Funding Information on SAMHSA Drug Court and Criminal Justice Grants

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1 Funding Information on SAMHSA Drug Court and Criminal Justice Grants Ken Robertson Team Lead, Criminal Justice Programs Center for Substance Abuse Treatment Substance Abuse Mental Health Services Administration U.S. Department of Health & Human Services 2015 Vet Court Conference July 27, 2015

2 SAMHSA s Mission To reduce the impact of substance abuse and mental illness on America's communities. To prevent substance abuse and mental illness where possible, To target effective substance abuse and mental health services to the people most in need, and To translate research more effectively and more rapidly into the general health care system. 2

3 SAMHSA S STRATEGIC INITIATIVES: FY Prevention of Substance Abuse and Mental Illness 2. Health Care and Health Systems Integration 3. Trauma and Justice 4.Recovery Support 5. Health Information Technology 6.Workforce Development 3

4 Trauma & Justice Strategic Initiative: Activities in FY 2015 Integrate a Trauma-Informed Approach Across Multiple Public Health Service Sectors through Coordinated Technical Assistance Strategy. Develop and Disseminate SAMHSA s Concept of Community Trauma. Promote Early Diversion from Criminal and Juvenile Justice. Incorporate Evidence-Supported Behavioral Health Innovations in Criminal and Juvenile Justice. Systematically Integrate Behavioral Health into Disaster Preparedness, Response and Recovery Through TA, Training, and Partnerships. 4

5 Criminal Justice System continues to be the Largest Referral to Substance Abuse Treatment Other Health Care Provider, 6.4% Alcohol Drug Abuse Care Provider, 9.9% School (Educational), 1.2% Individual (inc. self-referral), 33.1% Employer/EAP, 0.5% Other Community Referral, 12.1% Court/ Criminal Justice Referral/DUI/ DWI, 36.9% Other recognized legal entity, or other Other DUI/DWI Prison, 2.4% Diversionary program, 2.5% Probation/ Parole State/Fed Court, Other Court Recognized Legal Entity 20.6% 10.8% 34.6% 29.2% Source: SAMHSA Treatment Data Set (TEDS) Concatenated,

6 Linkages: MH/SUDs, CJ & Public Health SUDs MH CJ contacts Public Health MH/SUDs and CJ contacts (CJC) are interlinked public health issues. Addressing MH/SUDs can reduce CJ contacts, simultaneously improving public health and safety while reducing economic burden. 6

7 Veterans involved in the CJ System Rand s Invisible Wounds of War reported 19% of returning veterans have PTSD, Depression or both

8 Cross-System Partnerships 8 8

9 Providing treatment and services to Vets in the CJ system Key elements for services: Veteran Trauma informed Peer involved Justice Involved Trauma Exposed Coordinated across systems In Recovery From BH Condition Community services engaged Work with the VA 9

10 SAMSHA and Criminal Justice SAMHSA s criminal justice grant activities center around treatment services related to drug courts, offender reentry, early diversion from jails, early intervention to prevent deeper systems penetration, and community behavioral health flexibility. CSAT s criminal justice budget has expanded in the past few fiscal years from approximately $23 M to $78 M bipartisan support of our CJ efforts and Drug Courts. Approximately $50 M annually is committed to treatment drug court activities. CSAT has committed over $250 M towards grants supporting the expansion and enhancement of treatment services for drug court clients. 10

11 SAMHSA/CMHS and Veterans/CJ Focus on Jail Diversion with a priority on Veterans New focus on Early Diversion from involvement with the Justice System FY 2013 Early Diversion Grant Program Intercept at Initial Encounter with Law Enforcement Intercept prior to Jail and Bond Hearing, if possible 11

12 SAMHSA/CSAT and Drug Courts SAMHSA/CSAT has supported drug courts almost from their inception with the first drug courts such as Miami- Dade County s drug court through technical assistance and expertise regarding behavioral health issues. SAMHSA has supported the NADCP conference for over a decade. SAMHSA links its drug court grantee meeting with the NADCP annual conference will again next year. Over 600 participants this year. SAMHSA is invested in continuing these partnerships through the new focus on vets and the CJ system. 12

13 Past & Current Drug Court Grant Activities SAMHSA has funded Tx expansion for drug courts since the 1990s through TA and block grant funding. Since 2002, have funded problem-solving courts that use the drug court model primary focus has been on substance using/abusing/dependent clients: Adult - Juvenile - Family - DUI/DWI - Veterans -Tribal : : 2011 and 14: Juvenile DC OJJDP/SAMHSA Adult DC-BJA/SAMHSA 2012: Teen Courts Behavioral Health Treatment Court Collaboratives 13

14 SAMHSA/CSAT Criminal Justice Grant Programs: Focus on Tx Capacity Expansion There are approximately 222 active grants in CSAT s criminal and juvenile justice portfolio: 173 Drug Court grants including FY12, FY13 and FY 14 SAMHSA awards and joint grants with BJA 17 Behavioral Health Treatment Court Collaboratives grants 29 Offender Reentry Program grants 3 Early Diversion Upon Initial Law Enforcement Contact Not including grants that will end by September, Teen Courts 7 Behavioral Health Treatment Court Collaboratives grants 7 Children Affected by Methamphetamine-Dependency Courts 14

15 FY 2015 SAMHSA Drug Court and Criminal Justice Grant Programs In FY 2015 CSAT anticipates making approximately 66 new CJJ- treatment services awards: SAMHSA Adult Drug Court grants SAMHSA Family Treatment Drug Court grants SAMHSA-BJA Adult Drug Court grants SAMHSA Offender Reentry Program grants 15

16 FY 2015 SAMHSA Treatment Drug Courts: RFA TI Title: Grants to Expand Substance Abuse Treatment Capacity in Adult and Family Drug Courts Due Date: Closed on April 10, 2015 Funding Available: Up to $11.3 Million Number of Awards: Up to 38 awards Award Amount: Up to $325,000 per year Length of Project Period: Up to 3 years 16

17 Definition of Eligible Problem Solving Courts Adult, Juvenile, Family Drug courts Tribal Healing to Wellness Courts Co-Occurring Drug/Mental Health Courts Municipal Courts using problemsolving Model DWI/DUI Courts Veterans Treatment Courts 17

18 FY 2015 Adult Treatment Drug Courts RFA: TI Description of Program/Target Populations: The purpose of this program is to expand and/or enhance substance abuse treatment services in existing Adult and Family Treatment Drug Courts which use the treatment drug court model in order to provide alcohol and drug treatment (including recovery support services supporting substance abuse treatment, screening, assessment, case management, and program coordination) to defendants/offenders. 18

19 Joint BJA/SAMHSA Solicitation , SAMHSA/CSAT and Bureau of Justice Assistance (BJA), collaborated funding joint opportunity: Enhancing Adult Drug Court Services, Coordination, and Treatment. The program allows grantees to develop a comprehensive strategy for enhancing drug court capacity, with access to both criminal justice and substance abuse treatment funds through one application. FY 2010 FY 2011 FY 2012 FY 2013 FY 2014 FY awards 10 awards 10 awards 10 awards 15 awards 10 awards 19

20 FY 2015 (TI ): Joint Adult Drug Court Solicitation SAMHSA and BJA Title: Joint Adult Drug Court Solicitation to Enhance Services, Coordination, and Treatment (SAMHSA/BJA) Due Date: Closed June 1, 2015 Funding Available : Up to $3 M BJA; $3.25 M in SAMHSA funds = Total Funding: $6.25M in awards Number of Awards: Up to 10 Award Amount: Up to $300,000 - BJA; Up to $325,000 per year - SAMHSA funds Length of Project Period: Up to 3 years 20

21 FY 2015 (TI ): Joint Adult Drug Court Solicitation SAMHSA and BJA Applicants are limited to states or state courts applying on behalf of a single jurisdiction; local courts; counties; other units of local government; or federally recognized Indian tribal governments (as determined by the Secretary of the Interior). Indian tribal governments may apply directly or through other public or not-for-profit private entities. Eligible jurisdictions must have a fully operational (at least 1 year as of September 1, 2015) adult drug court. BJA will speak more about the Joint Solicitation 21

22 Focus on Clinical/Treatment Services Serve high risk, high need populations with SA or Co- Occurring Disorders. Expand and/or enhance treatment and recovery services Screen/Assess for Co-Occurring Disorders/Develop Tx approach for clients. May provide Medically Assisted Treatment (Up to 20% of funds may be used). Encouraged to provide/refer for HIV rapid testing (Up to 5% of funds may be used). Encouraged to provide/refer for Viral Hepatitis testing (Up to $5000 may be used). 22

23 Using Evidence-Based Practices Grants are intended to fund services/practices that have a demonstrated evidence base appropriate to the population of focus. EBP refers to approaches to treatment that have been evaluated and shown to be successful. Applicants need to identify the EBP to be implemented. Identify and discuss the evidence that the EBP is effective for selected population; If using more than 1 EBP provide a justification and which modality and population each practice will support; and Discuss the populations the EBP is effective with and how it is appropriate to your population. 23

24 Major Change in SAMHSA and BJA Drug Court Solicitations: MAT Language Previous SAMHSA drug court grants encouraged the use of FDA-approved medications to treat alcohol and opioid dependence, but in FY 2015 the two federal agencies funding drug courts made major changes that are reflected in the MAT language. Where and when available, BJA and SAMHSA support the client s right to access MAT. This right extends to participation as a client in a BJA/SAMHSAfunded drug court. 24

25 RFA: MAT Language Applicants must affirm, in the Statement of Assurance, that the treatment drug court(s) for which funds are sought will not deny any eligible client for the treatment drug court access to the program because of their use of FDA-approved medications for the treatment of substance use disorders (e.g., methadone, buprenorphine products including buprenorphine/naloxone combination formulations and buprenorphine mono-product formulations, naltrexone products including extended-release and oral formulations, disulfiram, and acamprosate calcium). 25

26 MAT available by prescription must be permitted unless the judge determines the following conditions have not been met: the client is receiving those medications as part of treatment for a diagnosed substance use disorder. a licensed clinician, acting within their scope of practice, has examined the client and determined that the medication is an appropriate treatment for their substance use disorder. the medication was appropriately authorized through prescription by a licensed prescriber. 26

27 RFA MAT Language In all cases, MAT must be permitted to be continued for as long as the prescriber determines that the medication is clinically beneficial. Grantees must assure that a drug court client will not be compelled to no longer use MAT as part of the conditions of the drug court if such a mandate is inconsistent with a licensed prescriber s recommendation or valid prescription. 27

28 RFA MAT Language Under no circumstances may a drug court judge, other judicial official, correctional supervision officer, or any other staff connected to the identified drug court deny the use of these medications when made available to the client under the care of a properly authorized physician and pursuant to regulations within an Opioid Treatment Program or through a valid prescription and under the conditions described above. A judge, however, retains judicial discretion to mitigate/reduce the risk of abuse, misuse, or diversion of these medications. 28

29 Use of Grant Funds Up to 20% may be used for data collection, GPRA performance measurements, performance assessment/evaluation. Up to 15% may be used for infrastructure development partnering; electronic health records, training/workforce development. Remainder of funds may be used for all direct/indirect substance abuse treatment and recovery services staff, contracts, clinical services, recovery support services. Up to 20% may be used for Medically Assisted Treatment. Up to 5% may be used for HIV rapid testing. 29

30 Applying to several SAMHSA and BJA Drug Court RFAs Applicants may submit an application in response to one or all grant solicitations from SAMHSA and/or BJA; but Neither SAMHSA nor BJA will make more than one award for the same proposed drug court project in the same jurisdiction/court. 30

31 Grants.gov Since FY 2013, SAMHSA restricted all grant applications to electronic submission, you need to ask: Does my organization have a DUNS number? Has my organization registered with the System for Award Management (SAM; formerly CCR)? Have the Authorized Organization Representatives (AOR) who will submit the application registered to obtain a user name and password? Have the AORs who will submit the application registered with Grants.gov for an account? 31

32 Tips to Avoid Frequently Made Mistakes Read, read, read and understand the RFA including Appendices If you have questions contact SAMHSA staff listed ASAP Don t wait to register with grants.govcomplete whole process early Start working ASAP on writing Start working ASAP on any required MOUs, letters of support Call/ during workday Go into grants.gov Contact grants.gov HelpDesk ASAP 32

33 Grant Program Differences: BJA vs. SAMHSA Drug Court grants SAMHSA s primary focus is on the expansion and enhancement of behavioral health prevention and treatment for individuals with substance abuse, mental health and co-occurring disorders. Don t fund the administration of the drug court or inherently judicial or law enforcement activities/staff No match requirement. 3 year grants amount of award is for EACH year. No restriction on eligibility for violent offenders. Peer review process is more complicated/lengthy. Awards made in last week of September (end of FFY). 33

34 DOJ/HHS Mutual Goals Our mutual goal is to provide effective substance abuse treatment to criminal justice populations. SAMHSA will continue to provide you with the support, tools, and knowledge you need to meet those goals, but your ultimate success in in your hands. Together we must work to ensure that those in the justice system in need of substance abuse and mental health treatment have access to it. 34

35 Other Opportunities For Funding In addition to our SAMHSA grant programs there are a number of supporting contracts that focus on military, veterans, family, and those veterans involved in the justice system: Veterans Treatment Mentor Courts TA Contract with NADCP SAMHSA Service Members, Veterans, and Families Technical Assistance Center - Policy Research Associates, Inc. (PRA), Delmar, N.Y. 35

36 Veterans Treatment Court - Mentor Court Network Free onsite visits for courts and/or individuals to learn from these courts Vet Courts serve as training and technical assistance sites for 3 years Current Mentor Courts: Buffalo (NY) Veterans Treatment Court Rochester (NY) Veterans Court Tulsa (OK) Veterans Treatment Court Orange County (CA) Funded through a grant from the Center for Substance Abuse Treatment (CSAT), SAMHSA For information, contact NADCP Carolyn Hardin 36

37 Want More Information? CJ Team Contact Information Ken Robertson, CJ Team Leader All CJJ grant programs Jon Berg, Public Health Advisor Drug Courts/Offender Reentry George Samayoa, Public Health Advisor Drug Courts Lloyd Roberts, Public Health Advisor Drug Courts Arnold Crozier, Public Health Advisor Drug Courts 37

38 Applying for SAMHSA Drug Court Grants: Is it worth it or not? Although we can all agree that incarceration is sometimes necessary for public safety, in our work to protect the American people, we must recognize that incarceration alone does not provide the entire solution. Simply building more prisons and jails will not solve all of our problems. Any effective and economically sustainable public safety strategy must include investments that will help to reduce recidivism and to address the root causes of crime. U.S. Attorney General Eric Holder 38

39 SO, WHATEVER YOU DO AFTER THIS CONFERENCE, WHEN YOU GO HOME PLEASE VISIT OUR WEBSITE AT: 39

40 Important Resources SELECTED RESOURCES TO ASSIST YOU: Contacts Websites Data Information 40

41 The SAMHSA Website Resources include: SAMHSA Website: contains a wealth of information and opportunities including grant information SAMHSA Substance Abuse Treatment Facility Locator: SAMHSA Health Information Network is our publications clearinghouse: TDD: Monday-Friday 8 am 8 p.m SAMHSA s National Helpline HELP 41

42 SAMHSA Service Member, Veterans, and Families Technical Assistance Center SMVF TA Center helps states and territories develop effective and responsive behavioral health systems for service members, veterans, and their families through a number of activities: Host Policy Academies and TA to states and territories that have participated in Policy Academies. To date, 46 states, 4 territories, and the District of Columbia have participated in the Policy Academy process with the goal of developing state/territorywide strategic plans designed to address these issues. 42

43 SAMHSA Resources for Vets Veterans Crisis Line: Open 24/7 all 365 days a year Text:

44 Veterans Resources Locator Find: Suicide Prevention Coordinators Outpatient Centers Crisis Centers VA Medical Centers Vets Center VA Benefits Information sourcelocator.aspx 44

45 Websites for Drug Court and Problem- Solving Courts Information Center for Court Innovation Council of State Governments Children and Family Futures Justice Management Institute 46

46 Websites for Drug Court and Problem- Solving Courts Information Justice Programs-American University Justice for Vets National Association of Drug Courts National Center for DWI Courts 47

47 Websites for Drug Court and Problem- Solving Courts Information National Center for State Courts National Council of Juvenile &Family Court Judges National Drug Court Institute National Judicial College 48

48 Reentry Resources: Selected Websites Information on grants and resources related to community corrections and offender reentry

49 SAMHSA Resources include funding for grants but also Information and Publications Resources beyond grant funding: Check out SAMHSA Publications National Directory of Treatment Providers National Clearinghouse for Alcohol and Drug Information National HELP Line 50

50 SAMHSA Resources: Selected Publications Treatment Improvement Protocols TIPS available from the National Health Information Network TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System TIP 32: Treatment of Adolescents with Substance Use Disorders (AOD) TIP 8: Intensive Outpatient Treatment for Alcohol and Other Drug Abuse TIP 11: Simple Screening Instruments for Outreach for Alcohol and Other Drugs and Infectious Diseases TIP 19: Detoxification From Alcohol and Other Drugs TIP 28: Naltrexone and Alcoholism Treatment TIP 41: Substance Abuse Treatment: Group Therapy 51

51 SAMHSA Survey Data Resources: National Survey on Drug Use and Health (NSDUH), formerly the household survey Drug and Alcohol Services Information Systems 3 data sets, includes Inventory of Substance Abuse Treatment Services programs Drug Abuse Warning System: A Public Health Surveillance System National Outcomes Measures-reporting information on 10 domains 52