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The Future of Prevention:          Our Challenges and             Opportunities                                     France...
SAMHSA’s Key Messages   Behavioral health is essential for health   Prevention works   Treatment is effective   People...
Role of Prevention in Substance Use        and Mental Health Disorders   Behavioral health is essential for health   Add...
Assessing Public Knowledge and         Attitudes: What Americans Believe   66 percent                                     ...
Drivers of Change                           EMERGING            Federal         SCIENCE           Domestic           Spend...
Health Reform More people will have insurance coverage. Theme: prevent diseases, promote wellness Integrated care: new ...
Beginning in 2014: 32 Million More Americans            Eligible to be Covered                      4-6                   ...
Challenges—State Leadership     Individuals Served by SSAs             Individuals Served by MHAsInsured                  ...
Federal Domestic Spending Focusing on the Strategic Initiatives Revised Approach to Grant-Making Prevention Funding for...
Staying Focused During Change
SAMHSA’S Strategic Initiatives                                                                           6. Health        ...
Strategic Initiative 1: Prevention of     Substance Abuse and Mental IllnessGoal 1.1With primary prevention as the focus, ...
Work Ahead—SAMHSA Revised Block Grant application and reporting Implementation of Tribal Law and Order Act—Office of   I...
Current Federal Partners• Administration for Children and   • Office of Minority Health  Families                         ...
New Roles—State SA and MH Leadership Take key role in design and execution of health reform. Develop or enhance strategi...
We’ve Been Here BeforeRisk and protective factors—Commonalities between mental health and substance abuse.Chronic diseas...
SAMHSA’s PRINCIPLES     PEOPLE                                 PERFORMANCE                        PARTNERSHIPStay focused ...
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Fran harding

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Fran harding

  1. 1. The Future of Prevention: Our Challenges and Opportunities Frances M. Harding, Director SAMHSA’s Center for Substance Abuse Prevention2011 NCADD Conference of Affiliates Arlington, VA • September 7, 2011
  2. 2. SAMHSA’s Key Messages Behavioral health is essential for health Prevention works Treatment is effective People recover from mental and substance use disorders
  3. 3. Role of Prevention in Substance Use and Mental Health Disorders Behavioral health is essential for health 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
  4. 4. Assessing Public Knowledge and Attitudes: What Americans Believe 66 percent 20 percent say believe they would 30 percent say 20 percent feeltreatment and Two thirds 75 percent think less of a they would persons with support can believe believe recovery friend/relative if think less of a mental illness help people addiction can from addiction they discovered person with a are dangerous with mental be prevented is possible that person is in current to others illness lead recovery from addiction normal lives an addiction
  5. 5. Drivers of Change EMERGING Federal SCIENCE Domestic Spending StateBudgetDeclines Health Reform
  6. 6. Health Reform 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 • National Action Alliance for Suicide Prevention Medicare and Medicaid changes
  7. 7. Beginning in 2014: 32 Million More Americans Eligible to be Covered 4-6 mil
  8. 8. Challenges—State Leadership Individuals Served by SSAs Individuals Served by MHAsInsured Uninsured 39% 39% Uninsured Insured 61% 61% • 90–95 percent will have the opportunity to be covered by Medicaid or through insurance exchanges.
  9. 9. Federal Domestic Spending Focusing on the Strategic Initiatives Revised Approach to Grant-Making Prevention Funding for 2012: • Substance Abuse-State Prevention Grant ($395 million). • Mental Health-State Prevention Grant ($90 million). • Behavioral Health-Tribal Prevention Grant ($50 million).
  10. 10. Staying Focused During Change
  11. 11. SAMHSA’S Strategic Initiatives 6. Health 7. 8. Public 2. Trauma and 3. Military 4. Recovery 5. Health1. Prevention Information Data, Outcomes Awareness & Justice Families Support Reform Technology & Quality Support
  12. 12. Strategic Initiative 1: Prevention of Substance Abuse and Mental IllnessGoal 1.1With primary prevention as the focus, build emotional health, prevent ordelay onset of, and mitigate symptoms and complications fromsubstance abuse and mental illness.Goal 1.2Prevent or reduce consequences of underage drinking and adult problemdrinking.Goal 1.3Prevent suicides and attempted suicides among populations at high risk,especially military families, LGBTQ youth, and American Indians andAlaska Natives.Goal 1.4Reduce prescription drug misuse and abuse.
  13. 13. Work Ahead—SAMHSA Revised Block Grant application and reporting Implementation of Tribal Law and Order Act—Office of Indian Alcohol and Substance Abuse Decisions and implementation of prevention funds Evidence of good and modern services: • Benefit decisions, practice protocols, research agenda
  14. 14. Current Federal Partners• Administration for Children and • Office of Minority Health Families • Office of National Drug Control• Administration on Aging Policy• Centers for Disease Control and • Office of the Surgeon General Prevention • Department of Education• Centers for Medicare and • Department of Defense Medicaid Services • Department of the Interior• Food and Drug Administration • Department of Justice• Health Resources and Services Administration• Indian Health Service• National Institutes of Health
  15. 15. New Roles—State SA and MH Leadership Take key role in design and execution of health reform. Develop or enhance strategic partnerships for prevention. Think beyond traditional Block Grant populations. Focus on recovery support—help people get and stay well.
  16. 16. We’ve Been Here BeforeRisk and protective factors—Commonalities between mental health and substance abuse.Chronic disease indicators—Substance use represents a spectrum of conditions and risk factors as well as social context.Links with physical health care providers— Prevent problems related to mental illnesses and substance abuse.
  17. 17. SAMHSA’s PRINCIPLES PEOPLE PERFORMANCE PARTNERSHIPStay focused on the Make a measurable goal Cannot do it alone difference www.samhsa.gov

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