Substance Abuse Prevention and Treatment Block Grant

1
Substance Abuse Prevention and Treatment Block
Grant

• Florida Substance Abuse Mental Health Corporation
  Meeting
• September 7-9, 2005
• Orlando, Florida
• Presentation by
• Ken DeCerchio, MSW, CAP
• Assistant Secretary for Substance Abuse and
  Mental Health

2
Block Grant Requirements(45 CFR Part 96)

• In expending the grant, the State will expend
• Grant funds only for the purpose of planning,
  carrying out, and evaluating activities to
  prevent and treat substance abuse and for related
  activities as authorized in the block grant.
• Not less than 20 percent for prevention programs.
  
• An amount, not to exceed 5 percent of the grant,
  on activities for HIV early intervention
  services.
• No more than 5 percent of the grant for
  administration.

3
Restrictions on Expenditures

• The State shall not expend the Block Grant to
• Provide inpatient hospital services.
• Make cash payments to intended recipients of
  health services.
• Purchase or improve land, to purchase, construct
  or remodel any building, or purchase major
  medical equipment.
• Provide financial assistance to any entity other
  than a public or nonprofit private entity.
• Provide individuals with hypodermic needles or
  syringes.

4
Womens Services

• The State shall expend an amount as prescribed
  by Section 96.124(c) on treatment services
  designed for pregnant women and women with
  dependent children. Women who are attempting to
  regain custody of their children are included.
  Treatment programs receiving such funding will
  treat the family as a unit and, at a minimum,
  must provide or arrange for the following
  services
• Primary medical care for women, including
  prenatal care.
• Primary pediatric care for their children.
• Gender specific substance abuse treatment and
  other therapeutic services which may address
  issues of relationships, parenting, sexual and
  physical abuse.
• Therapeutic interventions for their children
  which address their developmental needs and
  issues of sexual and physical abuse and neglect.
• Case management, transportation and child care to
  ensure access to treatment.
• Outreach to inform pregnant women of the services
  and priorities.

5
Priority for Admission

• Programs serving pregnant women and injecting
  drug users shall give preference for treatment
  admission, as follows
• Pregnant injecting drug users must be admitted
  within 48 hours or, if no service is available,
  must be provided with interim services to include
  a referral for prenatal care.
• Pregnant substance abusers must also be admitted
  within 48 hours or be referred for interim
  services.
• Injecting drug users must be admitted within 14
  days or, if no services are available, must be
  provided with interim services.
• All others.

6
Prevention Priorities

• When carrying out prevention programs
• priority will be given to those populations that
  are at risk of developing a pattern of substance
  abuse and
• community-based strategies shall be developed for
  prevention of substance abuse, including
  strategies to discourage the use of alcoholic
  beverages and tobacco products to individuals to
  whom such sale would be illegal.

7
Requirements

• Independent Peer Review
• Capacity Management
• Planning
• Services for Individuals with Co-occurring
  Disorders

8
SAPT Block Grant 2003 Award 95,064,189 (Expended)
9
Substance Abuse Program Expenditures FY
2003-2004(190,564,522)
10
FFY 2006 SAPTBG Application

• The State anticipates an FFY 2006 award of
  95,290,319.
• This award covers the federal funding period
  October 1, 2005 through September 30, 2006.
• All funds must be expended within 24 months of
  the award.

11
FFY 2006 SAPTBG Application

• Five SAPT Block Grant requirements have direct
  fiscal implication on how SAPT Block Grant and
  State funds are expended, and are as follows
• The State must expend not less than 20 percent of
  the award on primary prevention programs for
  individuals who do not require treatment for
  substance abuse.
• The State must expend an amount on services and
  activities designed specifically for women with
  dependent children and pregnant women that is not
  less than the amount expended in FY 1994.
• The State must expend at least five percent of
  the SAPT award on HIV Early Intervention services
  for individuals who are being treated for
  substance abuse problems at the site where the
  treatment is being provided.

12
FFY 2006 SAPTBG Application

• The State cannot expend more than five percent of
  the SAPT award on administration of the grant.
• The SAPT Block Grant requires that the
  expenditure of State funds in any state fiscal
  year be not less than the average of State
  expenditures in the prior two fiscal years
  (Maintenance of Effort).

13
FFY 2006 SAPTBG Application

• The FFY 2005 SAPTBG application included an
  Maintenance of Effort (MOE) shortfall of
  4,883,137.
• A subsequent calculation reduced the shortfall to
  2,434,997.
• Florida has requested a determination from the
  federal government that the state was in material
  compliance with this requirement to prevent a
  reduction in the block grant award.

14
FFY 2006 SAPTBG Application

• Additional provisions to meet other SAPT
  requirements include
• preference for admission to treatment for
  intravenous drug users and for pregnant women
• outreach to intravenous drug users and
• compliance with federal provisions prohibiting
  the sale of tobacco products to minors.

15
FFY 2003-2006 SAPTBG Awards

• FFY 2003 95,064,189
• FFY 2004 95,483,056
• FFY 2005 95,290,319
• FFY 2006 95,290,319 (anticipated)