Overview and Inventory of HHS Efforts to Assist Incarcerated and Reentering Individuals and their Families . Access to Recovery III (ATR III) Grant Program


Type of Activity:  Services

Funding Mechanism:  Grant

Total Available Funding:  $94.8 million per year

Number of Awards:  30

Average Award Amount:  $3,352,000

Length of Project Period: Sept. 30, 2010 - Sept. 29, 2014 (4 years)

Federal Partners: There are no joint funders. Although, the terms and conditions of the Award encourage grantee partnerships with other grantees funded by Departments of Labor and Justice.

Summary: Access to Recovery III (ATR III) is a four-year discretionary grant program that provides individuals with vouchers to purchase treatment and recovery support services for substance use disorders at the provider of their choice.

ATR has three primary goals: 1) Expand consumer choice; 2) Track and improve outcomes; and 3) Increase capacity. ATR also aims to include faith-based and community-based providers in service delivery to reach populations that might otherwise not receive treatment or recovery support services. Monitoring outcomes, tracking costs and preventing fraud waste and abuse are also important elements of the ATR program. This is the third cohort of ATR funding. ATR was also funded in 2004 and 2007. See www.atr.samhsa.gov.

Under ATR II, approximately 1/3 of grantees served the criminal justice population. In ATR III, 20 grantees (of 30) proposed to target services to criminal justice populations.

Background:  The Nation’s substance abuse treatment system is shaped, supported, and maintained by the States. These services are funded primarily through state revenues and Federal programs, including SAMHSA’s Substance Abuse Prevention and Treatment Block Grant and Targeted Capacity Expansion grants, and Medicaid dollars. Although these resources continue to help millions of Americans obtain and sustain recovery from addiction, too many people who seek help are unable to find care. By providing individuals with vouchers to pay for the care they need, Access to Recovery is fostering consumer choice, improved service quality, and increased treatment capacity. Vouchers, along with other state operated programs, provide an unparalleled opportunity to create profound change in substance use disorders treatment and recovery financing and service delivery in America.

Grantees City State First Year Awards
Current grantees:
Research Foundation for Mental Hygiene, Inc at OASAS Albany NY $3,352,000
State of New Mexico Santa Fe NM $3,352,000
MD DHM-Alcohol & Drug Abuse Admin(ADAA) Catonsville MD $3,352,000
Massachusetts Depart of Public Health Boston MA $3,352,000
AR Dept of Human Services, Div of BHS Little Rock AR $3,352,900
Wisconsin Department of Health Services Madison WI. $3,352,000
Inter-Tribal Council of Michigan, Inc. Chippewa MI $3,352,000
California Dept. of Alcohol & Drug Programs Sacramento CA $3,352,000
Missouri Division of Alcohol & Drug Abuse Jefferson City MO $3,352,000
IL Dept of Human Service, Div of Alcohol & Substance Abuse Chicago IL $3,352,000
State of Oregon Dept of Human Services Salem OR $3,352,000
Southcentral Foundation Anchorage AK $2,261,186
Utah Div of Substance Abuse and Mental Health Salt Lake City UT $1,676,000
Aberdeen Area Tribal Chairmen's Health Board Rapid City SD $3,352,000
Conn. Dept of Mental Health & Addiction Services Hartford CT $3,352,000
Indiana Family & Social Services Administration Indianapolis IN $3,352,000
Pennsylvania Department of Health Harrisburg PA $2,617,201
Dept. of Social & Health Services Olympia WA $3,352,000
Government of the District of Columbia Washington DC $3,352,000
Montana Wyoming Tribal Leaders Council Billings MT $2,366,841
Iowa Dept of Public Health Des Moines IA $3,352,000
California Rural Indian Health Board, Inc. Sacramento CA $3,352,000
Florida Dept. of Children & Families Tallahassee FL $3,349,265
State of RI and Providence Plantation Cranston RI $3,352,000
State of CO, Div of Behavioral Health Denver CO $3,352,000
Ohio Dept of Alcohol & Drug Addiction Services Columbus OH $3,352,000
New Hampshire Dept of Health and Human Services Concord NH $3,075,248
Idaho Dept of Health and Welfare Boise ID $3,328,160
Office of the Governor, State of Hawaii Honolulu HI $2,932,999
Oglala Sioux Tribe Pine Ridge SD $2,788,926

Press Release: http://www.samhsa.gov/newsroom/advisories/1010081330.aspx

Location(s) of Projects:  See above

Evaluation Activities:  An independent evaluation of the 2004 cohort is in progress. Results are expected to be available by December 31, 2010.

Future Prospects:  Future prospects are unknown at this time. However, it is hoped that state systems will adopt the ATR voucher model of service delivery.


Catherine D. Nugent
Chief, Quality Improvement and Workforce Development Branch, CSAT, SAMHSA
Phone: 240-276-1577
Email: Cathy.nugent@samhsa.hhs.gov

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