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 />
SAMHSA’s Key Messages<br /><ul><li>Behavioral health is essential for health
National Action Alliance for Suicide Prevention
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 />
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
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 />
Work Ahead—SAMHSA<br /><ul><li>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
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 />
New Roles—State SA and MH Leadership<br /><ul><li>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.</li></li></ul><li>We’ve Been Here Before<br /><ul><li>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.</li></li></ul><li>SAMHSA’s PRINCIPLES<br />www.samhsa.gov<br />