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

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

3. 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 /- FY 2017
-$252,484
-$73,114
+$30
-$73,626
-$399,194

4. Substance Abuse Treatment4
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

5. Substance Abuse Treatment PPAs5
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

6. Substance Abuse Prevention6
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

7. Substance Abuse Prevention PPAs7
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

8. 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

9. 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

10. 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

11. 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

12. Health Surveillance and Program Support (HSPS) Reduction12
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.

13. 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.