Future of Prevention Funding Lies in Broad, Public-Health Approach

Source: JoinTogether News Feature, 5/14/2010

Fueled in part by national healthcare reform, a quiet revolution is taking place in how the federal government conceives of prevention and funds preventive services, and the upshot could mean more money for programs that take a public-health approach to addiction and mental health problems and less for standalone programs that focus solely on alcohol and other drugs.

The healthcare reform bill passed by Congress includes a plan to spend $15 billion on disease prevention, and while many advocacy groups want that money to be spent on disease-specific interventions targeting problems like smoking and diabetes, others have called for using the money on broader community health initiatives.

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The report, Prevention of Mental, Emotional and Behavioral Disorders Among Young People, concluded that prevention of addiction and mental illness has been proven to be scientifically feasible, but said that only public-health approaches are demonstrably effective.

The report identified five proven approaches to prevention <<snip>> “The key to most of these approaches is to identify risks—biological, psychological, and social factors—that may increase a child’s risk of MEB disorders,” the report noted. “Some of these risks reside in specific characteristics of the individual or family environment (such as parental mental illness or substance abuse or serious family disruptions), but they also include social stresses such as poverty, violence, lack of safe schools, and lack of access to health care.”

Read the rest of the JoinTogether News Feature here.

For information regarding ongoing efforts related to unified prevention efforts in the state of Colorado, please see the Interagency Prevention Systems Project website.

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Obama Proposes Increased Funding for Treatment and Prevention

Source: JoinTogether News Feature, 2/5/2010

The Obama administration’s first stab at crafting its own national drug-control budget priorities (PDF) adds new funding for addiction treatment and prevention, but does little to close the huge gap between spending on drug supply- and demand-reduction efforts despite promises of a “balanced” strategy.

The FY2011 National Drug Control Budget released by the Office of National Drug Control Policy (ONDCP) on Feb. 1 includes a 13.4 percent increase in spending on alcohol and other drug prevention programs and a 3.7 percent increase for addiction treatment.

“The new budget proposal demonstrates the Obama administration’s commitment to a balanced and comprehensive drug strategy,” said ONDCP Director Gil Kerlikowske. “In a time of tight budgets and fiscal restraint, these new investments are targeted at reducing Americans’ drug use and the substantial costs associated with the health and social consequences of drug abuse.”

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However, the budget plan also calls for modest increases in spending on domestic law enforcement, interdiction, and international programs. So, the bottom line is that the Obama administration is proposing to spend 64 percent of its anti-drug budget on supply reduction efforts and just 36 percent on demand-reduction programs like drug treatment and prevention — numbers that are virtually indistinguishable from the ratio in the final drug budget produced under the Bush administration.

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The centerpiece of ONDCP’s demand-reduction plan is $150 million in “new funding for creating a national, community-based prevention system to protect adolescents; training and engaging primary health care to intervene in emerging cases of drug abuse; expanding and improving specialty addiction care; developing safe and efficient ways to manage drug-related offenders; and creating a permanent drug monitoring system.”

After years of declining budgets, the new prevention funding was welcomed by field advocates, although some found the allocation of resources somewhat puzzling. Notably, the budget plan calls for spending $9.5 million less on the Drug Free Communities (DFC) grant program, which had seen steady increases in recent years and is the most popular funding vehicle for community-based anti-drug coalitions nationally.

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The Obama administration is proposing a new “Successful, Safe and Healthy Students” grant program to replace the Department of Education’s Safe and Drug-Free Schools (SFDS) program, which has suffered significant funding cuts in recent years amid doubts about its effectiveness.

The new program — intended to create “an improved school climate that reduces drug use, violence, and harassment and improves school safety and students’ physical and mental well-being” —  would receive $283 million under the Obama plan, $107 million more than SFDS received in FY2010. Unlike the formula-based SDFS national grants, the Healthy Students grants will be awarded on a competitive basis to local education agencies.

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The budget would establish a $15-million Prevention Prepared Communities program, a pilot project intended to create a system of evidence-based youth prevention interventions lasting throughout adolescence. Another $5.6 million would be spent on supporting community prevention specialists who would assist in developing these projects in collaboration with the states, and $2 million would be used to evaluate the project.

Click here to read the entire story
Click here to read the “National Drug Control Budget FY 2011 Funding Highlights”
Click here for more information on the “Successful, Safe, and Healthy Students” grant program from DOE
Click here to read “Proposed FY 2011 Budget HHS Priority Programs” memo from NASADAD

Guide Offers Communities Ways To Prevent and Respond to School Violence

Source: OJJDP JUVJUST, 12/16/2009 (email)

Guide for Preventing and Responding to School Violence cover

The Office of Justice Programs’ Bureau of Justice Assistance (BJA), in coordination with the International Association of Chiefs of Police, has published a new edition of its “Guide for Preventing and Responding to School Violence.”

Designed to assist local communities, the guide describes the roles of the school, community, families, law enforcement, and justice system in working together to take effective action to address school violence.

Resources:

BJA’s “Guide for Preventing and Responding to School Violence” is available online atwww.ojp.usdoj.gov/BJA/pdf/IACP_School_Violence.pdf.

Colorado DBH: notification of upcoming RFP for Substance Abuse Prevention and Treatment Federal Block Grant Prevention

The Department of Human Services (CDHS), Division of Procurement, will issue three Requests for Proposals (RFPs) for the benefit of the Division of Behavioral Health Community Prevention Programs in mid-January, 2010.

The general announcement of anticipation of releaseof a new RFP is available online at:
https://www.gssa.state.co.us/BdSols.nsf/OByCats/58376f180d9ae58e872576890073a9bd?OpenDocument

SAMHSA Awards $46 Million Partnerships for Success: State and Community Prevention Performance Grants [Colorado 1 of 4 grantees]

Source: SAMHSA News Release, 9/14/2009

The Substance Abuse and Mental Health Services Administration (SAMHSA) today awarded $46 million over five years in Partnerships for Success: State and Community Prevention Performance grants. This program is designed to help states and U.S. territories reduce state-wide substance abuse rates by addressing gaps in their current prevention services and increasing their ability to reach out to specific populations or geographic areas with serious, emerging substance abuse problems.

The grants aim to achieve a quantifiable decline in state-wide substance abuse rates by incorporating a strong incentive to grantees that have met or exceeded their prevention performance targets. The grants build on the Strategic Prevention Framework (SPF), which requires that grantees utilize a five-step, data-driven planning model to ensure that program services address areas of greatest need. The key to the SPF program is that it offers monetary incentives in the form of program expansion supplements to the grantees that succeed in achieving critical performance outcomes by the end of the third year of the five-year program.

“These grants will help provide essential substance abuse prevention services to people and communities that might otherwise not get them,” said SAMHSA Acting Administrator Eric Broderick, D.D.S. , M.P.H. “Partnerships for Success also provides these services in ways offering measurable results and opportunities for developing more effective prevention strategies. ”

SAMHSA is awarding approximately four grants of up to $2.3 million per grantee annually for up to five years. The actual award amounts may vary, depending on the availability of funds and the performance of the grantee. The grants will be administered by SAMHSA’s Center for Substance Abuse Prevention (CSAP).

The four grantees are:

The Colorado Prevention Partnership for Success (CPPS): This project employs a public health model to demonstrate positive statewide change among 12-17 year olds in underage and binge drinking rates and in the binge drinking disparity for Latino youth. The CPPS will continue to integrate the Strategic Prevention Framework within Colorado’s State Prevention System to ensure measurable and sustainable substance abuse prevention outcomes.

The Illinois Partnerships for Success: Funds from the grant will provide an opportunity for meaningful collaboration between State leaders and community members in order to build capacity for substance abuse prevention with a focus on underage drinking. In Illinois, 34.3 percent of youth of ages 13-18 drink alcohol on a regular basis, compared to 28.1 percent of their peers in the U.S. overall. Their goal is to reduce the high school (10th grade through 12th grade) 30-day use rate from 40.6 percent to 35 percent by 2012.

The Connecticut Department of Mental Health and Addiction Services (DMHAS): As the Single State Agency for substance abuse and mental health services, DMHAS has been designated by the Governor’s Office to lead the Connecticut Partnerships for Success (CT PFS) Initiative. This Initiative seeks to: 1) achieve a quantifiable decline in statewide substance abuse rates; 2) demonstrate a capacity to reduce substance abuse problems; and 3) achieve specific performance targets and program level outcomes.

The Tennessee Department of Mental Health and Developmental Disabilities, Division of Alcohol and Drug Abuse Services (DADAS): DADAS will use its Partnerships for Success funds to reduce alcohol binge drinking among the state’s 14-25 year olds. Tennessee’s Partnership for Success Project has a goal of reversing the state’s upward trend in binge drinking by decreasing the total number of 14-25 year olds who engage in binge drinking within any 30-day period by 4.3 percent over the five-year grant period.

For additional information about SAMHSA grants go to http://www.samhsa.gov/grants/

New PIC special collection: Evidence-Based Intervention Collection (EBIC)

The EBIC consists of nearly 50 community and school-based interventions that have been recognized as effective in meeting risk behavior reduction outcomes.  Each intervention is available for loan from the PIC.

Click here to see the available interventions.

Click on the title of the intervention to see the full catalog record.

Each catalog record includes information about agencies that have endorsed or reviewed the programs with links to the site or document where they are discussed.  Each record also contains links the intervention summary on the National Registry of Evidence-based Programs and Practices (NREPP).

Visit the PIC Library homepage or catalog and click on the links to the Evidence-Based Intervention Collection.

New CASA report finds that for every federal and state $1 spent on substance abuse and addiction, only 2 cents goes to prevention and treatment

Source: CASA News Release, 5/28/2009

Shoveling Up II: The Impact of Substance Abuse on Federal, State and Local Budgets

NEW CASA* REPORT FINDS FEDERAL, STATE AND LOCAL GOVERNMENTS SPEND ALMOST HALF A TRILLION DOLLARS A YEAR ON SUBSTANCE ABUSE AND ADDICTION

OF EVERY FEDERAL AND STATE DOLLAR SPENT, 96 CENTS GOES TO SHOVEL UP WRECKAGE OF ILLNESS, CRIME, SOCIAL ILLS; ONLY 2 CENTS GOES TO PREVENTION AND TREATMENT

WASHINGTON, D.C., May 28, 2009 – Substance abuse and addiction cost federal, state and local governments at least $467.7 billion in 2005, according to Shoveling Up II: The Impact of Substance Abuse on Federal, State and Local Budgets, a new 287-page report released today by The National Center on Addiction and Substance Abuse (CASA) at Columbia University.

The CASA report found that of $373.9 billion in federal and state spending, 95.6 percent ($357.4 billion) went to shovel up the consequences and human wreckage of substance abuse and addiction; only 1.9 percent went to prevention and treatment, 0.4 percent to research, 1.4 percent to taxation and regulation, and 0.7 percent to interdiction.

The report, based on three years of research and analysis, is the first ever to assess the costs of tobacco, alcohol and illegal and prescription drug abuse to all levels of government. Using the most conservative assumptions, the study concluded that the federal government spent $238.2 billion; states, $135.8 billion; and local governments, $93.8 billion, in 2005 (the most recent year for which data were available over the course of the study).

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Key Findings

  • Of the $3.3 trillion total federal and state government spending, $373.9 billion – 11.2 percent, more than one of every ten dollars– was spent on tobacco, alcohol and illegal and prescription drug abuse and addiction and its consequences.
  • The federal government spent $238.2 billion (9.6 percent of its budget) on substance abuse and addiction. If substance abuse and addiction were its own budget category at the federal level, it would rank sixth, behind social security, national defense, income security, Medicare and other health programs including the federal share of Medicaid.
  • State governments spent $135.8 billion (15.7 percent of their budgets) to deal with substance abuse and addiction, up from 13.3 percent in 1998. If substance abuse and addiction were its own state budget category, it would rank second behind spending on elementary and secondary education.
  • Local governments spent $93.8 billion on substance abuse and addiction (9 percent of their budgets), outstripping local spending for transportation and public welfare.[1]
  • For every $100 spent by state governments on substance abuse and addiction, the average spent on prevention, treatment and research was $2.38; Connecticut spent the most, $10.39; New Hampshire spent the least, $0.22.
  • For every dollar the federal and state governments spent on prevention and treatment, they spent $59.83 shoveling up the consequences, despite a growing body of scientific evidence confirming the efficacy and cost savings of science-based interventions.
  • With respect to children, for every dollar federal and state governments spent on prevention or treatment, they spent $60.25 shoveling up the consequences of substance abuse and addiction.
  • For each dollar in alcohol and tobacco taxes and liquor store revenues that federal and state governments collect, they spend $8.95 shoveling up the consequences of substance abuse and addiction.

Click here to read the complete press release.
Click here to download for free or purchase a print copy of the full 287 page report.