View source for Substance Abuse and Mental Health Services Administration

{{short description|Branch of the U.S. Department of Health and Human Services}}
{{Infobox government agency
|logo            = Substance Abuse and Mental Health Services Administration logo 2023.svg
|logo_width      =
|agency_name     = United States Substance Abuse and Mental Health Services Administration
|formed          = {{start date and age|1992|7}}
|preceding1      =
|preceding2      =
|dissolved       =
|superseding     =
|jurisdiction    = [[Federal government of the United States]]
|headquarters    = [[North Bethesda, Maryland|North Bethesda]], [[Maryland (U.S. state)|Maryland]] ([[Rockville, Maryland|Rockville]] mailing address)
|employees       =
|budget          =
|chief1_name     = [[Miriam Delphin-Rittmon]]<ref>{{Cite web|url=https://www.hhs.gov/about/leadership/index.html|title=HHS Leadership|date=January 20, 2015|website=HHS.gov}}</ref>
|chief1_position = Administrator 
|parent_department = [[United States Department of Health and Human Services|Department of Health and Human Services]]
|website         = {{URL|https://www.samhsa.gov/|samhsa.gov}}
|footnotes       =
}}

The '''Substance Abuse and Mental Health Services Administration''' ('''SAMHSA'''; pronounced {{IPAc-en|pron|ˈ|s|æ|m|s|ə}}) is a branch of the [[U.S. Department of Health and Human Services]] (HHS). SAMHSA is charged with improving the quality and availability of treatment and rehabilitative services in order to reduce illness, death, disability, and the cost to society resulting from [[substance abuse]] and [[mental illness]]es.  The Administrator of SAMHSA reports directly to the [[United States Secretary of Health and Human Services|Secretary of the U.S. Department of Health and Human Services]]. SAMHSA's headquarters building is located outside of Rockville, Maryland.

As part of the announced [[2025 U.S. Department of Health and Human Services reorganization|2025 HHS reorganization]], SAMHSA is planned to be integrated into the new [[Administration for a Healthy America]].<ref name=":02">{{Cite web |last= |first= |date=2025-03-27 |title=HHS Announces Transformation to Make America Healthy Again |url=https://www.hhs.gov/press-room/hhs-restructuring-doge.html |url-status=live |archive-url=http://web.archive.org/web/20250327135807/https://www.hhs.gov/about/news/hhs-restructuring-doge.html |archive-date=2025-03-27 |access-date=2025-03-27 |website=U.S. Department of Health and Human Services |language=en}}</ref>

==History==

[[Image:SAMHSA.jpg|thumb|right|221px|The front of the SAMHSA building outside of Rockville, MD]]
SAMHSA was established in 1992 by Congress as part of a reorganization stemming from the abolition of Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA).  ADAMHA had been established in 1973, combining the [[National Institute on Alcohol Abuse and Alcoholism]] (NIAAA), [[National Institute on Drug Abuse]] (NIDA), [[National Institute of Mental Health]] (NIMH).  The 1992 ADAMHA Reorganization Act consolidated the treatment functions that were previously scattered amongst the NIMH, NIAAA, and NIDA into SAMHSA, established as an agency of the [[Public Health Service]] (PHS). NIMH, NIAAA, and NIDA continued with their research functions as agencies within the [[National Institutes of Health]].<ref name="ADAMHArecord">{{cite web|title=Records of the Alcohol, Drug Abuse, and Mental Health Administration [ADAMHA] (Record Group 511), 1929-93|url=https://www.archives.gov/research/guide-fed-records/groups/511.html|access-date=18 July 2012|website=National Archives|publisher=[[National Archives and Records Administration|U.S. National Archives and Records Administration]]}}</ref>

Congress directed SAMHSA to target effectively substance abuse and mental health services to the people most in need and to translate research in these areas more effectively and rapidly into the general health care system.<ref>{{cite web |title=Who We Are |date=4 March 2016 |website=SAMHSA |url=http://www.samhsa.gov/about-us/who-we-are }}</ref>

Charles Curie was SAMHSA's Director until his resignation in May 2006. In December 2006 [[Terry Cline]] was appointed as SAMHSA's Director. Dr. Cline served through August 2008. Rear Admiral Eric Broderick served as the Acting Director upon Dr. Cline's departure,<ref>{{cite web |title=Rear Admiral Eric Broderick, D.D.S., M.P.H., United States Public Health Service: Deputy Administrator of SAMHSA |date=30 November 2010 |website=SAMHSA |url=http://www.samhsa.gov/About/bio_broderick.aspx |archive-date=17 February 2012 |archive-url=https://web.archive.org/web/20120217091537/http://www.samhsa.gov/About/bio_broderick.aspx }}</ref> until the arrival of the succeeding Administrator, Pamela S. Hyde, J.D. in November 2009.<ref>{{cite web |title=Pamela S. Hyde, J.D.: Administrator, Substance Abuse and Mental Health Services Administration; United States Department of Health and Human Services |date=30 November 2010 |website=SAMHSA |url=http://www.samhsa.gov/About/bio_hyde.aspx |archive-date=13 February 2013 |archive-url=https://web.archive.org/web/20130213091342/http://www.samhsa.gov/about/bio_hyde.aspx }}</ref> She resigned in August 2015<ref>{{cite web |title=Farewell from the SAMHSA Administrator |date=12 August 2015 |website=SAMHSA News |url=https://newsletter.samhsa.gov/2015/08/12/farewell-from-the-samhsa-administrator/}}</ref> and Kana Enomoto, M.A. served as Acting Director of SAMHSA<ref>{{cite web |title=Joint Meeting of the SAMHSA National Advisory Council (NAC), Center for Mental Health Services (CMHS) NAC, Center for Substance Abuse Prevention (CSAP) NAC, Center for Substance Abuse Treatment (CSAT) NAC, SAMHSA Advisory Committee for Women's Services, and SAMHSA Tribal Technical Advisory Committee Public Agenda |date=27 August 2015 |website=SAMHSA |url=https://www.samhsa.gov/sites/default/files/about_us/advisory_councils/jnac-public-agenda-august-2015.pdf}}</ref> until [[Elinore McCance-Katz|Dr. Elinore F. McCance-Katz]] was appointed as the inaugural Assistant Secretary for Mental Health and Substance Abuse.<ref>{{cite web |title=PN608 — Elinore F. McCance-Katz — Department of Health and Human Services |date=3 August 2017 |website=Congress.gov |url=https://www.congress.gov/nomination/115th-congress/608?r=590}}</ref> The title was changed by Section 6001 of the [[21st Century Cures Act]].<ref>{{Cite web|url=https://www.gpo.gov/fdsys/pkg/PLAW-114publ255/pdf/PLAW-114publ255.pdf|title=130 Stat. 1202}}</ref>

==Organization==
[[File:5600 Fishers Lane 2020d.jpg|thumb|SAMHSA headquarters at 5600 Fishers Lane in [[Rockville, Maryland]]]]

SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.

Four SAMHSA offices, called Centers, administer competitive, formula, and block grant programs and data collection activities:<ref name=officesSAMHSA>{{cite web |url=http://www.samhsa.gov/about-us/who-we-are/offices-centers |title=Offices and Centers |date=11 September 2014 |website=SAMHSA }}</ref>
*The '''[[#Center for Mental Health Services|Center for Mental Health Services]] (CMHS)''' focuses on prevention and treatment of mental disorders. 
*The '''[[Center for Substance Abuse Prevention]] (CSAP)''' seeks to reduce the abuse of illegal drugs, alcohol, and tobacco. 
*The '''[[Center for Substance Abuse Treatment]] (CSAT)''' supports effective substance abuse treatment and recovery services. 
*The '''[[Center for Behavioral Health Statistics and Quality]] (CBHSQ)''' collects, analyzes, and publishes behavior health data.

The Centers give grant and contracts to U.S. states, territories, tribes, communities, and local organizations.<ref name=officesSAMHSA/> They support the provision of quality behavioral-health services such as addiction-prevention, treatment, and recovery-support services through competitive Programs of Regional and National Significance grants. Several staff offices support the Centers:<ref>{{cite web |url=http://www.samhsa.gov/About/background.aspx |website=SAMHSA |date=13 August 2010 |title=Agency Overview |archive-date=14 March 2012 |archive-url=https://web.archive.org/web/20120314032657/http://www.samhsa.gov/About/background.aspx }}</ref>
* Office of the Administrator
* Office of Policy, Planning, and Innovation
** Office of Behavioral Health Equity
* Office of Financial Resources
* Office of Management, Technology, and Operations
* Office of Communications
* Office of Tribal Affairs and Policy<ref name=officesSAMHSA/>

===Center for Mental Health Services===
The Center for Mental Health Services (CMHS) is a unit of the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. [[Department of Health and Human Services]].  This U.S. government agency describes its role as: 
<blockquote>
The Center for Mental Health Services leads federal efforts to promote the prevention and treatment of mental disorders. Congress created CMHS to bring new hope to adults who have serious mental illness and children with emotional disorders.<ref name=CMHS>{{cite web |title=Center for Mental Health Services |date=29 March 2016 |website=SAMHSA |url=http://www.samhsa.gov/about-us/who-we-are/offices-centers/cmhs }}</ref><ref>{{cite web| url= https://www.confirmbiosciences.com/wp-content/uploads/2020/01/SAMHSA-Oral-Fluid-Guidelines-Unofficial-Summary.pdf |title= Oral Fluid Guidelines  }} Wednesday, March 4, 2020 </ref><ref>[https://laopcenter.com/ Comprehensive Mental Health Treatment]</ref>
</blockquote>

{{As of|2025|03}}, the Center Director of CMHS is Anita Everett, MD, DFAPA and the Center Deputy Director is Tison Thomas.<ref name=CMHS/>

The [https://www.samhsa.gov/about/offices-centers/cmhs Center for Mental Health Services] (CMHS) leads federal efforts to promote prevention, treatment, and recovery supports for Americans with mental health conditions. CMHS aims to improve the health and wellbeing of individuals, families, and communities; and for all people to live fulfilling, independent, and productive lives.

CMHS strengthens the Nation's mental health by:

Helping states and communities increase access to effective, evidence-based prevention, treatment, and recovery support services for children, youth, adults, and family members;
Developing and leading national strategies and programs to address serious mental illness (SMI) and serious emotional disturbance (SED), early intervention, prevention/promotion and treatment, homelessness, suicide prevention, and crisis response, to reduce the impact of mental illness and co-occurring substance use disorders on America's communities; and
Promoting recovery as an outcome for all Americans with behavioral health conditions.

===Center for Substance Abuse Prevention===
The '''Center for Substance Abuse Prevention''' (CSAP) aims to reduce the use of illegal substances and the [[substance abuse|abuse]] of legal ones.<ref>[http://www.samhsa.gov/about-us/who-we-are/offices-centers/csap Center for Substance Abuse Prevention] official page at SAMHSA.gov</ref>

CSAP promotes [[self-esteem]] and cultural [[pride]] as a way to reduce the attractiveness of drugs, advocates raising taxes as a way to discourage drinking [[alcohol (drug)|alcohol]] by young people, develops alcohol and [[drug abuse|drug]] [[curricula]], and funds research on alcohol and drug abuse prevention. CSAP encourages the use of "evidence-based programs" for drug and alcohol prevention. Evidence-based programs are programs that have been rigorously and scientifically evaluated to show effectiveness in reducing or preventing drug use.

For example the SPF Rx grant program provides resources to help prevent and address prescription drug misuse within a State or locality.  Recipients can include relatively small organizations such as [[Coalition for a Drug-Free Greater Cincinnati|PreventionFIRST!]] an organization coordinating the activities of a number of bodies working within the Cincinnati area, with an annual turnover of around $2m.

The current director of CSAP is RADM Christopher Jones and the Deputy Director is CDR Cara Alexander.

====History and legal definition====
CSAP was established in 1992 from the previous Office of Substance Abuse Prevention by the law called the ADAMHA Reorganization Act.<ref>[https://www.congress.gov/bill/102nd-congress/senate-bill/1306 ADAMHA Reorganization Act] Summary</ref> Defining regulations include those of Title 42.<ref>[http://www.gpo.gov/fdsys/pkg/USCODE-2010-title42/pdf/USCODE-2010-title42-chap6A-subchapXVII-partB.pdf Title 42], see §300x–32, p. 1117</ref>

===Center for Substance Abuse Treatment===
The '''Center for Substance Abuse Treatment''' ('''CSAT''') was established in October 1992 with a Congressional mandate to expand the availability of effective treatment and recovery services for alcohol and drug problems. CSAT supports a variety of activities aimed at fulfilling its mission: 
* To improve the lives of individuals and families affected by alcohol and drug abuse by ensuring access to clinically sound, cost-effective addiction treatment that reduces the health and social costs to our communities and the nation. 
CSAT works with States and community-based groups to improve and expand existing substance abuse treatment services under the Substance Abuse Prevention and Treatment Block Grant Program. CSAT also supports SAMHSA’s free treatment referral service to link people with the community-based substance abuse services they need. Because no single treatment approach is effective for all persons, CSAT supports the nation's effort to provide multiple treatment modalities, evaluate treatment effectiveness, and use evaluation results to enhance treatment and recovery approaches.

The current director of CSAT is Yngvild Olsen, MD, and Deputy Director is Karran Philips, MD

===Center for Behavioral Health Statistics and Quality===
The '''Center for Behavioral Health Statistics and Quality''' (CBHSQ) conducts data collection and research on "behavioral health statistics" relating to [[mental health]], [[addiction]], [[substance abuse|substance use]], and related [[epidemiology]]. CBHSQ is headed by a Director. Subunits of CBHSQ include:<ref name=cbhsq/>
* Office of Program Analysis and Coordination
* Division of Surveillance and Data Collection
* Division of Evaluation, Analysis and Quality

The Center's headquarters are outside of [[Rockville, Maryland]].<ref name=cbhsq>[http://www.samhsa.gov/about-us/who-we-are/offices-centers/cbhsq Center for Behavioral Health Statistics and Quality] at official SAMHSA web site</ref>

The Center is directed by RADM Christopher Jones.

==Regional offices==
CMS has its headquarters outside of [[Rockville, Maryland|Rockville]], [[Maryland]]<ref>{{cite web|url=https://www.samhsa.gov/about-us|title=About Us|last=Samantha.Elliott|date=13 May 2013|website=www.samhsa.gov}}</ref> with 10 regional offices located throughout the United States:<ref>{{cite web|url=https://www.samhsa.gov/about-us/who-we-are/regional-administrators|title=Regional Administrators|last=Samantha.Elliott|date=8 November 2013|website=www.samhsa.gov}}</ref><ref>[https://carolinacenterforrecovery.com/ Carolina Center For Recovery]</ref>
{{col-begin}}
{{col-2}}
* Region I&nbsp;– [[Boston]], [[Massachusetts]]
:[[Connecticut]], [[Massachusetts]], [[Maine]], [[New Hampshire]], [[Rhode Island]] and [[Vermont]].
* Region II&nbsp;– [[New York City|New York]], [[New York State|New York]]
:[[New York State]], [[New Jersey]], [[U.S. Virgin Islands]] and [[Puerto Rico]].
* Region III&nbsp;– [[Philadelphia]], [[Pennsylvania]]
:[[Delaware]], [[Maryland]], [[Pennsylvania]], [[Virginia]], [[West Virginia]] and the [[District of Columbia]].
* Region IV&nbsp;– [[Atlanta]], [[Georgia (U.S. state)|Georgia]]
:[[Alabama]], [[Florida]], [[Georgia (U.S. state)|Georgia]], [[Kentucky]], [[Mississippi]], [[North Carolina]], [[South Carolina]] and [[Tennessee]].
* Region V&nbsp;– [[Chicago]], [[Illinois]]
:[[Illinois]], [[Indiana]], [[Michigan]], [[Minnesota]], [[Ohio]] and [[Wisconsin]].
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* Region VI&nbsp;– [[Dallas]], [[Texas]]
:[[Arkansas]], [[Louisiana]], [[New Mexico]], [[Oklahoma]] and [[Texas]].
* Region VII&nbsp;– [[Kansas City, Missouri|Kansas City]], [[Missouri]]
:[[Iowa]], [[Kansas]], [[Missouri]], and [[Nebraska]].
* Region VIII&nbsp;– [[Denver]], [[Colorado]]
:[[Colorado]], [[Montana]], [[North Dakota]], [[South Dakota]], [[Utah]], and [[Wyoming]].
* Region IX&nbsp;– [[San Francisco]], [[California]]
:[[Arizona]], [[California]], [[Hawaii]], [[Nevada]], [[American Samoa]], [[Guam]], and the [[Mariana Islands|Northern Marina Islands]].
* Region X&nbsp;– [[Seattle]], [[Washington (state)|Washington]]
:[[Alaska]], [[Idaho]], [[Oregon]], and [[Washington (state)|Washington]]
{{col-end}}

==See also==
*[[Alcohol, Drug Abuse, and Mental Health Services Block Grant]]
*[[Addiction recovery groups]]
*[[Self-help groups for mental health]]
*[[Treatment Improvement Protocols]]
*[[United States Department of Health and Human Services]]

==Notes==
{{Reflist}}

==References==
* {{cite web |url=http://www.nih.gov/about/almanac/archive/1998/organization/nimh/history.html |title=National Institute of Mental Health: Important Events in NIMH History |website=National Institutes of Health |archive-date=5 July 2015 |archive-url=https://web.archive.org/web/20150705131833/http://www.nih.gov/about/almanac/archive/1998/organization/nimh/history.html }}
* {{cite web |url=http://www.samhsa.gov/Budget/FY2011/SAMHSA_FY11CJ.pdf |title=Substance Abuse and Mental Health Services Administration: Justification of Estimates for Appropriations Committees: Fiscal Year 2011 |publisher=Department of Health and Human Services |archive-date=21 October 2013 |archive-url=https://web.archive.org/web/20131021053004/http://www.samhsa.gov/Budget/FY2011/SAMHSA_FY11CJ.pdf }}
* {{cite magazine |archive-url=https://web.archive.org/web/20081017081210/http://advocate.com/news_detail_ektid03200.asp |url=http://advocate.com/news_detail_ektid03200.asp |title=Federal agency caught in uproar over workshop title |magazine=The Advocate |date=26 February 2005 |archive-date=17 October 2008 |publisher=Regent Entertainment Media Inc. |agency=Associated Press }}

==External links==
{{Commonscatinline}}
*{{Official website|https://www.samhsa.gov/}}
*[https://www.federalregister.gov/agencies/substance-abuse-and-mental-health-services-administration Substance Abuse and Mental Health Services Administration] in the [[Federal Register]]
* [https://www.usaspending.gov/federal_account/075-1362 Health Surveillance and Program Support] account on [[USAspending.gov]]
* [https://www.usaspending.gov/federal_account/075-1363 Mental Health] account on USAspending.gov
* [https://www.usaspending.gov/federal_account/075-1364 Substance Abuse Treatment] account on USAspending.gov
* [https://www.usaspending.gov/federal_account/075-1365 Substance Abuse Prevention] account on USAspending.gov

{{HHS agencies}}
{{authority control}}

[[Category:Agencies of the United States Public Health Service]]
[[Category:Addiction organizations in the United States]]
[[Category:Mental health organizations based in Maryland]]
[[Category:1992 establishments in the United States]]