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SAMHSA’s Award-Winning Newsletter
July/August 2009, Volume 17, Number 4 

Health Reform

Framing the Health Reform Discussion

Core Consensus Principles from the Mental Health and Substance Abuse Community

At a recent update on SAMHSA’s health reform efforts, Acting Administrator Eric B. Broderick, D.D.S., M.P.H., convened the meeting and presented the Agency’s nine Core Consensus Principles, developed over the past months with extensive input from the field.

The meeting, held at HHS near the U.S. Capitol in downtown Washington, DC, included comments from Neera Tanden, Senior Advisor, HHS Office of Health Reform; Bill Emmet, Director, Campaign for Mental Health Reform; and Paul Samuels, Director, Legal Action Center.

Photo of Neera Tanden

Photo of Eric Broderick, Bill Emmet, and Paul Samuels

Photo of Eric Broderick and two attendees

From top: (1) Neera Tanden, HHS Office of Health Reform; (2) Acting SAMHSA Administrator Eric Broderick (left), Bill Emmet (center) of the Campaign for Mental Health Reform, and Paul Samuels (right) of the Legal Action Center; (3) Dr. Broderick (center) and two attendees.

“We’re excited by what SAMHSA has done in support of health reform,” said Ms. Tanden. “We’re seeing a strong interest in prevention. And we appreciate that SAMHSA is ensuring that the voices of those concerned with substance abuse and mental health issues are heard.”

In developing the principles below, SAMHSA reached out to hundreds of stakeholder and consumer groups and dozens of nationally and internationally recognized experts in the fields of mental health and addiction.

Their recommendations were requested on the most critical issues related to mental and substance use disorders facing the Nation, with an emphasis on identifying opportunities to ensure that imminent health reform efforts include prevention and treatment for these disorders.

Clear themes ran through the responses SAMHSA received from mental health and substance abuse professionals, consumers, and family members from every part of the country. Those themes are reflected in the language of the principles.

For more information, including the videocast of this meeting, visit SAMHSA’s Web site.

Ensuring Health Reform Includes Prevention and Treatment of Mental and Substance Use Disorders


Principle 1
Articulate a National Health and Wellness Plan for all Americans.

Principle 2
Legislate universal coverage of health insurance with full parity.

Principle 3
Achieve improved health and long-term fiscal sustainability.

Principle 4
Eradicate fragmentation by requiring coordination and integration of care for physical, mental, and substance use conditions.

Principle 5
Provide for a full range of prevention, early intervention, treatment, and recovery services that embodies a whole-health approach.

Principle 6
Implement national standards for clinical and quality outcomes tied to reimbursement and accountability.

Principle 7
Adopt and fully utilize health information technology.

Principle 8
Invest in the prevention, treatment, and recovery support workforce.

Principle 9
Ensure a safety net for people with the most serious and disabling mental and substance use disorders.

  Statistics on Substance Abuse,  
  Mental Health  
State by State Estimates

State by State Estimates

Every state faces a different set of challenges with substance abuse and mental health issues, including binge drinking and depression.

Treatment Discharges: Latest Data

Treatment Discharges: Latest Data

SAMHSA's Treatment Episode Data Set (TEDS) recently updated its data on discharges from treatment facilities.

  Treatment Updates  
TIP 50: Literature Review

TIP 50: Literature Review

Part 3 of TIP 50, Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment, is available.

Alcohol Abuse Treatment: Need, Barriers

Many people who need treatment for an alcohol problem are not seeking help. Why?

National Directory Updated and Available

National Directory Updated and Available

An updated guide to finding local substance abuse treatment programs is available.

  Real Warrior Campaign  
Reaching Out Makes a Real Difference

Reaching Out Makes a Real Difference

The Real Warriors Campaign is fighting the stigma of asking for help.

  Prevention Update  
Retail Tobacco Sales to Youth

Retail Tobacco Sales to Youth

Retail sales of tobacco products to young people continue to drop.

Parent Involvement Makes a Difference

Parent Involvement Makes a Difference

Parents play an important role in preventing substance abuse.

Suicide Prevention Update

Suicide Prevention Update

New funding, Web site redesign to improve navigation, and more.

Prevention Awards

Prevention Awards

To advance community-based prevention programs, $190 million to 25 grantees.

Calculating Program Allotments

A new guide provides information on procedures to calculate allocations for some key block and formula grants.

Drug Free Communities: Continuation Awards

More than 500 community coalitions nationwide recently received Drug Free Communities (DFC) continuation awards for their programs.

  Health Reform  
Nine Core Principles

Nine Core Principles

Ensuring current reform efforts include mental health and substance abuse issues.

  Mental Health  
Forecasting the Next 5 Years

Forecasting the Next 5 Years

Changes are coming to create “whole health,” person-centered care.

  Adolescents & Young Adults  
Need Treatment? Many Say No

Need Treatment? Many Say No

Nearly 7 million Americans age 18 to 25 were classified as needing treatment in the past year.

  Recovery Month  
Celebrating 20 Years of Recovery

Celebrating 20 Years of Recovery

Get up–to–the–minute updates on September's events.

  Also in this Issue  
Under the Influence: Fathers and Alcohol Use

Under the Influence: Fathers and Alcohol Use

Does dad's drinking affect his adolescent children?

Methadone Advisory

New information on the dangers of methadone in combination with other drugs.

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Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road – Rockville, MD 20857
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