SAMHSA Programs to Address Prescription Drug Misuse and Abuse Jinhee Lee, PharmD Division of Pharmacologic Therapies Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration BJA Harold Rogers PDMP National Meeting on Data Driven Multi-Disciplinary Approaches to Reducing Rx Abuse February 26, 2015
As we work to reduce substance abuse and the great damage it causes in our communities, we will make our country stronger and our people healthier and safer. President Barack Obama 3
SAMHSA s Programs Align with National Strategies & Fills Gaps SAMHSA s programs align with national strategies and metrics; are designed to complement the efforts of stakeholders and partners; and are intended to fill gaps in national, state, and local efforts. 4
Substance Abuse Prevention and Treatment Block Grants In 1981, Congress approved a new mechanism, the Block Grants (BG), as a way to provide assistance to States, Territories, and other local governing units that provide public MH/SUD services. BGs have an inherent flexibility so that individual localities can address the unique needs of their citizenry. This flexibility is balanced with statutory spending and reporting requirements designed to ensure public accountability, transparency, and return-oninvestment. 5
SABG Targeted Populations and Service Areas Pregnant women and women with dependent children Intravenous drug users Tuberculosis services Early intervention services for HIV/AIDS Primary prevention services 6
SAMHSA Block Grant Applications Two types of BGs are administered by SAMHSA: SABG MHBG Block Grant Applications are tripartite: 1) Behavioral Health Assessment & Plan ( Plan ) 2) BG Report 3) Synar Report A BG application is considered complete and fundable only after all 3 parts of the application have been submitted & approved. 7
SABG Block Grant Applications Submission options: Submit a separate SABG Plan Submit a single, combined SABG/MHBG Plan Combined submission maintains the integrity of the 2 different BGs, but streamlines the application process for states. For FY2012/2013 plans, 22 states and 2 jurisdictions submitted combined SABG/MHBG Plans. 8
SABG Application Timeline Behavioral Health Assessment & Plans are submitted biennially. SABG Reports are submitted annually. Synar Reports are submitted annually. Applications for SABG funds are submitted annually. The request for FY2015 funds is a separate, miniapplication (i.e., funding agreements & certifications; planned expenditures; & 2 planned expenditures checklists). 9
Strategic Prevention Framework Partnerships for Success State and Tribal Initiative The SPF-PFS program is designed to address one or both of the following substance abuse prevention priorities underage drinking among persons aged 12 to 20; a prescription drug misuse and abuse among persons aged 12 to 25. At their discretion, states/tribes may also use SPF- PFS funds to target an additional, data-driven prevention priority (e.g., marijuana, heroin) in their state/tribe. Slide 10
SPF-PFS Grantee Expectations Grantees are expected to work with their State/Tribal Epidemiological Outcome Workgroups (SEOWs) to identify their selected sub-recipient communities, document their identified needs and prevention priority(ies), and identify why these communities were selected over other high-need communities in the state/tribe. Grantees expected to explain how they will leverage, redirect, and/or realign prevention funds and resources (including SABG) to support SPF-PFS goals Slide 11
SPF-PFS Award Information RFA Number: SP-15-003 Application Due Date: Friday, 3/16/2015 Anticipated Total Available Funding:$28 million Anticipated Number of Awards: up to 38 Anticipated Award Amount: From $318,543 to $2,472,608 per year Length of Project: Up to 5 years Program Contact Person: Tonia Gray at tonia.gray@samhsa.hhs.gov Website: http://www.samhsa.gov/grants/grantannouncements/sp-15-003 Slide 12
Drug-Free Communities Support Program The DFC Program was created by the Drug-Free Communities Act of 1997 (Public Law 105-20). The DFC Support Program has two goals: Establish and strengthen collaboration among communities, public and private non-profit agencies; as well as federal, state, local, and tribal governments to support the efforts of community coalitions working to prevent and reduce substance use among youth*. Reduce substance use among youth and, over time, reduce substance abuse among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. *For the purposes of this RFA, youth is defined as individuals 18 years of age and younger. Slide 13
Drug-Free Communities Support RFA Number: SP-15-001 Program Application Due Date: Wednesday, 3/18/2015 Anticipated Total Available Funding:$21, 250,000 Anticipated Number of Awards: ~ 170 Anticipated Award Amount: Up to $125,000 per year Length of Project: Up to 5 years Program Contact Person: Virginia Simmons at virginia.simmons@samhsa.hhs.gov Website: http://www.samhsa.gov/grants/grantannouncements/sp-15-001 Slide 14
Grants to Expand Substance Abuse Treatment Capacity in Adult and Family Drug Courts Purpose: To expand and/or enhance substance abuse treatment services in existing adult and family problem solving courts, which use the treatment drug court model in order to provide alcohol and drug treatment to defendants/offenders. Application Due Date: Friday, March 27, 2015 RFA Number: TI-15-002, http://www.samhsa.gov/grants/grantannouncements/ti-15-002 Anticipated Total Available Funding: $11,300,000 Anticipated Number of Awards: Up to 35 Anticipated Award Amount: Up to $325,000 Length of Project: Up to 3 years Contact Person: Gregory Torain at Gregory.torain@samhsa.hhs.gov Slide 15
SAMHSA Treatment Drug Courts Grant Expectations Grantees will be expected to provide a coordinated, multisystem approach designed to combine the sanctioning power of treatment drug courts with effective treatment services to break the cycle of criminal behavior, child abuse and neglect, alcohol and/or drug use, and incarceration or other penalties. Grants funds must be used to serve people diagnosed with a substance use disorder as their primary condition, particularly high risk/high need populations diagnosed with substance dependence or addiction to alcohol/other drugs and identified as needing immediate treatment. Slide 16
SAMHSA Treatment Drug Courts Grant Expectations Grant funds must be used to address gaps in the continuum of treatment for those individuals in these drug courts who have substance abuse and/or co-occurring disorders treatment needs. Grant funds may be used to provide services for comorbid conditions, such as mental health problems, as long as expenditures remain consistent with the drug court model which is designed to serve individuals needing treatment for substance dependence or addiction to alcohol/other drugs. Grant funds may be used to provide services for co-morbid conditions, such as mental health problems, as long as expenditures remain consistent with the drug court model which is designed to serve individuals needing treatment for substance dependence or addiction to alcohol/other drugs Slide 17
Targeted Capacity Expansion: Medication Assisted Treatment Prescription Drug and Opioid Addiction Purpose: Expand access to MAT services for persons with opioid use disorder. Award Size: $11 million Anticipated Number of Awards: Up to 11 Anticipated Award Amount: Up to $1 million Length of Project: Up to 3 years RFA posting date: February 26, 2015 Application due date: May 8, 2015 SAMHSA contact: Dr. Anthony Campbell at tony.campbell@samhsa.hhs.gov 18
SAMHSA TCE-MAT Grant Expectations The purpose of this program is to provide funding to states to enhance/expand their treatment service systems to increase capacity and provide accessible, effective, comprehensive, coordinated care, and evidencebased MAT and recovery support services to individuals with opioid use disorders seeking or receiving MAT. As a result of this program, SAMHSA seeks to: 1) increase the number of individuals receiving MAT services with pharmacotherapies approved by the FDA for the treatment of opioid use disorders; 2) increase the number of individuals receiving integrated care; and 3) decrease illicit drug use at 6-months follow-up. Priority will be given to states that have not only demonstrated a high rate of primary treatment admissions for heroin and opioids per capita, but that have also demonstrated a dramatic increase in hospital admissions in recent years. For more information please go to http://www.samhsa.gov/grants/grantannouncements/ti-15-007. Slide 19
CDC Prescription Drug Overdose Prevention for States Cooperative Agreement The purpose of this funding is to provide state health departments the guidance and resources they need to address the problematic opioid prescribing driving the prescription drug overdose epidemic. States receiving funding must address prescribing on multiple fronts. Awardees must expand and enhance their state PDMP and implement health insurer or health system interventions. States may also choose to conduct policy evaluations or implement other prescribing innovations. Slide 20
CDC Prescription Drug Overdose Prevention for States Cooperative Agreement Estimated Post Date: Early March 2015 Estimated Application Due Date: Early May Estimated Funding: $55,600,000 Estimated Award Ceiling: $1,000,000 Estimated Award Floor: $750,000 http://www.acf.hhs.gov/hhsgrantsforecast/in dex.cfm?switch=grant.view&gff_grants_forec astinfoid=100000439 Slide 21
Thank you! Jinhee Lee, PharmD jinhee.lee@samhsa.hhs.gov The findings and conclusions in this report are those of the author and do not necessarily represent the views of the Substance Abuse and Mental Health Services Administration. Slide 22