1. EMERGING OPPORTUNITIES FOR COMMUNITY COALITIONS Pamela S. Hyde, J.D. – Administrator Kana Enomoto, MA – Principal Deputy Administrator SAMHSA Power Session CADCA National Leadership Forum National Harbor, MD February 7, 2013

2. TODAY’S DISCUSSION  Prevention in Affordable Care Act  Post-Sandy Hook Activities  Opportunities for Coalitions 2

3. ACA – PREVENTING DISEASE AND PROMOTING WELLNESS  Targeted Prevention Activities – Commercial Insurance, Medicare, Medicaid Required screenings (tobacco; alcohol; depression; DV for women; SA, developmental, & behavioral assessments for youth; HIV and STIs for adolescents) Limitations on cost-sharing Personalized prevention plans  Community Prevention Activities - Grant Programs Prevention and Public Health Trust Fund Community Transformation Grants Incentives to participate in healthy lifestyle programs (Medicaid); to develop wellness programs (employers) Home visiting grants (including SA screening) 3

4. NATIONAL PREVENTION STRATEGY 4

5. NATIONAL PREVENTION COUNCIL ACTION PLAN – JUNE 2012  Tobacco Free Living Tobacco SYNAR Program  Preventing Drug Abuse and Excessive Alcohol Use SPF, SBIRT, DFC, Drug Courts, Primary/BH Integration, Prescription Drugs/Painkillers, National Prevention Week  Injury and Violence Free Living National Forum on Youth Violence Prevention, Trauma-Informed Approach  Reproductive and Sexual Health National HIV/AIDS Strategy, Integrating HIV Testing into SU Treatment Programs, HHS 12 Cites Project  Mental and Emotional Well-Being MHPAEA, Project Launch, Safe Schools/Healthy Students, stopbullying.gov 5

6. ACA HAS IT ALL Promotion Prevention Treatment Maintenance Promotion Universal Selective Indicated Case Identification Standard Treatment for Known Disorder Compliance w/Long-term Tx (  Relapse & Recurrence) After-care (Including Rehabilitation) 6

7. ROLE OF COALITIONS IN BEHAVIORAL HEALTH BUILDING ON CADCA’S SEVEN STRATEGIES FOR COMMUNITY CHANGE:  Providing Information  Enhancing Skills  Providing Support  Enhancing Access/Reducing Barriers  Changing Consequences (Incentives/Disincentives)  Physical Design  Modifying/Changing Policies 7

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