President’s Budget Focuses on Prevention, Fiscal Responsibility
The Fiscal Year (FY) 2012 Budget requests $3.6 billion
for SAMHSA—an increase of $67 million
over FY 2010. A total of $93 million is funded
through the Prevention Fund.
FY 2012 Budget shows a commitment
to behavioral health,” said SAMHSA
Administrator Pamela S. Hyde, J.D.
“With that commitment comes the
recognition that we need to do things
differently, use a different approach.”
The FY 2012 Budget request reflects a focus on SAMHSA's Strategic Initiatives (see Administrator's message). In particular, it includes a changed budget structure and policy focus that emphasize meeting the behavioral health needs of people rather than focusing on the conditions that affect them.
It also reflects the implementation of a theory of change—specifically, SAMHSA’s budget supports innovation by identifying solutions to emerging issues through the use of limited, short-term discretionary grants. Those evidence-based practice and policy solutions are then moved into the Nation's behavioral health system through Block Grants to states, formula grants to states and tribes, ongoing discretionary grants, Medicaid/Medicare, or private insurance.
The Budget represents a bold plan of action to increase effectiveness and efficiency, embrace opportunities presented by changes in the Nation's health care system, and better meet the behavioral health needs of the Nation.
The Budget includes $1.9 billion,
an increase of $54 million over FY
2010, for the Substance Abuse and
Mental Health Block Grants to
activate evidence-based treatment
strategies nationwide and maintain the
Nation’s behavioral health treatment
Funding for treatment
infrastructure has declined in recent
years as many states have scaled back
their investments in behavioral health in
the face of budget shortfalls. As access to
health services—including mental health
and substance abuse services—expands,
SAMHSA will work with states to use
their Block Grant funds more strategically
through the use of evidence-based
treatment strategies and interventions.
Preventing substance abuse and
mental illness is essential to maintain
overall health for the American people.
The Budget includes $535 million, an
increase of $55 million over FY 2010,
for new and expanded substance abuse
prevention and mental health promotion
grants to states and tribes to bring
evidence-based prevention strategies to
scale nationwide. SAMHSA will partner
with states to use data-driven planning
processes to address problems in
communities through proven practices.
Prevention Grant ($395 million).
The Budget includes funding for a new
Substance Abuse-State Prevention Grant
by combining disparate substance abuse
prevention funding streams to states to
avoid duplication, improve coordination,
and better leverage resources. The
Budget will create a sustainable source of
prevention funding for all states to employ
evidence-based substance abuse prevention
practices to address existing and emerging
issues in high-risk communities.
Mental Health-State Prevention
Grant ($90 million).
The Budget includes funding for a Mental Health-State Prevention Grant through an
expansion of Project LAUNCH (Linking
Actions for Unmet Needs in Children’s
Health). These grants will enable states
to conduct evidence-based prevention
and wellness interventions focused on
children by targeting the common set of
risk factors that lead to substance abuse
and mental illness.
Prevention Grant ($50 million). The
Budget includes a new Behavioral Health-Tribal Prevention Grant. Grants will
be awarded to federally
recognized tribes to activate strategies
to prevent alcohol and substance abuse
and prevent suicides. SAMHSA will
coordinate with the Indian Health Service
(IHS) to activate community-based
Preventing Suicide ($48
million). The Budget dedicates the
same funding as FY 2010 to prevent
suicide and sustains the capacity of the
national hotline that routes calls across the country.
Communities ($23 million). A
community-level initiative will serve
young people during their at-risk years by
activating comprehensive, evidence-based
community prevention programs. The
Budget will support 30 communities in
identifying their predominant substance
abuse and mental health issues and
selecting the appropriate evidence-based
strategies to target the risk and protective
factors contributing to these issues.
Preventing Youth Violence
($94 million). SAMHSA collaborates
with the U.S. Departments of Education
and Justice through the Safe Schools/
Healthy Students program. SAMHSA-supported
interventions foster early
childhood development of mental and
physical health, reduce or delay the onset
of emotional and behavioral problems,
and treat children with serious emotional
Improving Children’s Mental
Health ($121 million). Coordinated
systems of mental health care for
children are proven to sustain mental
health improvements. The Budget
includes funding for Children’s Mental
Health Services for the development
of comprehensive community-based
systems of care for children and
adolescents with serious emotional
disorders and their families.
Approximately one-fifth of homeless individuals also have serious mental illness. The
Budget dedicates a total of $154 million, an increase of $12 million, for services to
support individuals suffering from mental illness and facing homelessness. Included
within this funding is $16 million for a new collaborative Housing and Homeless
Initiative with the Department of Housing and Urban Development that will combine
health, behavioral health, and other support services to move and maintain chronically
homeless individuals with mental and substance use disorders into permanent
The Budget includes $128 million, an increase of $26 million, for the support of national
survey efforts and the administration of SAMHSA programs. The majority of this
increase will support data collection and analysis, including increased costs associated
with ongoing efforts as well as enhancing data collection on drug related emergency
room visits and deaths. Analyses conducted through SAMHSA’s national surveys are
used by Federal, State, and local authorities, as well as health care providers, to inform
policymakers regarding substance use and mental disorders, the impact and treatment
of these disorders, and the recovery process.
The chart below is re-created from page 42 of The HHS Budget in Brief released in mid-February 2011.
The SAMHSA website includes the Justification of Estimates for Appropriations Committees, and other information. For comparisons, for example, the SAMHSA website includes the budgets for Fiscal Year 2005 through 2011.
For more on SAMHSA’s 2012 budget, visit SAMHSA’s website.