Federal Substance Abuse Prevention and Treatment Block Grant (CSAP/CSAT)
Block Grant Goals and Objectives
The Substance Abuse Prevention and Treatment (SAPT) Block Grant program goal is to support substance abuse prevention and treatment programs at the State and local levels. While the SAPT Block Grant provides Federal support to addiction prevention and treatment services nationally, it empowers States to design solutions to specific addiction problems that are experienced locally.
Block Grant Background and Process
The Substance Abuse Prevention and Treatment Block Grant, the cornerstone of the States' substance-related programs, accounts for approximately 40 percent of public funds expended on substance prevention activities and treatment services. This grant program is based on a congressionally mandated formula and is administered by SAMHSA's Center for Substance Abuse Prevention (CSAP) and its Center for Substance Abuse Treatment (CSAT). While the program enables States to provide substance abuse treatment and prevention services through a variety of means, both statute and regulations place special emphasis on provision of treatment and primary prevention services to both injecting drug users, and to substance abusing women who are pregnant or with dependent children.
States and territories annually submit a report and plan to the Federal Government describing how they expended block grant funds made available during a previous fiscal year and how they intend to obligate block grant funds being made available in the current fiscal year. States and territories design their services delivery systems to address specific local substance abuse problems. Targeted technical assistance is made available to the States and territories through the State Systems Development Program and the Technical Assistance to the States Program.
Prevention Block Grant
Wyoming has combined the prevention portion of the Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant dollars, in conjunction with State dollars, to create the Core Prevention Grant. The overarching goal of the Core Prevention Grant is to create a sustainable prevention system in Wyoming, through a community-level integrated and collaborative approach. This grant seeks to fund core substance abuse and suicide prevention efforts throughout Wyoming’s 23 counties, including the Wind River Indian Reservation. The Core Prevention Grant will become effective in State Fiscal Year 2011 (beginning July 1, 2010). The communities applying for this grant will use the Strategic Prevention Framework Model to assess the community needs using various sources of data, which include, but are not limited to: the Wyoming Prevention Needs Assessment (WPNA); the Youth Risk Behavior Surveillance System (YRBSS); the Behavioral Risk Factor Surveillance System (BRFSS); and other community data. The grant requires that strategies chosen to meet the priority needs are evidence-based, and guided by the Causal Model. The communities are also required to participate in evaluation, which includes National Outcome Measures (NOMs). National Outcome Measures will continue to be reported to the Substance Abuse and Mental Health Administration (SAMHSA) each year in the SAPT Block Grant application.
Center for Substance Abuse Prevention (CSAP) Strategies
Information dissemination. This strategy provides awareness and knowledge of the nature and extent of substance use, abuse, and addiction and their effects on individuals, families, and communities. It also provides knowledge and awareness of available prevention programs and services. Information dissemination is characterized by one-way communication from the source to the audience, with limited contact between the two. [Note: Information dissemination alone has not been shown to be effective at preventing substance abuse.]
Education. This strategy involves two-way communication and is distinguished from the information dissemination strategy by the fact that interaction between the educator/ facilitator and the participants is the basis of its activities. Activities under this strategy aim to affect critical life and social skills, including decision-making, refusal skills, critical analysis (e.g., of media messages), and systematic judgment abilities.
Alternatives. This strategy provides for the participation of target populations in activities that exclude substance use. The assumption is that constructive and healthy activities offset the attraction to--or otherwise meet the needs usually filled by alcohol and drugs and would, therefore, minimize or obviate resort to the latter. [Note: Alternative activities alone have not been shown to be effective at preventing substance abuse.]
Problem identification and referral. This strategy aims at identification of those who have indulged in illegal/age-inappropriate use of tobacco or alcohol and those individuals who have indulged in the first use of illicit drugs in order to assess if their behavior can be reversed through education. It should be noted, however, that this strategy does not include any activity designed to determine if a person is in need of treatment.
Community-based process. This strategy aims to enhance the ability of the community to more effectively provide prevention and treatment services for substance abuse disorders. Activities in this strategy include organizing, planning, enhancing efficiency and effectiveness of services implementation, interagency collaboration, coalition building, and networking.
Environmental. This strategy establishes or changes written and unwritten community standards, codes, and attitudes, thereby influencing incidence and prevalence of substance abuse in the general population. This strategy is divided into two subcategories to permit distinction between activities that center on legal and regulatory initiatives and those that relate to the service and action-oriented initiatives.