1. The Substance Abuse and Mental Health Services Administration (SAMHSA) Brief Overview of the Regional Presence NJ Behavioral Health Webinar A Policy Conversation September 20, 2012 1 1

2. Reduce the impact of substance abuse and mental illness on America’s communities Behavioral Health: A National Priority Behavioral health is essential to health Treatment is effective Prevention works People recover 2 SAMHSA’s Mission SAMHSA’s Vision

3. SAMHSA Core Functions  Leadership and Voice  Data/Surveillance  DASIS, NSDUH, TEDS...  Practice Improvement -- Technical Assistance, Quality Measures, Evaluation/Services Research  Public Awareness and Education  Grant-making  Regulation and Standard Setting 3

4. SAMHSA’S Strategic Initiatives 1. Prevention 2. Trauma and Justice 3. Military Families 4. Recovery Support 5. Health Reform 6. Health Information Technology 7. Data, Outcomes & Quality 8. Public Awareness & Support 4

5. The U.S. At-A-Glance Fast Facts  By 2020, behavioral health disorders will surpass all physical diseases worldwide as a major cause of disability.  Among persons aged 12 or older who used pain relievers non-medically in the past 12 months, 55.9 percent got the pain relievers they most recently used from a friend or relative for free.  Nearly 5,000 deaths are attributed to underage drinking each year.  Each year, tobacco use results in more deaths (443,000) than AIDS, unintentional injuries, suicide, homicide, and alcohol and drug abuse combined.  Half of all lifetime cases of mental illnesses begin by age 14 and three-fourths by age 24.  Over 33,300 Americans die every year as a result of suicide, which amounts to approximately one every 16 minutes.  One estimate puts the total economic costs of mental, emotional, and behavioral disorders among youth at approximately $247 billion. 5

6. SAMHSA Regional Administrators (RAs) Role Purpose Expectations 6

7. Department of Health and Human Services Provide SAMHSA staff with “eyes and ears” out in the Regions Establish working relationships with: – Regional representatives of OPDIVS (HRSA, ACF, CMS) and internal staff divisions (e.g., ASFR and OASH. – State authorities for mental health and substance abuse, provider groups, city and county level health departments. Coordinate support for State implementation of health reform. Coordinate, as needed, implementation of SAMHSA Strategic Initiatives and technical assistance within the regions. Help States to coordinate resources across SAMHSA to address emerging needs. 7 Represent SAMHSA leadership in the Regions

8. Role: Regional Administrators Collaborate with HHS colleagues in regional offices to advance HHS goals and assure behavioral health issues are included Assist stakeholders to get what they need – facilitate problem-solving regarding grants, policies, systems and programs Help arrange technical assistance 8

9. Purpose: Regional Administrators Represent SAMHSA leadership in the Regions Provide SAMHSA staff with “eyes and ears” out in the Regions Establish working relationships with: – Regional representatives of OPDIVS (HRSA, ACF, CMS) and internal staff divisions (e.g., ASPR and OASH. – State authorities for mental health and substance abuse, provider groups, city and county level health departments. Coordinate support for State implementation of health reform. Coordinate, as needed, implementation of SAMHSA Strategic Initiatives and technical assistance within the regions. Help States to coordinate resources across SAMHSA to address emerging needs. 9

10. Expectations: Regional Administrators Help translate SAMHSA mission, vision, strategic initiatives, theory of change and priorities in interactions with other HHS Operating Divisions and stakeholders Listen and convey to headquarters and other HHS Operating Divisions what’s working, what isn’t and ways to improve Help identify and coordinate technical assistance 10

11. Expectations: Regional Administrators Collaborate with HHS colleagues in regional offices to advance HHS goals and assure behavioral health issues are included Assist stakeholders to get what they need – facilitate problem-solving regarding grants, policies, systems and programs Help arrange technical assistance 11