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Slide 2 Kern County Grant Summit: SAMHSA Overview and Grant Opportunities January 30 th, 2015 Jon Perez SAMHSA Regional Administrator DHHS Region IX Slide 3 3 DHHS Organizational Chart 3 Slide 4 4 SAMHSA One of 11 DHHS Grant making agencies Approximately 550 employees 10 Regional Offices SAMHSAs FY 2014 budget approximately $ 3.6 billion Slide 5 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 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 IV: Atlanta AL, FL, GA, KY, MS, NC, SC, TN Stephanie McCladdie 61 Forsyth Street, S. W. Atlanta, GA 30303 Region VI: Dallas AR, LA, NM, OK, TX Michael Duffy RN, BSN 1301 Young St, Dallas, Texas 75202 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 Region V: Chicago IL, IN, MI, MN, OH, WI Jeffrey A. Coady, PsyD 233 N Michigan Ave Chicago, IL 60601 Region VII: Kansas City IA, KS, NE, MO Vacant 601 East 12th St Kansas City, MO 64106 Region VIII: Denver CO, MT, ND, SD, UT, WY Charles Smith, PhD 1961 Stout Street Denver, CO 80294 Region X: Seattle AK, ID, OR, WA David Dickinson 2201 6th Ave, MS RX-02 Seattle, WA 98121 Substance Abuse and Mental Health Services Administration Regional Administrators January 2015 Vacant Slide 6 6 Pacific Region 6 Slide 7 7 1 Slide 8 8 Regional Administrator Roles Represent the Administrator in the Region Slide 9 9 Behavioral Health: A National Priority SAMHSAs Mission: Reduce the impact of substance abuse and mental illness on Americas communities Behavioral health is essential to health Treatment is effective Prevention works People recover 9 Slide 10 10 SAMHSA Core Functions Leadership and Voice Data/Surveillance Practice Improvement -- Technical Assistance, Quality Measures, Evaluation/Services Research Public Awareness and Education Grant-making Regulation and Standard Setting Slide 11 11 SAMHSAs Strategic Initiatives 2011 2014 1.Prevention 2.Trauma and Justice 3.Military Families 4.Recovery Support 5.Health Reform 6.Health Information Technology 7.Data, Outcomes & Quality 8.Public Awareness & Support Business Operations DataCommunications Health Financing Policy Resource Investment Staff Development SAMHSAs Strategic Initiatives 2015 2018 1.Prevention 2.Health Care and Health Systems Integration 3.Trauma and Justice 4.Recovery Support 5.Health Information Technology 6.Workforce SAMHSA OF THE FUTURE FY 2014 AND BEYOND SAMHSAs Strategic Initiatives Slide 12 12 FY 2009 FY 2015 Prevention Funds PHS Funds Budget Authority * FY 2014 & FY 2015 totals include $1.5 M each year for extraordinary data and publication requests user fees Slide 13 13 SAMHSA Grant Funding, CA 2014-15 http://www.samhsa.gov/grants-awards-by-state/California Slide 14 14 SAMHSA Budget FY 2014 One page overview http://www.samhsa.gov/newsroom/advisories/14 02112340.aspx http://www.samhsa.gov/newsroom/advisories/14 02112340.aspx HHS/SAMHSA FY 2014 Budget Website (beta) http://beta.samhsa.gov/budget/fy-2014-budget http://beta.samhsa.gov/budget/fy-2014-budget Slide 15 15 Health Reform Slide 16 16 Bending the Cost Curve, Lowering Health Care Growth: Must Address Behavioral Health Pay for Outcomes, Not Units Better Integrated Care Expanded Coverage to Uninsured Prevention & Wellness 16 Slide 17 17 BH Impact on Physical Health 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 17 Slide 18 18 ESSENTIAL HEALTH BENEFITS (EHB) 10 BENEFIT CATEGORIES 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 Slide 19 19 Health Reform: Impact of the Affordable Care Act 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 Slide 20 20 ACA and California (as of appx. April 2014) 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 Slide 21 21 ACA and California (as of appx. April 2014) $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 Slide 22 22 SAMHSA Grant Opportunities Slide 23 23 SAMHSA Discretionary Grant Opportunities Page http://samhsa.gov/grants/grant-announcements Slide 24 24 SAMHSA Discretionary Grant Forecast The SAMHSA forecast (PDF | 290 KB) provides information on SAMHSAs upcoming Requests for Applications (RFAs). Prospective Applicants can learn more about SAMHSAs plans for release of RFAs including brief program descriptions, eligibility information, award size, award number and proposed release date.SAMHSA forecast (PDF | 290 KB) http://www.samhsa.gov/grants/grant-announcements-2015 Slide 25 25 Discretionary Grant Announcement Page Example Slide 26 26 SAMHSA PRIORITY AREAS Slide 27 27 EVIDENCE-BASED PRACTICES THROUGH BLOCK GRANTS 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 Slide 28 28 STRENGTHENING AND INTEGRATING CARE 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 Slide 29 29 PROTECTING THE HEALTH OF CHILDREN AND COMMUNITIES 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) Slide 30 30 NOW IS THE TIME FY 2014 $115 M CONTINUED IN FY 2015 $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 Slide 31 31 BUILDING THE WORKFORCE $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 Slide 32 32 REACHING AMERICANS IN COMMON HEALTHCARE SETTINGS 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 Slide 33 33 FIGHTING PRESCRIPTION DRUG ABUSE 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 Slide 34 34 PREVENTING SUICIDE National Strategy for Suicide Prevention (NSSP) Implementation + $2.0 M Assist states in establishing and expanding evidence- based 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 Slide 35 35 BUILDING PARTNERSHIPS EXPANDING PRACTICES THAT WORK 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 Slide 36 36 Contact Information 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 Slide 37 37 HRSA Overview for Kern County Grant Summit Bakersfield, California January 30, 2015 Slide 38 38 HRSA - Americas 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 Slide 39 39 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 HRSAs 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) Slide 40 40 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) Slide 41 41 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 Slide 42 42 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 Slide 43 43 https://nhsc.hrsa.gov/ 43 Slide 44 44 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/ http://brightfutures.aap.org/ o Chapter discusses drug and alcohol use/ screening of youth Slide 45 45 HRSA- Regional Operations Office of Regional Operations (ORO) works through HRSA's ten regional offices to improve health care systems and Americas 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. Slide 46 46 Finding HRSA Grants To find grants, and apply, review, manage, and get reports: http://www.hrsa.gov/grants http://www.hrsa.gov/grants To find open opportunities, tips, and technical assistance: http://www.hrsa.gov/grants/index.html http://www.hrsa.gov/grants/index.html To find out how to become a grant reviewer: http://www.hrsa.gov/grants/reviewers/index.html 46 Slide 47 47 Register to get email notifications when opportunities are available: http://www.grants.gov/applicants/email_subscription.jsp http://www.grants.gov/applicants/email_subscription.jsp http://www.hrsa.gov/grants Need Help? Contact Grants.gov Help Desk at 877-464-4772. Find Opportunities Slide 48 48 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.cfmhttp://www.acf.hhs.gov/hhsgrantsforecast/index.cfm (Screenshot from 1-16-15 below) Slide 49 49 HRSA- Key Web Resources HRSAs Funding Opportunities (Competitive Grants): http://www.hrsa.gov/grants/index.html http://www.hrsa.gov/grants/index.html HRSA Grantees with Active Projects by Program or State granteefind.hrsa.gov granteefind.hrsa.gov HRSAs Find a Health Center site findahealthcenter.hrsa.gov/findahealthcenter.hrsa.gov/ National Health Service Corps (NHSC): www.nhsc.hrsa.govwww.nhsc.hrsa.gov HRSAs Databank of HRSA programs datawarehouse.hrsa.gov/ datawarehouse.hrsa.gov/ Slide 50 50 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 Contact Information