The Future of Prevention: Our Challenges andOpportunities<br />Frances M. Harding, Director<br />SAMHSA’s Center for Subst...
SAMHSA’s Key Messages<br /><ul><li>Behavioral health is essential for health
Prevention works
Treatment is effective
People recover from mental and substance use disorders</li></li></ul><li>Role of Prevention in Substance Use and Mental He...
Addiction as a complex and chronic disease
Recovery as a process rather than an event
Ongoing contact and support to complement treatment
Natural supports such as friends, peers, and family
Evidence-based, multi-component prevention programs</li></li></ul><li>Assessing Public Knowledge and Attitudes: What Ameri...
Drivers of Change<br />
Health Reform<br /><ul><li>More people will have insurance coverage.
Theme: prevent diseases, promote wellness
Integrated care: new thinking—recovery, wellness, role of peers, response to whole health needs
New opportunities for behavioral health:
Parity: Mental Health Parity and Addiction Equality Act and within Affordable Care Act
Tribal Law and Order Act
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Fran harding

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Fran harding

  1. 1. The Future of Prevention: Our Challenges andOpportunities<br />Frances M. Harding, Director<br />SAMHSA’s Center for Substance Abuse Prevention<br />2011 NCADD Conference of Affiliates<br />Arlington, VA • September 7, 2011<br />
  2. 2. SAMHSA’s Key Messages<br /><ul><li>Behavioral health is essential for health
  3. 3. Prevention works
  4. 4. Treatment is effective
  5. 5. People recover from mental and substance use disorders</li></li></ul><li>Role of Prevention in Substance Use and Mental Health Disorders<br /><ul><li>Behavioral health is essential for health
  6. 6. Addiction as a complex and chronic disease
  7. 7. Recovery as a process rather than an event
  8. 8. Ongoing contact and support to complement treatment
  9. 9. Natural supports such as friends, peers, and family
  10. 10. Evidence-based, multi-component prevention programs</li></li></ul><li>Assessing Public Knowledge and Attitudes: What Americans Believe<br />
  11. 11. Drivers of Change<br />
  12. 12. Health Reform<br /><ul><li>More people will have insurance coverage.
  13. 13. Theme: prevent diseases, promote wellness
  14. 14. Integrated care: new thinking—recovery, wellness, role of peers, response to whole health needs
  15. 15. New opportunities for behavioral health:
  16. 16. Parity: Mental Health Parity and Addiction Equality Act and within Affordable Care Act
  17. 17. Tribal Law and Order Act
  18. 18. National Action Alliance for Suicide Prevention
  19. 19. Medicare and Medicaid changes</li></li></ul><li>Beginning in 2014: 32 Million More Americans Eligible to be Covered<br />Commercial Insurance<br />Medicaid<br />4-6 mil<br />6–10 Million With M/SUDs<br />
  20. 20. Challenges—State Leadership<br /><ul><li>90–95 percent will have the opportunity to be covered by Medicaid or through insurance exchanges.</li></li></ul><li>Federal Domestic Spending<br /><ul><li>Focusing on the Strategic Initiatives
  21. 21. Revised Approach to Grant-Making
  22. 22. Prevention Funding for 2012:
  23. 23. Substance Abuse-State Prevention Grant ($395 million).
  24. 24. Mental Health-State Prevention Grant ($90 million).
  25. 25. Behavioral Health-Tribal Prevention Grant ($50 million).</li></li></ul><li>Staying Focused During Change<br />
  26. 26. SAMHSA’S Strategic Initiatives<br />
  27. 27. Strategic Initiative 1: Prevention of Substance Abuse and Mental Illness<br />Goal 1.1<br />With primary prevention as the focus, build emotional health, prevent or delay onset of, and mitigate symptoms and complications from substance abuse and mental illness.<br />Goal 1.2<br />Prevent or reduce consequences of underage drinking and adult problem drinking.<br />Goal 1.3<br />Prevent suicides and attempted suicides among populations at high risk, especially military families, LGBTQ youth, and American Indians and Alaska Natives.<br />Goal 1.4<br />Reduce prescription drug misuse and abuse.<br />
  28. 28. Work Ahead—SAMHSA<br /><ul><li>Revised Block Grant application and reporting
  29. 29. Implementation of Tribal Law and Order Act—Office of Indian Alcohol and Substance Abuse
  30. 30. Decisions and implementation of prevention funds
  31. 31. Evidence of good and modern services:
  32. 32. Benefit decisions, practice protocols, research agenda </li></li></ul><li>Current Federal Partners <br />Administration for Children and Families<br />Administration on Aging<br />Centers for Disease Control and Prevention<br />Centers for Medicare and Medicaid Services<br />Food and Drug Administration<br />Health Resources and Services Administration<br />Indian Health Service<br />National Institutes of Health<br />Office of Minority Health<br />Office of National Drug Control Policy<br />Office of the Surgeon General<br />Department of Education<br />Department of Defense<br />Department of the Interior<br />Department of Justice<br />
  33. 33. New Roles—State SA and MH Leadership<br /><ul><li>Take key role in design and execution of health reform.
  34. 34. Develop or enhance strategic partnerships for prevention.
  35. 35. Think beyond traditional Block Grant populations.
  36. 36. Focus on recovery support—help people get and stay well.</li></li></ul><li>We’ve Been Here Before<br /><ul><li>Risk and protective factors—Commonalities between mental health and substance abuse.
  37. 37. Chronic disease indicators—Substance use represents a spectrum of conditions and risk factors as well as social context.
  38. 38. Links with physical health care providers—Prevent problems related to mental illnesses and substance abuse.</li></li></ul><li>SAMHSA’s PRINCIPLES<br />www.samhsa.gov<br />

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