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Access to Recovery III (ATR III) Grant Program
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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.
Contact:
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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Adult Criminal Justice Treatment Program (FY 08-11)
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Funding Mechanism: Grant
Total Available Funding: $4 million
Number of Awards: 10
Average Award Amount per Year: $400,000
Length of Project Period: 3 years
Federal Partners: None
Summary: The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) funded ten grants in FY 2008 for Adult Criminal Justice Treatment projects. This program is designed to address gaps in substance abuse treatment services for adult individuals involved with the criminal justice system by supporting rapid and strategic responses to demands for substance abuse (including alcohol and drug) treatment services in communities with serious, emerging drug problems as well as communities with innovative solutions to unmet needs. The purpose of this program is to expand and/or enhance the community’s ability to provide a comprehensive, integrated, and community-based response to a targeted, well-documented substance abuse treatment capacity problem and/or improve the quality and intensity or services for adult individuals in the community who are involved with the criminal justice system. To address the broad needs of this population, SAMHSA seeks to increase substance abuse treatment and recovery services for persons who are substance-involved, substance-dependent, have a substance abuse disorder or a co-occurring disorder, and are involved in community justice systems.
Background: The Adult Criminal Justice Treatment (ACJT) grants are for adults who are under a form of the judicial or community justice supervision and who are screened and assessed as substance-involved and/or have been diagnosed with a substance abuse disorder or co-occurring disorders of substance abuse and mental health. These individuals must be under the supervision of the judiciary or community justices/corrections agencies (such as probation, parole, community corrections). SAMHSA funds treatment and recovery services for individuals in the community. Therefore, funding cannot be used for providing services to incarcerated populations (defined as those persons in jails, prison, detention facilities or in custody where they are not free to move about in the community). The ACJT grant programs is one of SAMHSA’s services grant programs. SAMHSA’s services grants are designed to address the gaps in substance abuse services and/or to increase the ability of states, localities, tribes, urban Indian centers and/or tribal organizations to help the specific populations or geographic areas with serious, emerging substance abuse problems. For example, a community might seek and Adult Criminal Justice Treatment grant to add state-of-the-art treatment approaches or new services to address the emerging trends or unmet need (e.g., intensive case management and referral to services to address related HIV, tuberculosis, hepatitis B and C, and other primary health care needs of substance abusing clients) and other co-occurring issues (substance abuse and mental health).
Grantees City State Total Award Grantees: EAC, INC. Hempstead NY $1,200,000 SPAN, INC. Boston MA $1,200,000 SPECIALIZED TREATMENT EDUC/PREV/SRVCS Orlando FL $1,057,604 CENTER FOR COMMUNITY ALTERNATIVES, INC. New York NY $1,200,000 OAKLAND FAMILY SERVICES Pontiac MI $1,199,815 PINELLAS COUNTY SHERIFF'S OFFICE Largo FL $1,176,847 CENTERSTONE COMMUNITY MENTAL HLTH CNTRS Nashville TN $1,200,000 VOLUNTEERS OF AMERICA OF LOS ANGELES Los Angeles CA $1,200,000 NORTH COUNTY SERENITY HOUSE, INC. Escondido CA $1,200,000 STAND, INC. Decatur GA $1,200,000 Evaluation Activities: This discretionary grant program is not designated for an external evaluation study. Each grantee is responsible for performance measurement utilizing GPRA client level data administered at intake, six-month, and release from treatment mileposts. Additionally, each grantee is responsible for assessing performance using basic process and outcomes questions.
Future Prospects: The FY 2011 President’s budget requests $3,177,000 for the continuation of a new three-year cycle of grants.
Contact:
Ken Robertson
Team Leader, Criminal Justice Programs
Division of Services Improvement, Center for Substance Abuse
Phone: (240) 276-1621
Email: Kenneth.Roberson@samhsa.hhs.gov
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Offender Reentry Program (FY09-12 and FY 10-13)
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Funding Mechanism: Grant
Total Available Funding: $9.6 million (FY 2009-2012 cohort)
$7.98 million (FY 2010-2013 cohort)
Number of Awards: 42 total
24 (FY 2009-2012)
18 (FY 2010-2013)
Length of Project Period: 3 years
Federal Partners: None
Summary: The Substance Abuse and Mental Health Services Administration (SAMSHA), Center for Substance Abuse Treatment (CSAT) funded 24 Offender Reentry Program (ORP) grants in 2009 and another 18 for FY 2010. This program is part of the Criminal Justice grant portfolio and is designed to address the needs of sentenced substance-abusing juveniles and adult offenders returning to their families and community from adult or juvenile incarceration in facilities including prisons, jails, or juvenile detention centers. The purpose of ORP is to expand and/or enhance substance abuse treatment and related recovery and reentry services to sentenced juvenile and adult offenders returning to the community from incarceration for criminal/juvenile offenses. Applicants are expected to form stakeholder partnerships that will plan, develop and provide a transition from incarceration to community-based substance abuse treatment and related reentry services for the populations of focus. Because reentry transition must begin in the correctional or juvenile facility before release, limited funding may be used for certain activities in institutional correctional setting in addition to the expected community-based services.
Background: SAMHSA recognizes that there is a significant disparity between the availability of treatment services for persons with alcohol and drug use disorders and demand for such services. The disparity is also consistent for criminal justice populations, as estimates show only 10 percent of individuals involved with the criminal justice system who are in need of substance abuse treatment receive it as part of their justice system supervision. The Bureau of Justice Statistics (BJS) estimates that approximately 1 in 5 juveniles in the daily correctional population receive some form of substance abuse treatment (BJS, 2005; Taxman, NIDA CJDATS, 2007). Approximately one-half of the institutional treatment provided is educational programming (Taxman, NIDA CJDATS, 2007). By providing needed treatment services, this program intends to decrease the public health and social costs of substance abuse and dependence and increase public safety by reducing substance abuse related crime and violence. SAMHSA recognizes the need to successfully return and reintegrate individuals into the community by providing substance abuse treatment and other related reentry services, while also ensuring public safety for the community and family. This program builds on previous and ongoing SAMHSA/CSAT criminal and juvenile justice program initiatives (e.g., SAMHSA/CSAT FY 2004 YORP grant program), and builds on learning gained from these previous initiatives.
The Offender Reentry Program is one of SAMHSA’s services grant programs. SAMHSA’s services grants are designed to address gaps in substance abuse treatment services and/or to increase the ability of states, units of local government, American Indian/Alaska Native Tribes and tribal organizations, and community- and faith-based organizations to help specific populations or geographic areas with serious, emerging substance abuse problems.
Grantees City State Total Award Grantees: (FY 09-12 and FY 10-13) Operation Par, Inc Pinellas Park FL 1,200,000 Gaudenzia, DRC, Inc Philadelphia PA 1,200,000 Illinois Department of Human Services Division of Alcoholism and Substance Abuse Chicago IL 1,200,000 Gaudenzia, DRC, Inc Philadelphia PA 1,200,000 Serving Children and Adolescents in Need Laredo TX 1,200,000 Guidance Clinic of The Middle Keys, Inc Marathon FL 1,199,268 Easter Seal-Goodwill Northern Rocky Mt Boise ID 1,198,849 Alethia House Birmingham AL 1,200,000 Health Services Center, Inc Hobson City AL 1,200,000 Volunteer Behavioral Health Care System Murfreesboro TN 1,200,000 Special Services For Groups, Inc Los Angeles CA 1,200,000 Intervention, Inc Westminster CO 1,177,890 Community Counseling Institute Tacoma WA 1,200,000 Boston Public Health Commission Boston MA 1,200,000 OIC- of Broward CO, Inc Oakland Park FL 1,200,000 Orange County BAR foundation Santa Ana CA 1,200,000 Southern California Alcohol and Drug Programs, Inc Downey CA 1,200,000 Greenhope Services for Woman New York NY 1,200,000 Milwaukee County Milwaukee WI 1,200,000 Argus Community, Inc Bronx NY 1,197,300 Fortune Society, Inc Long Island City NY 1,200,000 Indiana Family & Social Services Admin Indianapolis IN 1,200,000 Family Service Center Houston Tx 1,200,000 County of Chester West Chester PA 1,200,000 Tides Family Services West Warwick RI 1,198,637 Catholic Charities Services Corp Cleveland OH 1,200,000 New North Citizen’s Council, Inc Springfield MA 1,200,000 Women’s Treatment Center Chicago IL 1,200,000 Volunteers of America of LA Los Angeles CA 1,200,000 Phoenix Programs Inc Columbia MO 1,200,000 Casa Esperanza, Inc Roxbury MA 1,200,000 Institute for Health and Recovery Cambridge MA 1,200,000 Baptist Child & Family Services San Antonio TX 1,200,000 Homeboy Industries Los Angeles CA 1,199,982 University of Colorado-Denver Denver CO 1,200,000 Sanctuary , Inc of GUAM Chalan Pago GM 1,180,153 Institute for Child and Family Health Miami FL 1,169,340 Evaluation Activities: This discretionary grant program is not designated for an external evaluation study. Each grantee is responsible for performance measurement utilizing GPRA client level data administered at intake, six-month, and release from treatment mileposts. Additionally, each grantee is responsible for assessing performance using basic process and outcomes questions.
Future Prospects: Discussing with BJA the possibility of a future collaborative effort.
Contact:
Kenneth W. Robertson
Team Leader, Criminal Justice Programs
Division of Services Improvement, Center for Substance Abuse Treatment
Phone: 240-2761621
Email: Kenneth.robertson@samhsa.hhs.gov
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Targeted Capacity for Substance Abuse Treatment and HIV/AIDS Services (TCE/HIV) National Minority AIDS Initiative
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Type of Activity: Services
Funding Mechanism: Grant
Total Available Funding: $ 61.6 million
Number of Awards: 140 grants
Award Amount: Grants that provide outreach and pretreatment services are funded for an amount to pass $400,000/year/grant. Grants that provide clinical substance abuse treatment are funded up to $450,000/year/grant.
Length of Project Period: 5 Years
Federal Partners: Department of Health and Human Services
Summary: The TCE/HIV program implements the Congressional directive for the National Minority AIDS Initiative to enhance the quality of services and expand the service capacity of substance abuse treatment programs with a history of providing services to high risk communities of color that are severely impacted by substance abuse and HIV/AIDS. Projects address both the shortage of substance abuse treatment and HIV/AIDS services including, HIV counseling and testing, health education, and access and referral to STD, hepatitis B and C and TB testing in minority communities. All grantees under the program are required to offer rapid HIV testing, and do on-site testing for grantees within the FY 2008 and 2009 Cohorts. In addition, funds community providers/community-based organizations that serve predominantly racial and ethnic minorities to increase treatment capacity including outreach and pretreatment services for individuals living with HIV/AIDS or at risk for HIV/AIDS related to their substance abuse. Funds are also used to continue a multi-site prospective evaluation that will allow programs to address behavioral risk factors and other related information that affect treatment outcome.
Activities:
- Address the gaps in substance abuse treatment capacity and outreach services by increasing the accessibility and availability of substance abuse treatment and HIV/AIDS services.
- Encourage state-of-the-art practices in the area of substance abuse treatment and HIV/AIDS outreach, prevention and treatment for at-risk target populations.
- Develop effective methods and approaches that will be used to reach the specified target population(s) of high risk substance abusers, partners, and substance abusing people living with AIDS.
- Increase the number of individuals that are contacted, engaged, referred to treatment, and complete substance abuse treatment; and closely monitor their substance abuse treatment outcomes and reduction in risk behaviors.
- Reduce risky behaviors associated with contracting HIV and other infectious diseases.
- Test for HIV using rapid tests.
Background: In 2008, the Centers for Disease Control and Prevention (CDC) with the use of new technology estimated that approximately 56,300 new HIV infections occurred in the U.S. in 2006 — a figure that is 40% higher than CDC’s former estimate of 40,000 new infections per year. These new estimates indicate that there are about 1,106,400 adults and adolescents living with HIV infection in the United States (CDC’s MMWR, October, 2008). These new findings also indicated that African Americans and Hispanics/Latino populations continue to be disproportionately affected by HIV infection. Recent estimates showed that African Americans represented 46% and Hispanics/Latinos 18% of new HIV infections, respectively. In 2008, an estimated 18,341 blacks and 7,864 received an AIDS diagnosis (CDC, June 2008). Individuals with substance use disorders are also at increased risk for HIV/AIDS as a result of either sharing contaminated syringes or by exhibiting impaired judgment while under the influence of a legal or illegal drug with abuse potential (e.g., alcohol, cocaine, methamphetamine, marijuana, and/or other non-injection drugs) which may increase high risk sexual behavior associated with HIV infection or transmission. This public health concern is supported by the CDC 2006 estimated HIV prevalence in the United States, which found that people infected with HIV through injection drug use accounted for 12% of annual new HIV infections and 19% of all people living with HIV (204,600 persons; 131,500).
Grantee City State Award Amount FY 2009 Grantees: Wyckoff Heights Medical Center Brooklyn NY $350,000 Positive Impact, Inc. Atlanta GA $350,000 Muscogee Creek Nation Okmulgee OK $450,000 East Bay Community Recovery Project Oakland CA $450,000 Recovery Consultants of Atlanta, Inc. Decatur GA $450,000 AIDS Service Center of Lower Manhattan New York NY $350,000 University of Tennessee Knoxville Knoxville TN $448,146 Street Works Nashville TN $350,000 Center for Great Expectations Somerville NJ $450,000 Vocational Instruction Project Community Services Bronx NY $450,000 San Francisco Dept. of Public Health San Francisco CA $450,000 TASC, Inc. Chicago IL $350,000 Catholic Community Services Miami Shores FL $445,510 Center for AIDS Research, Education & Services Sacramento CA $366,426 Latino Health Institute, Inc. Boston MA $450,000 CODAC Behavioral Health Services, Inc. Tucson AZ $450,000 Location(s) of Projects: See above
Evaluation Activities: For the multi-site evaluation, design the overall evaluation, identify a coordinating center, prepare OMB clearance documents, develop a standardized survey instrument, design a data analysis plan, and develop reporting protocols, and a dissemination strategy. Multi-Site Evaluation was awarded in FY 08 for $3,000,000/year.
Future Prospects: Current activities are funded under a fixed line item in the SAMHSA budget. However, the recently released Presidential National HIV/AIDS Strategy (July, 2010) makes a series or recommendations for SAMHSA. Future funding and activities will be determined by the gaps in services documented through increased and improved local, State and National surveillance. An overall goal of the plan is to increase access to care and optimizing health outcomes for people living with HIV while reducing health disparities. The accompanying Vision Statement is also quite simple but will have short and long range implications on how SAMHSA operates. The Vision: The United States will become a place where new HIV infections are rare and when the do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identify or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free for stigma and discrimination.
More Information: No grants were funded in FY 2010 through the SAMHSA TCE-HIV program. URL for grants funded for FY 2006 to FY 2009 can be found at the following links and contains the name of grantee, location, contact information and amount of award.
FY 2009 http://www.samhsa.gov/Grants/2009/awards/ti0806.aspx
FY 2008 http://www.samhsa.gov/Grants/2008/awards/ti08006.aspx
FY 2007 http://www.samhsa.gov/grants/2007/awards/ti07004.aspx
FY 2006 http://www.samhsa.gov/Grants/2006/TI_06_010.aspx
Contact:
David Thompson
Team Leader, TCE-HIV Program
Division of Services Improvement, Center for Substance Abuse Treatment
Phone: 240-276-1623
Email: David.Thompson@samhsa.hhs.gov
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