Substance abuse federal programs

Mental Health Care. Lead HHS Agency Substance Abuse and Mental Health Services Administration Action Assist in assessing mental health needs provide disaster mental health training materials for disaster workers and provide liaison with assessment, training, and program development activities undertaken by federal, state, and local mental health officials. 

Substance Abuse and Mental Health Admiiiistratioii draft guidelines for federal workplace testing program. http //workplace.samhsa.gov/ResourceCenter/DT/FA/GuidelinesDraft4.htm (Accessed March 2005). 

Substance Abuse and Mental Health Administration. Mandatory guidelines and proposed revisions to mandatory guidelines for federal workplace testing programs. Fed Reg 2004 19644-732. (http // workpiace.samhsa.gov)... 

In the treatment area, money was provided for grants to start Drug Courts (court-mandated treatment and related services for nonviolent offenders) and for funding for substance abuse treatment in state and federal prisons. These programs were in addition to the Block Grant and Veterans Administration funding for treatment mentioned earlier. 

At the beginning of this chapter, it was noted that there is a lack of evidence that prevention has successfully reduced the harms and consequences of substance abuse. However, the substance abuse prevention field has a research-based theoretical model of risk and protective factors to guide it, a conceptuafization of strategies for program implementation, and research on what types of activities work and don t work. In addition, the federal government has spent a considerable amount of money on prevention. Why isn t this whole effort more successful ... 

However, federal incompetence, bureaucracy, and pofitics cannot totally explain the lack of impact of substance abuse prevention. Even if programs have not been systematically gathering outcome data, evidence-based prevention programs and strategies have been implemented in communities across the country through... 

While the issues discussed thus far probably contribute to the fact that prevention has not reduced the harm caused by drug abuse, these issues do not fully explain the situation. At the state and community levels, well-intentioned and hardworking people are often able to overcome federal ineptitude. Furthermore, I have personally seen many state prevention systems and community-based organizations doing an exemplary job of using a risk and protective framework to design and implement evidence-based prevention programs. There must be other factors that explain the failure of substance abuse prevention. 

It would appear that public-sector treatment has positive eflects on alcohol and other drug use and on the consequence of substance abuse and addiction. Additionally, treatment is cost-effective. These outcomes have occurred in spite of the fact that most public-sector treatment clients do not complete treatment nor do they stay in treatment long enough for the maximum benefits. Even though many federal efforts have not been able to demonstrate effectiveness for specific programs, the treatment outcome studies indicate the NDCS treatment dollars have been much better spent than the prevention dollars. 

Substance Abuse and Mental Health Services Admin (Flynn) FEMA Crisis Counseling Assistance and Training Program (CCP) Victims Federal Response Plan... 

While OSHA does not have a standard for substance abuse, other agencies do. In fact, we have covered one of them in this manual, under the Heavy Equipment — Motor — Federal Motor Carrier Safety Regulations — Controlled Substances Alcohol Use Testing topic. Also, if your company has certain types of contracts with the federal government, you may need to comply with certain federal regulations that require substance abuse programs. 

The FQHC Initiative is one program designed to improve access of primary care, particularly for needy populations (Adashi et al. 2010). These centers provide primary and preventive health care, outreach, dental care, some mental health and substance abuse treatments, and prenatal care, especially for people living in rural and urban medically underserved communities. More than 90% of FQHC patients live with incomes below 200% of the federal poverty limits, and more than 40% of FQHC patients are uninsured. 

CCMHP is the current federal program providing coordinated, community-based, family-centered, cultmally competent, accessible, and least restrictive services for children and adolescents with serious emotional, behavioral, or mental disorders accompanied by functional impairment. Development of these systems of care is based on the premise that the mental health needs of children, adolescents, and their families can be met in their home, school, and community environments (Substance Abuse and Mental Health Services Administration, 1999). A variety of community agencies are involved, including mental health, child welfare, education, and juvenile justice. Funded service systems are tailored to the needs of individual children and adolescents and include evaluation and diagnosis. 

The serious impact of drug use and alcohol abuse has been recognized by the federal government. The Federal Motor Carrier Safety Administration (FMCSA) has issued regulations which require the company to implement an alcohol and controlled substances testing program. 

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