHSA's block and formula grants are key components of SAMHSA's efforts to achieve its Capacity goal. The Effectiveness goal focuses on ensuring that the infrastructure that delivers mental health and substance abuse services promotes policies, programs, and practices that are evidence-based. SAMHSA's science-to-services activities, knowledge dissemination, and orientation toward best practices help it achieve its Effectiveness goal.


A life in the Community for Everyone  


Building Resilience and Facilitating Recovery


  • Child Welfare League of America
  • Community Anti-Drug Coalitions of America
  • Department of Education
  • Department of Housing and Urban Development
  • Department of Justice
  • Department of Labor
  • Drug Enforcement Administration
  • Join Together
  • Leadership to Keep Children Alcohol Free
  • National Alliance for ModelState Drug Laws
  • National Association for Children of Alcoholics
  • National Association of Drug Court Professionals
  • National Association of State Alcohol and Drug Abuse Directors
  • National Crime Prevention Council
  • National Corporation for Community Service
  • National Families in Action - The Parent Corps
  • National Family Partnership
  • National Guard
  • National Institute on Alcohol Abuse and Alcoholism
  • National Institute on Drug Abuse
  • National Prevention Network
  • National Treatment Network
  • PRIDE Youth Programs
  • Robert Wood Johnson Foundation
  • Teen Challenge International, Inc.
  • White House Office of National Drug Control Policy


  • Track National Trends
  • Establish Measurements and Reporting Systems
  • Implement National Outcome Measures (NOMS) within State and Community Program
  • Achieve Excellence in Management Practices


Increase Service Availability

  • Assess Resources and Needs
  • Support Service Expansion
  • Improve Services Organization and Financing
  • Recruit, Educate, and Retain Workforce
  • Create Interlocking Systems of Care
  • Promote Appropriate Assessment and Referral


Improve Service Quality

  • Assess Service Delivery Practices
  • Identify and Promote Evidence-Based Approaches
  • Implement and Evaluate Innovate Services
  • Provide Workforce Training and Education


  • Strategic Prevention
  • Framework State
  • Incentive Grants
  • Drug Free Communities Support Program
  • Substance Abuse & HIV Prevention Grants
  • Methamphetamine & Inhalant Grants
  • Underage Drinking Initiatives
  • Center for the Application of Prevention Technologies (CAPTs)
  • National Coalition Institute
  • Prevention Fellows
  • State Prevention Directors (NPNs)
  • Leadership Academy
  • Fetal Alcohol
  • Spectrum Disorders
  • Center for Excellence


  • Access To Recovery (ATR)
  • Targeted Capacity Expansion Grants
  • Screening, Brief Intervention, Referral & Treatment
  • State Infrastructure Grants for Treatment of Persons with Co-Occurring Substance & Mental Health Disorders (COSIG)
  • Recovery Community Services Program (RCSP)
  • Addiction Technology Transfer Centers (ATTCs)
  • Treatment Leadership Institute
  • Family & Juvenile Drug Courts
  • Target Capacity Expansion Programs for Substance Abuse Treatment & HIV/AIDS Services (TCE/HIV)
  • Pregnant & Postpartum Women (PPW)
  • Strengthening Access & Retention (STAR)
  • Grants to Benefit Homeless Individuals
  • SAMHSA Treatment Locator
  • Recovery Community Services Program (RCSP)
  • Family Therapy Models
  • National Outcome Measures (NOMs)
  • Substance Abuse Prevention Treatment (SAPT) Block Grant
  • National Clearinghouse for Alcohol and Drug Information (NCADI)
  • Science to Service
  • National Household Survey of Drug Use and Health
  • Drug Abuse Warning Network (DAWN)
  • Drug and Alcohol Services Information System