Sybil K' Goldman, MSW Senior Advisor on Children, SAMHSA

1
Substance Abuse And Mental Health Services
Administration (SAMHSA)U.S. Department Of
Health And Human ServicesVision, Goals,
Priorities For Children AndTheir Families

• Sybil K. Goldman, MSWSenior Advisor on Children,
  SAMHSA
• SAMHSA Minority Fellowship Program / First
  National SAMHSA MFP Conference
• Cultural Competence and Reducing Health
  Disparities
• December 12, 2003

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Workforce Crisis in Mental Health Care
Supply and training of behavioral health
professionals is inadequate.

• Inadequate training
• To serve culturally diverse populations
• To provide state-of-the-art and
  evidence-based behavioral health prevention
  and treatment interventions and integrated care

• Provider shortages
• In rural areas
• For children, adolescents and older adults
• Among racial and ethnic minority service
  providers (serious under-representation)

3
Workforce Crisis in Behavioral Health Care
(contd)

• Goal 5 of Presidents New Freedom Commission
  on Mental Health Excellent Mental Health Care is
  Delivered and Research is Accelerated
• Rec. 5.3 Improve and expand the workforce
  providing evidence-based mental health services
  and supports.
• The field needs a comprehensive strategic plan to
  improve workforce recruitment, retention,
  diversity, and skills training.

4
SAMHSAs Children And Families Workgroup

• Membership Key policy and program leadership for
  children across three Centers CMHS, CSAP, CSAT,
  OA
• Purpose Established to determine specific
  priorities for children and families, and develop
  unified vision, goals and agenda
• With input from field, SAMHSA Council, and
  Administrators priorities, developed Strategic
  Plan and Blueprint to guide SAMHSAs agenda for
  children and families

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Goals of SAMHSAs Children And Families Workgroup
- Relates to SAMHSAs ACE

• Build infrastructure, service capacity and
  accountability to improve access, availability,
  and quality of MH and SU prevention, early
  intervention and treatment services for Children
  Families
• Facilitate adoption of effective prevention,
  early intervention, and treatment approaches
  through technical assistance and grant programs
• Promote outcomes-based accountability to achieve
  quality and cost effectiveness in MH SU service
  delivery systems
• Support strategies to eliminate racial and ethnic
  disparities for children and families in access,
  assessment, and treatment by improving access and
  appropriateness of care
• Educate the public, using health information
  technology, about effective, cutting edge
  approaches to prevent and treat mental and
  behavioral disorders

6
SAMHSAs Children And Families Workgroup Action
Areas

• Workgroup designated 5 overarching Action Areas
• Build infrastructure, service capacity,
  effectiveness and accountability for prevention,
  early intervention and treatment.
• Provide leadership and develop new collaborative
  initiatives to address priority issues
• Comprehensive approach for families
• Workforce
• Prevention and Early intervention
• Suicide prevention
• Trauma
• Youth with co-occurring substance use and mental
  health problems.

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SAMHSAs Children And Families Workgroup Action
Areas (contd)

• Expand evidence base of what works and implement
  in practice (Science to Service).
• Strengthen cross-Center collaboration within
  SAMHSA and operationalize one- SAMHSA for
  children.
• Strengthen collaboration with other Federal
  agencies and partnerships with foundations and
  key organizations leverage opportunities.

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SAMHSAs Children And Families Workgroup Sample
of Activities

• Cross-Center efforts to develop Child and
  Adolescent SIG in FY2004
• Development and implementation of Transforming,
  Linking and Caring (TLC) Creating the Promise
  for Childrens Mental Health Care within
  Communities
• Workforce Subgroup convened Federal partners
  meeting to identify Federal training and
  technical assistance projects dealing with
  existing childrens MH and SU prevention and
  treatment workforce

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SAMHSAs Children And Families Workgroup Sample
of Activities (contd)

• Coordinating SAMHSAs communication/social
  marketing efforts related to children and
  families
• Joint meeting between CSAT and CMHS grantees
  focused on community-based service systems
• Collaboration between SAMHSA and ACF to
  strengthen services to children families in
  child welfare system
• Input into budget planning and grant/contract
  development around children and families

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Sample of Child, Adolescent, And Family Related
RFAS

• CSAT
• Strengthening Treatment Systems for Youth
• Effective Adolescent Treatment
• Adolescent Residential Treatment
• National Center on Substance Abuse and Child
  Welfare
• Residential Treatment Program for Pregnant
  Postpartum Women, and Residential Treatment for
  Women their Children

• CMHS
• Childrens Comprehensive Mental Health Services
• Safe Schools/Healthy Students
• National Child Traumatic Stress Initiative
• Prevention and Early Intervention
• Youth Violence Prevention

• CSAP
• SIG Planning Grants
• SIG Enhancement Grants Risk and Protective
  Factors
• Meth/Ecstasy
• HIV

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Sample of SAMHSAs Programs Targeting Minority
Children and FamiliesSAMHSA Goal Address
Cultural Competence and Disparities in Access and
Care in all Grants

• Circles of Care Grant Program These planning
  grants provide funding for three years to
  federally recognized tribes and urban Indian
  communities to plan, design, and assess the
  feasibility of implementing a culturally
  appropriate behavioral health system of care for
  American Indian and Alaska Native children and
  families.
• National Registry for Effective Programs (NREP)
  SAMHSAs comprehensive system to screen,
  select, maintain a database, and disseminate
  effective model and promising substance use,
  mental health, HIV/AIDS and violence prevention
  programs. www.modelprograms.samhsa.gov
• Soy Uniqa! Soy Latina! One component of
  SAMHSAs Hispanic/Latino Initiative, this
  outreach effort is targeted to Latina girls ages
  9 to 14 and their mothers or female caregivers.
  Its purpose is to help prevent and/or delay onset
  of substance use and emphasizes positive mental
  health and self-esteem. www.soyunica.gov

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Sample of SAMHSAs Programs Targeting Minority
Children and Families (contd)

• FASD Alaska's Integrative, Comprehensive
  Approach SAMHSAs 5-year initiative (01-06)
  funds Alaskas State system to prevent Fetal
  Alcohol Spectrum Disorders (FASD) identify
  individuals with FASD earlier enhance service
  delivery and evaluate the overall initiative.
  Alaska Natives are full participants in every
  area of Alaskas FASD program.
• Targeted Capacity Expansion (TCE) - This grant
  portfolio is to target and expand substance use
  treatment services and build treatment capacity
  for populations that have had limited or no
  access to past treatment. In FY2004, 3.5
  million is proposed to target minorities. Some
  additional grants specifically target American
  Indians/Alaskan Natives and Tribal Organizations.
  
• Starting Early/Starting Smart (SESS) This
  program funded 12 health or child care settings
  to integrate in their programs mental health and
  substance use prevention and treatment services
  utilizing culturally competent approaches.
  www.health.org/promos/sess/