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Fran harding


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