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 Commitment: Meeting the Challenge Through National Leadership

President Bush set accountable goals to lower youth and adult rates of drug use by 10 percent over 2 years, then lower the rate by 25 percent over 5 years. To date, the Administration has exceeded these goals for youth drug abuse—dropping by 19 percent over 4 years.

Nevertheless, much work remains to be done. The President remains committed to ambitious goals for reducing substance abuse. Accordingly, he has emplaced a determined and balanced strategy to (1) stop use before it starts, (2) heal America’s drug users and (3) disrupt the market. The first two priorities fall squarely into SAMHSA's drug abuse prevention and treatment missions, as well as SAMHSA's role in preventing and treating co-occurring mental disorders.

Through its three Centers and supporting Offices, SAMHSA engages in program activities to carry out its mission: To build resilience and facilitate recovery for people with, or at risk for, substance use and mental disorders.

SAMHSA's Centers and Offices administer and fund a rich portfolio of grant programs and contracts that support States' efforts to expand and enhance prevention programs and to improve the quality, availability and range of substance abuse treatment and mental health services—in local communities—where people can be served most effectively.

Driven by a strategy to improve accountability, capacity and effectiveness, SAMHSA can ensure that its resources are not only being used effectively and efficiently in State and community programs, but also that these resources are being invested in the best interest of the people SAMHSA serves.

Center for Mental Health Services

The Center for Mental Health Services (CMHS) leads Federal efforts in expanding the availability and accessibility of high-quality, community-based services for adults with serious mental illnesses and children with serious emotional disturbances. CMHS administers the Mental Health Services Block Grant Program—the single largest Federal contribution to improving mental health service systems across the country—as well as a portfolio of discretionary grant programs that include efforts to help prevent mental health problems.

Center for Substance Abuse Prevention

The Center for Substance Abuse Prevention (CSAP) works to improve the quality of substance abuse prevention practices in every community, nationwide. Through its discretionary grant programs and 20% of the Substance Abuse Prevention and Treatment Block Grant, the Center provides States, communities, organizations and families with tools to promote protective factors and to reduce risk factors for substance abuse.

Center for Substance Abuse Treatment

The Center for Substance Abuse Treatment (CSAT) promotes the quality and availability of community-based substance abuse treatment services for individuals and families who need them under their discretionary grant programs. CSAT works with States and community-based groups to improve and expand existing substance abuse treatment services under the Substance Abuse Prevention and Treatment Block Grant Program.

Office of Applied Studies

The Office of Applied Studies (OAS) collects, analyzes and disseminates national data on behavioral health practices and issues and is responsible for the annual National Survey on Drug Use and Health, the Drug Abuse Warning Network and the Drug and Alcohol Services Information System, among other projects including the National Outcome Measures.