HHS Strategic Plan, Fiscal Years 2007–2012 (Strategic Plan). Substance Use/Abuse

11/22/2015

The use of alcohol, tobacco, and illicit drugs exacts a significant health and economic toll on individuals and communities in the United States. In 2005, 19.7 million (8.1 percent) Americans aged 12 years and older used an illicit drug, 71.5 million (29.4 percent) used a tobacco product, and 126 million (51.8 percent) used alcohol.xxix Tobacco use is the leading preventable cause of death in the United States, resulting in approximately 440,000 deaths each year.xxx

CDC supports basic implementation programs to prevent and control tobacco use in the States, territories, and tribal areas. CDC also works with a variety of national and international partners to promote action through partnership in tobacco control efforts with WHO and WHO Member States. Building on these existing activities and partnerships, CDC will work to engage business sectors in supporting comprehensive tobacco prevention and control programs, including the benefits of tobacco-free workplaces and the importance of access to cessation services to employees who are trying to quit smoking. For Medicare beneficiaries who use tobacco, cessation counseling is a covered preventive service.

As part of its efforts to reengineer its approach to substance abuse prevention, SAMHSA has created a strategic framework that is built on science-based theory, evidence-based practices, and the knowledge that effective prevention programs must engage individuals, families, and entire communities. SAMHSA’s new Strategic Prevention Framework (SPF) sets into place a step-by-step process that empowers States and communities to identify their unique substance use problems, build or enhance infrastructure to support solutions, and implement the most effective prevention efforts for their specific needs. It also includes monitoring and evaluation to ensure accountability and effectiveness of the program effort. SAMHSA will continue to utilize the SPF and expand its use through its State and local grant programs.

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