Kern County Grant Summit: SAMHSA
Overview and Grant Opportunities
January 30th, 2015
Jon Perez
SAMHSA Regional Administrator
DHHS Region IX
DHHS Organizational Chart
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SAMHSA
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– One of 11 DHHS Grant making agencies
– Approximately 550 employees
– 10 Regional Offices
– SAMHSA’s FY 2014 budget
approximately $ 3.6 billion
Region X:
Seattle
AK, ID, OR, WA
David Dickinson
2201 6th Ave,
MS RX-02
Seattle, WA
98121
Region VIII:
Denver
CO, MT, ND, SD,
UT, WY
Charles Smith, PhD
1961 Stout Street
Denver, CO 80294
Region VII:
Kansas City
IA, KS, NE, MO
Vacant
601 East 12th St
Kansas City, MO
64106
Region V: Chicago
IL, IN, MI, MN, OH,
WI
Jeffrey A. Coady,
PsyD
233 N Michigan Ave
Chicago, IL 60601
Vacant
Region I: Boston
CT, ME, MA, NH, RI, VT
Kathryn Power, MEd
JFK Federal Building
Boston, MA 02203
Region II: New York
NJ, NY, PR, VI
Dennis O. Romero
26 Federal Plaza
New York, NY 10278
Region III: Philadelphia
Substance
Abuse and
Mental Health
Services
Administration
Regional
Administrators
January 2015
Region IX:
San Francisco
AZ, CA, HI, GU, NV,
AS, CNMI,
FSM, MH, PW
Jon Perez, PhD
90 7th Street, 8th Floor
San Francisco, CA 94103
DE, DC,MD, PA, VA, WV
Jean Bennett, PhD
150 S. Independence
Mall West
Philadelphia, PA 19106
(o)215.861.4377
(c)202.446.4710
Jean.Bennett@samhsa.hhs.gov
Region VI:
Dallas
AR, LA, NM, OK, TX
Michael Duffy
RN, BSN
1301 Young St,
Dallas, Texas 75202
Region IV:
Atlanta
AL, FL, GA, KY, MS, NC,
SC, TN
Stephanie McCladdie
61 Forsyth Street, S. W.
Atlanta, GA 30303
Pacific Region
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Pacific Region
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1
Regional Administrator Roles
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Represent the Administrator in
the Region
Behavioral Health: A National Priority
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Behavioral health is essential to health
• SAMHSA’s Mission:
Reduce the impact of
substance abuse and
mental illness on
America’s communities
Prevention works
Treatment is effective
People recover
SAMHSA Core Functions
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• Leadership and Voice
• Data/Surveillance
• Practice Improvement -- Technical Assistance,
Quality Measures, Evaluation/Services
Research
• Public Awareness and Education
• Grant-making
• Regulation and Standard Setting
SAMHSA OF THE FUTURE – FY 2014 AND BEYOND
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SAMHSA’s Strategic
Initiatives 2015 – 2018
SAMHSA’s Strategic
Initiatives 2011 – 2014
Resource
Investment
Policy
Health Financing
Communications
Staff
Development
1. Prevention
2. Health Care and
Health Systems
Integration
3. Trauma and Justice
4. Recovery Support
5. Health Information
Technology
6. Workforce
SAMHSA’s
Strategic
Initiatives
Data
7.
8.
Prevention
Trauma and Justice
Military Families
Recovery Support
Health Reform
Health Information
Technology
Data, Outcomes & Quality
Public Awareness &
Support
Business
Operations
1.
2.
3.
4.
5.
6.
FY 2009 – FY 2015
 Prevention Funds
 PHS Funds
 Budget Authority
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* FY 2014 & FY 2015 totals include $1.5 M each year for extraordinary data and publication requests user fees
SAMHSA Grant Funding, CA 2014-15
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California
Formula Funding
Substance Abuse Prevention and Treatment Block Grant
$249,086,920
Community Mental Health Services Block Grant
$62,185,567
Projects for Assistance in Transition from Homelessness (PATH)
$8,810,000
Protection and Advocacy for Individuals with Mental Illness (PAIMI) $3,169,574
Subtotal of Formula Funding
$323,252,061
Discretionary Funding
Mental Health
$31,267,836
Substance Abuse Prevention
$15,276,043
Substance Abuse Treatment
$26,675,420
Subtotal of Discretionary Funding $73,219,299
Total Funding
Total Mental Health Funds
$105,432,977
Total Substance Abuse Funds $291,038,383
Total Funds
$396,471,360
http://www.samhsa.gov/grants-awards-by-state/California
SAMHSA Budget FY 2014
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• One page overview
– http://www.samhsa.gov/newsroom/advisories/14
02112340.aspx
• HHS/SAMHSA FY 2014 Budget Website (beta)
– http://beta.samhsa.gov/budget/fy-2014-budget
Health Reform
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Bending the Cost Curve, Lowering Health Care Growth:
Must Address Behavioral Health
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Better
Integrated
Care
Expanded
Coverage to
Uninsured
Pay for
Outcomes,
Not Units
Prevention
& Wellness
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BH Impact on Physical Health
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 MH problems increase risk for physical health problems
& SUDs increase risk for chronic disease, sexually
transmitted diseases, HIV/AIDS, and mental illness
 People with M/SUDs are nearly 2x as likely as general
population to die prematurely, often of preventable or
treatable causes
 Cost of treating common diseases higher when a
patient has untreated BH problems
•
Hypertension – 2x the cost
•
Coronary heart disease – 3x the cost
•
Diabetes – over 4x the cost
 M/SUDs rank among top 5 diagnoses associated with
30-day readmission; one in five of all Medicaid
readmissions
•
12.4 percent for MD
•
9.3 percent for SUD
Individual Costs of Diabetes Treatment for
Patients Per Year
$300,000,000
$250,000,000
$200,000,000
$150,000,000
$100,000,000
$50,000,000
$0
With behavioral health With diabetes alone
problems and diabetes
ESSENTIAL HEALTH BENEFITS (EHB)
10 BENEFIT CATEGORIES
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1. Ambulatory patient
services
2. Emergency services
3. Hospitalization
4. Maternity and newborn
care
5. Mental health and
substance use disorder
services, including
behavioral health
treatment
6. Prescription drugs
7. Rehabilitative and
habilitative services and
devices
8. Laboratory services
9. Preventive and wellness
services and chronic
disease management
10. Pediatric services,
including oral and vision
care
Health Reform: Impact of the
Affordable Care Act
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• Focus on primary care & coordination w/ specialty care
• Emphasis on home & community-based services; less
reliance on institutional & residential care (health homes)
• Priority on prevention of diseases & promoting wellness
• Focus on quality rather than quantity of care (HIT,
accountable care organizations)
• Behavioral health is included – parity
ACA and California
(as of appx. April 2014)
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• 1,405,102 individuals selected a Marketplace plan between
October 1, 2013 and March 31, 2014
• 1,177,000 Californians enrolled in Medicaid and CHIP
through the end of March 2014
• 2,582,102 Total new beneficiaries
• expands mental health and substance use disorder benefits
and federal parity protections for:
• 7,559,245 Californians
http://www.hhs.gov/healthcare/facts/bystate/ca.html
ACA and California
(as of appx. April 2014)
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• $1,065,683,056 in grants for research, planning, information
technology development, and implementation of its
Marketplace
http://www.hhs.gov/healthcare/facts/bystate/ca.html
SAMHSA
Grant
Opportunities
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SAMHSA Discretionary Grant
Opportunities Page
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http://samhsa.gov/grants/grant-announcements
SAMHSA Discretionary Grant
Forecast
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The SAMHSA forecast (PDF | 290 KB) provides
information on SAMHSA’s upcoming Requests for
Applications (RFAs). Prospective Applicants can
learn more about SAMHSA’s plans for release of
RFAs including brief program descriptions,
eligibility information, award size, award
number and proposed release date.
http://www.samhsa.gov/grants/grant-announcements-2015
Discretionary Grant
Announcement Page Example
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SAMHSA
PRIORITY AREAS
EVIDENCE-BASED PRACTICES
THROUGH BLOCK GRANTS
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• Substance Abuse Prevention and Treatment Block
Grant (SABG) – $1.8 B
– Maintains FY 2014 level (+ $ 110 M over FY 2013)
• Community Mental Health Services Block Grant
(MHBG) – $ 484 M
– Maintains FY 2014 level (+ $ 47 M over FY 2013)
– Continues new FY 2014 5 percent set aside
• For “evidence-based MH prevention and treatment practices
to address the needs of individuals with early SMI, including
psychotic disorders,” regardless of age at onset
STRENGTHENING AND
INTEGRATING CARE
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• Primary Care and Addiction Services Integration
(PCASI) – + $20 M
– Allow addiction treatment providers to offer an array of
physical health and addiction treatment services
– Modeled after Primary/Behavioral Health Care
Integration (PBHCI) program
• HIV/AIDS Continuum of Care
– $24 M of existing resources
– Links Minority Aids Initiative, PBHCI, and PCASI
– Builds on FY 2014 pilot
PROTECTING THE HEALTH OF
CHILDREN AND COMMUNITIES
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• Now Is the Time – $130 M (+ $15.0 M)
– $115 M continued from FY 2014
– Science of Changing Social Norms (+ $4 M)
– Peer Professionals (+ $10 M)
– Workforce Data (+ $1.0 M)
NOW IS THE TIME –
FY 2014 $115 M CONTINUED IN FY 2015
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• $55 M – Project AWARE to improve MH awareness,
increase referrals to BH services and support systems
– $40 M for Project AWARE state grants
– $15 M for Mental Health First Aid
• $20 M – Healthy Transitions to support youth ages 16 to 25
w/ MH and/or SA problems, and their families
• $40 M – BH Workforce activities:
– $35 M jointly administered w/ HRSA to expand the Mental and
Behavioral Health Education and Training (MBHET) Grant Program
– $5 M for expansion of Minority Fellowship Program - Youth
BUILDING THE WORKFORCE
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• $56 M in Now Is the Time (+ $ 11 M)
– In collaboration with HRSA
– Adds commitment to BH workforce data
– Maintains most of FY 2014 increase to
Minority Fellowship Program
– Adds commitment to peer/paraprofessional
workforce
REACHING AMERICANS IN COMMON
HEALTHCARE SETTINGS
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• Grants for Adult Trauma Screening and Brief
Intervention (GATSBI) – + $2.9 M
– Repeat request from FY 2014
– To advance the knowledge base to address trauma
for women in primary care, OB/GYN, and
emergency departments of hospitals and urgent
care settings
– Will be developed by SAMHSA in consultation with
ACF, CDC, NIAAA, NIDA, NIMH, and VA
FIGHTING PRESCRIPTION DRUG ABUSE
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• State Grants within Strategic Prevention
Framework Program (SPF Rx) – + $10 M
– Enhance, implement and evaluate state strategies to
prevent prescription drug abuse/misuse
– Improve collaboration on risks of overprescribing and
use of Prescription Drug Monitoring Programs
(PDMPs) between states public health and behavioral
health authorities, and pharmaceutical and medical
communities
– Coordinated with new CDC program
PREVENTING SUICIDE
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• National Strategy for Suicide Prevention (NSSP)
Implementation – + $2.0 M
– Assist states in establishing and expanding evidencebased suicide prevention efforts
– Address middle age population – most # deaths
– Improve follow-up after suicide attempts
– Goals
• Reduce # of deaths by suicide
• Reduce # of suicide attempts
• Tribal Behavioral Health Grants – $5 M
– Continued from FY 2014
BUILDING PARTNERSHIPS
EXPANDING PRACTICES THAT WORK
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• Building BH Coalitions (BBHC) –
– $3.0 M of existing resources
– Jointly administered by Center for Mental
Health Services (CMHS) and Center for
Substance Abuse Prevention (CSAP)
– Working to address shared risk and protective
factors for substance abuse and mental illness
– Building resilience and emotional health
Contact Information
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Jon T. Perez, Ph.D.
Regional Administrator, HHS IX
Substance Abuse and Mental Health Services
Administration
90 Seventh Street, 8th Floor
San Francisco, CA 94103
415 437 7600
jon.perez@samhsa.hhs.gov
HRSA Overview for
Kern County Grant Summit
Bakersfield, California
January 30, 2015
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HRSA - America’s Health Care Safety Net
Mission:
Improve Access to Quality Health Care and Services
Strengthen the Health Workforce
Build Healthy Communities
Improve Health Equity
Major Programs:
Community Health Centers
Maternal and Child Health
Ryan White HIV/AIDS
Health Workforce Training
Rural Health
340B Drug Discounts, Vaccine Injury
Compensation, Organ and Tissue Donation
Regional Offices and Networks
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HRSA National Activities
• 21.7 million patients served, 75% of whom with incomes below
the poverty level. (UDS 2013)
• Over 10,400 HRSA-supported health centers sites (11/20/14)
• Over 500,000 people living with HIV/AIDS receive services
through more than 900 HRSA-funded Ryan White Clinics .
Two-thirds are members of minority groups.
• 34 million women, infants, children, and adolescents benefit
from HRSA’s maternal and child health programs.
• 7,067 National Health Service Corps clinicians are working in
underserved areas in exchange for loan repayment or
scholarships. (HRSA Data Warehouse 1-16-15)
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Major HRSA Activities in California
• The Community Health Center Program serves over
3,412,961 patients (UDS 2013) in California at 1,224 Health Center
sites. (HRSA Data Warehouse 1/16/15)
• The National Health Service Corps provides loan repayment
and scholarship support to NHSC healthcare providers in
California. 465 clinicians are caring for people who live in
areas where health care is hard to find, which are known as
Health Professional Shortage Areas. (HRSA Data Warehouse 1-16-15)
• The Ryan White Care Act Program support care to 58,177
patients in California. (2012 data)
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Community Health Center Program
o Located in or serve a high need community
o Governed by a community board
o Provide comprehensive primary health care
o Primary & Preventive Care
o Enabling Services
o Provide services available to all with fees adjusted
based on ability to pay.
o Meet other performance and accountability
requirements regarding administrative, clinical, and
financial operations
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HRSA -National Health Service Corps
Bureau of Health Workforce recruits fully-trained
professionals to provide culturally-competent,
interdisciplinary primary health and behavioral health
care services to underserved populations. In return,
the NHSC programs assists in the professionals'
repayment of qualifying educational loans that are
outstanding.
80% stay in the underserved area after fulfilling
the NHSC service commitment
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https://nhsc.hrsa.gov/
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HRSA - Maternal and Child Health Programs
o Home Visiting Program
o Nurses, social workers, and others provide counseling
and intervention services to expectant mothers in
communities where health services are scarce
o National Resource Centers
o Technical assistance for school-based mental health
o Healthy Start sites
o Provide depression screening, case management, and
community-based outreach to expectant mothers
o Bright Futures Guidelines: http://brightfutures.aap.org/
o Chapter discusses drug and alcohol use/ screening of
youth
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HRSA- Regional Operations
Office of Regional Operations (ORO) works through HRSA's ten
regional offices to improve health care systems and America’s
health care safety net, increase access to quality care, reduce
disparities, and advance public health.
o HRSA Region IX Office in San Francisco is point of contact for questions
about HRSA.
o Works closely with HHS Regional Director and other HHS Operational
Division.
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Finding HRSA Grants
To find grants, and apply, review, manage, and get reports:
http://www.hrsa.gov/grants
To find open opportunities, tips, and technical assistance:
http://www.hrsa.gov/grants/index.html
To find out how to become a grant reviewer:
http://www.hrsa.gov/grants/reviewers/index.html
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Find Opportunities
Register to get email notifications when opportunities are
available:
http://www.grants.gov/applicants/email_subscription.jsp
http://www.hrsa.gov/grants
Need Help?
Contact Grants.gov Help Desk at 877-464-4772.
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HHS Grants Forecast
The Department of Health and Human Services' Grants Forecast is a database of planned
grant opportunities proposed by its agencies. Each Forecast record contains actual or
estimated dates and funding levels for grants that the agency intends to award during the
fiscal year. Forecast opportunities are subject to change based on enactment of
congressional appropriations.
http://www.acf.hhs.gov/hhsgrantsforecast/index.cfm (Screenshot from 1-16-15 below)
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HRSA- Key Web Resources
HRSA’s Funding Opportunities (Competitive Grants):
http://www.hrsa.gov/grants/index.html
HRSA Grantees with Active Projects by Program or State
granteefind.hrsa.gov
HRSA’s Find a Health Center site findahealthcenter.hrsa.gov/
National Health Service Corps (NHSC): www.nhsc.hrsa.gov
HRSA’s Databank of HRSA programs datawarehouse.hrsa.gov/
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Contact Information
Hal Zawacki
Office of Regional Operations – Region IX San Francisco
U.S. Department of Health and Human Services
Health Resources and Services Administration
90 Seventh Street - Room 8-310
San Francisco, CA 94103
Telephone: 415-437-7566
hzawacki@HRSA.gov
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