Funding Information on SAMHSA Criminal Justice Grants Jon D. Berg M.Ed., LCPC Public Health Advisor, Criminal Justice Programs Center for Substance Abuse Treatment Substance Abuse Mental Health Services Administration U.S. Department of Health & Human Services NADCP National Drug Court Training Conference July 27, 2015
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
SAMHSA S STRATEGIC INITIATIVES: FY 2015-2018 3 1. 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
Trauma & Justice Strategic Initiative: Activities in FY 2015 Integrate 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
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. 5
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. 6
Past & Current Drug Court Grant Activities SAMHSA has funded Treatment expansion for drug courts since the 90s through technical assistance 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 2008-2010: 2010-15: 2011 and 14: 2012: Juvenile Drug Courts OJJDP/SAMHSA Adult Drug Courts BJA/SAMHSA Behavioral Health Treatment Court Collaboratives Teen Courts 7
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 grant awards with BJA 17 Behavioral Health Treatment Court Collaborative grants 29 Offender Reentry Program grants 3 Early Diversion Upon Initial Law Enforcement Contact Not including grants that will end by September, 2015: 10 Teen Courts 7 Behavioral Health Treatment Court Collaboratives grants 7 Children Affected by Methamphetamine-Dependency Courts 8
FY 2015 SAMHSA Drug Court and Criminal Justice Grant Programs In FY 2015 CSAT anticipates making approximately 66 new Criminal Justice - treatment services awards: 31 7 10 18 SAMHSA Adult Drug Court grants SAMHSA Family Treatment Drug Court grants SAMHSA-BJA Adult Drug Court grants SAMHSA Offender Reentry Program grants 9
FY 2015 SAMHSA Treatment Drug Courts: RFA TI-15-002 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 10
FY 2015 Adult Treatment Drug Courts RFA (TI-15-002) 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. 11
Joint BJA/SAMHSA Solicitation 2010-15, 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 2015 27 awards 10 awards 10 awards 10 awards 15 awards 10 awards 12
FY 2015 Joint Adult Drug Court Solicitation SAMHSA and BJA (TI-15-011) 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 13
FY 2015 Joint Adult Drug Court Solicitation SAMHSA and BJA (TI-15-011) 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 14
Focus on Clinical/Treatment Services Serve high risk, high need populations with Substance Abuse or Co-Occurring Disorders. Expand and/or enhance treatment and recovery services. Screen/Assess for Co-Occurring Disorders/Develop treatment 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). 15
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. 16
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. 17
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). 18
RFA: MAT Language (cont d) 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. 19
RFA: MAT Language (cont d) 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. 20
RFA MAT Language (cont d) 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. 21
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. 22
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. 23
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? 24
Tips to Avoid Frequently Made Mistakes Thoroughly read and understand the RFA including Appendices If you have questions contact SAMHSA staff listed in the RFA, ASAP Don t wait to register with grants.gov complete whole process early Start working ASAP on writing application Start working ASAP on any required MOUs, letters of support Call/email during workday Go into grants.gov Contact grants.gov Help Desk ASAP 25
Grant Program Differences: SAMHSA vs. BJA 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. Doesn 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). 26
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 is 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. 27
Want More Information? CJ Team Contact Information Ken Robertson, CJ Team Leader 240-276-1621 Kenneth.robertson@samhsa.gov All CJJ grant programs Jon Berg, Public Health Advisor 240-276-1609 Jon.Berg@samhsa.hhs.gov Drug Courts/Offender Reentry George Samayoa, Public Health Advisor 240-276-1622 George.Samayoa@samhsa.hhs.gov Drug Courts Lloyd Roberts, Public Health Advisor 240-276-0435 Lloyd.Roberts@samhsa.hhs.gov Drug Courts Arnold Crozier, Public Health Advisor 240-276-2909 Arnold.Crozier@samhsa.hhs.gov Drug Courts 28
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 29
SO, WHATEVER YOU DO AFTER THIS CONFERENCE, WHEN YOU GO HOME PLEASE VISIT OUR WEBSITE AT: WWW.SAMHSA.GOV 30
Important Resources SELECTED RESOURCES TO ASSIST YOU: Contacts Websites Data Information 31
The SAMHSA Website Resources include: SAMHSA Website: www.samhsa.gov contains a wealth of information and opportunities including grant information SAMHSA Substance Abuse Treatment Facility Locator: http://findtreatment.samhsa.gov SAMHSA Health Information Network is our publications clearinghouse: 1-877-4727 TDD: 800-487-4889 Monday-Friday 8 am 8 p.m SAMHSA s National Helpline 1-800-662-HELP 32
Websites for Drug Court and Problem- Solving Courts Information Center for Court Innovation www.problem-solvingcourts.org Council of State Governments www.consensusproject.org Children and Family Futures www.cffutures.org Justice Management Institute www.jmijustice.org 34
Websites for Drug Court and Problem- Solving Courts Information Justice Programs-American University www.spa.american.edu/justice Justice for Vets www.justiceforvets.org National Association of Drug Courts www.allrise.org National Center for DWI Courts www.dwicourts.org 35
Websites for Drug Court and Problem- Solving Courts Information National Center for State Courts www.ncsonline.org National Council of Juvenile & Family Court Judges www.ncjfcj.org National Drug Court Institute www.ndci.org National Judicial College www.judges.org 36
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 37
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 38
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 39