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Appendix A: Related Departmental and National Strategies

Relationship to the Department of Health and Human Services (HHS) Strategic Plan

The HHS Strategic Plan may be found at www.hhs.gov. SAMHSA’s substance abuse prevention and treatment activities directly support Goal 1 of the HHS Strategic Plan, Reduce the major threats to the health and well-being of Americans, and directly support Objective 1.4, Reduce substance abuse. Objective 1.4 encompasses both substance abuse prevention and substance abuse treatment activities.

SAMHSA’s mental health activities directly support Goal 3 of the HHS plan, Increase the percentage of the Nation’s children and adults who have access to health care services, and expand consumer choices, and directly support Objective 3.5, Expand access to health care services for targeted populations with special health care needs. Objective 3.5 includes a specific section for mental health services which covers treatment as well as prevention issues.

SAMHSA’s goals, objectives, and areas of emphasis have been determined with HHS priorities clearly in mind. While SAMHSA will continue to contribute to goals, objectives, and strategies in the HHS plan beyond the two areas identified, the specific objectives that relate directly to SAMHSA’s mission have eliminated the need for elaborate crosswalks from SAMHSA’s strategic plan to the HHS strategic plan. HHS objectives include research as well as service strategies that are critical to supporting the improvement of services, and promoting collaboration among HHS agencies around services issues.

Relationship to Healthy People 2010

Healthy People 2010, published in November 2000, sets national targets for an array of objectives covering many areas of health. Substance abuse and mental health are two of the priority categories addressed by Healthy People 2010. As is the case with the National Drug Control Strategy, Healthy People 2010 sets national, not program level goals. SAMHSA, along with other federal agencies, State and local service providers, and many other entities, contributes to the achievement of these objectives. SAMHSA is also responsible for the data systems that track some of the objectives. Information on Healthy People 2010 may be found at www.health.gov/healthypeople.

Relationship to National Drug Control Strategy

SAMHSA is a National Drug Control Program Agency, directly supporting the National Drug Control Strategy. SAMHSA’s substance abuse prevention and treatment activities support Priorities I and II of the National Drug Control Strategy and contribute to achievement of the Strategy’s two-year and five-year goals.

Priority I of the Strategy, Stopping Drug Use Before it Starts, is supported in part by SAMHSA’s substance abuse prevention activities. For example, the 20% Prevention Set-aside from the Substance Abuse Prevention and Treatment Block Grant program supports the entire prevention service system in some States; others use the funds to target gaps and enhance existing program efforts. In FY 2004, SAMHSA’s Strategic Prevention Framework Program awarded 19 new grants to States and territories to develop comprehensive, State-wide prevention systems and better use prevention resources to implement effective prevention program models.

Priority II of the Strategy, Healing America’s Drug Users, is supported in part by SAMHSA’s substance abuse treatment activities. For example, the portion of the Substance Abuse Prevention and Treatment Block Grant program that is directed toward treatment activities supports a major part of the substance abuse treatment system. Overall, the Block Grant provides approximately 40% of public funds expended by States for prevention and treatment, and funds more than 10,500 community-based organizations. The Screening, Brief Intervention, Referral, and Treatment program, which was initiated in FY 2003, expands access to clinically appropriate treatment matched to the person’s stage of illness and problem severity, with emphasis on screening and brief intervention for non-dependent users. A new drug and alcohol treatment voucher program was implemented in FY 2004. This program, Access to Recovery, will serve additional individuals in need of substance abuse treatment and monitor outcomes, ensuring that clients have a genuinely independent choice of appropriate treatment providers including faith-based programmatic options.

SAMHSA’s substance abuse prevention and treatment programs contribute directly to the National Drug Control Strategy’s two-year and five-year substance abuse reduction goals. Measuring this contribution requires continued attention to substance use outcomes in SAMHSA programs.

Relationship to the President’s Management Agenda

The President’s Management Agenda was announced in August 2001 as a means for reforming the management of the government and establishing a strict system of accountability. The Agenda focuses on five areas where the need and opportunity to improve were found to be greatest. The Strategic Management of Human Capital initiative focuses on preparation for the large number of staff projected to retire over the next several years and on improving the skills of employees. The Competitive Sourcing initiative seeks the most efficient sources to perform commercial activities. The Improved Financial Performance initiative improves the quality of financial information. The Expanded Electronic Government initiative improves the management of information technology, seeking in particular to streamline and simplify the delivery of government services through use of the Internet. The Budget and Performance Integration initiative enhances the quality of information on program results in order to improve resource allocation. SAMHSA’s Accountability goal explicitly includes achieving excellence in management practices.

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