SAMHSA’S FY 2018 BUDGET As Proposed in the President’s Budget

SAMHSA FY 2018 BUDGET OVERVIEW Key Priorities Addressing the opioid crisis Addressing Serious Mental Illness (SMI) Preventing Suicide

Request by Appropriation (Dollars in thousands) 3 Appropriation Mental Health Services SA Prevention Treatment HSPS (SA & MH) Total FY 2017 Annualized CR Total $1,164,831 $222,817 $2,696,405 $207,474 $4,291,527 FY 2018 Budget Request 912,347 149,703 2,696,435 133,848 3,892,333 FY 2018 PHS Evaluation Funds (non-add) 15,539 --- 81,200 23,426 120,165 Prevention & Public Health Fund (non add) FY 2018 +/- FY 2017 -$252,484 -$73,114 +$30 -$73,626 -$399,194

Substance Abuse Treatment 4 State Targeted Response to the Opioid Crisis: $500.0M Program Request maintained at 2017 ACR level Substance Abuse Prevention and Treatment Block Grant (SABG): $1.9B Comprehensive Addiction and Recovery Act: $5M PPW: $4M; BCOR: $1M (programs maintained at 2017 ACR level) All other Discretionary programs are maintained at 2017 ACR level

Substance Abuse Treatment PPAs 5 Opioid Treatment Programs/Regulatory Activities: $8.7M Screening Brief Intervention and Referral to Treatment (SBIRT): $46.8M Targeted Capacity Expansion-General: $36.2M Pregnant and Postpartum Women: $19.9M Recovery Community Services Program: $2.4M Children and Families: $29.5M Treatment System for Homeless: $41.2M Criminal Justice Activities: $77.9M Minority AIDS: $65.4M SAT Minority Fellowship Program: $3.5M Addiction Technology Transfer Centers: $9.0M

Substance Abuse Prevention 6 Strategic Prevention Framework: $58.4M (-$60.8M) Maintains SPF Rx in its entirety Minority AIDS: $28.8M (-$12.3M) New MAI CoC grants will not be awarded and CBI will be phased out Comprehensive Addiction and Recovery Act: $12M Maintains First Responder Training at 2017 ACR level All other Discretionary programs are maintained at 2017 ACR level

Substance Abuse Prevention PPAs 7 Federal Drug-Free Workplace: $4.9M Sober Truth on Preventing Underage Drinking (STOP Act): $7.0M Tribal Behavioral Health Grants: $15.0M Grants to Prevent Prescription Drug/Opioid Overdose-Related Deaths: $12.0M Minority Fellowship Program: $71K Center for the Application of Prevention Technologies: $7.5M Science and Service Program Coordination: $4.1M

Mental Health (New SMI Initiatives) 8 Assertive Community Treatment: $5.0M A new initiative to focus on addressing SMI Children’s Mental Health Services: $119M Includes a new 10% set-aside for prodrome services research demonstration program

Mental Health (Reductions) 9 The following programs are being eliminated or reduced to reduce duplication: Project AWARE: $0.0M (-$64.7M) Healthy Transition: $0.0M (-$19.9M) Primary and Behavioral Health Care Integration: $0.0M (-$51.9M) Community Mental Health Services Block Grant: $415.5M(-$116.1M) Minority AIDS: $4.2M (-$5.0M) All other Discretionary programs are maintained at 2017 ACR level

Youth Violence Prevention: $23.1M Mental Health PPAs 10 Youth Violence Prevention: $23.1M National Child Traumatic Stress Network: $46.8M Children and Family Programs: $6.4M Consumer and Family Network Grants: $4.9M MH System Transformation and Health Reform: $3.8M Project LAUNCH: $34.5M Suicide Prevention Programs: $59.9M Homelessness Prevention Programs: $30.6M Criminal and Juvenile Justice Programs: $4.3M Assisted Outpatient Treatment for Individuals with SMI: $15.0M

Mental Health PPAs (cont.) 11 Practice Improvement and Training: $7.8M Consumer and Consumer Support TA Centers: $1.9M Disaster Response: $1.9M Homelessness: $2.3M HIV/AIDS Education: $0.8M Seclusion and Restraint: $1.1M MH Minority Fellowship Program: $8.0M Tribal Behavioral Health Grants: $15.0M Projects for Assistance in Transition from Homelessness (PATH): $64.5M Protection and Advocacy for Individuals with Mental Illness (PAIMI): $36.1M

Health Surveillance and Program Support (HSPS) Reduction 12 Health Surveillance: $33.8M (-$13.4M) Prioritizes to continue supporting the National Survey on Drug Use and Health (NSDUH) survey at its current sample size and to maintain National Registry of Evidence-based Programs and Practices (NREPP) activities. Program Support $73.0M (-$6.4M) Continues to cover personnel, overhead costs associated with 5600 Fishers Lane, Public Awareness and Support $11.6M (-$4.0M) Continues to collaborate with other agencies on the four key messages: behavioral health is essential to health, prevention works, treatment is effective, and people recover.

Conclusions 13 SAMHSA’s Budget continues a key focus on addressing the opioid crisis, investing in services and supports for those with SMI, and preventing suicide. Although SAMHSA absorbs difficult cuts, critical programming still continues. The Budget reflects an essential commitment for SAMHSA to continue to lead public health efforts to advance the behavioral health of the nation.