Reports on this page are prepared by Research and Program Application Division staff. Click on the title of the report to preview and download the full text in Adobe (.pdf) format.

2013

Overview of State Legislation to Increase Access to Treatment for Opioid Overdose

Release Date: Posted to the NASADAD Website (12/4/13)

Funding Source: The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment

State Substance Abuse Agencies, Program Management, and Data Utilization: Case Studies of Eleven States

Release Date: Posted to the NASADAD Website (6/2013)

Funding Source: The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment

POWERPOINT: State Substance Abuse Agencies and Prescription Drug Abuse: Initial Results from a NASADAD Membership Inquiry

Release Date: Posted to the NASADAD Website (04/2013)

NASADAD Consensus Statement on the Use of Medications in Treatment of Substance Use Disorders

Release Date: Posted to the NASADAD Website (1/2013)

2012

State Regulations on Substance Use Disorder Programs and Counselors: An Overview

Written: 12/2012; updated 7/2013
Posted to NASADAD Website: 9/2013

State Substance Abuse Agencies and Prescription Drug Misuse and Abuse: Results from a NASADAD Membership Inquiry

Release Date: Posted to the NASADAD Website (09/2012)

2011

Therapeutic Services for Children Whose Parents Receive Substance Use Disorder (SUD) Treatment

Release Date: Posted to the NASADAD Website (11/2011)
Funding Source: The Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) National Center on Substance Abuse and Child Welfare (NCSACW)

State Substance Abuse Agency and Substance Abuse Program Efforts Towards Healthcare Integration: An Environmental Scan

Written: 9/2011
Posted to the NASADAD Website: 9/2013

SSA Involvement in Driving Under the Influence (DUI)/Driving While Intoxicated (DWI)

Release Date: Posted to the NASADAD Website (08/2011)

Understanding the Baseline: Publicly Funded Substance Abuse Providers and Medicaid

Release Date: Posted to the NASADAD Website (05/2011)

2010

The Effects of Health Care Reform on Access to, and Funding of, Substance Abuse Services in Maine, Massachusetts, and Vermont

Release Date: March 2010

Effects of State Health Care Reform on Substance Abuse Services in Maine, Massachusetts, and Vermont: Considerations for Implementation of the Patient Protection and Affordable Care Act (PPACA)

Release Date: June 2010

Tobacco Cessation in Substance Abuse Treatment Facilities: Single State Agency (or SSA) Tobacco Policies
Release Date: Posted to the NASADAD Website (04/2010)
Funding Source: The UCSF Smoking Cessation Leadership Center

Addressing the Substance Use Disorder (SUD) Service Needs of Returning Veterans and Their Families: The Training Needs of State Alcohol and Other Drug Agencies and Providers
***If you are interested in receiving any of the appendix materials referenced in this report, please contact Melanie Whitter with Partners for Recovery at Melanie_Whitter@abtassoc.com***
Release Date: Posted to the NASADAD Website (04/2010)
Funding Source: Partners for Recovery Initiative (PFR), a Substance Abuse and Mental Health Services Administration (SAMHSA) initiative
Abstract: The National Association of State Alcohol and Drug Abuse Directors (NASADAD) conducted an environmental scan of the training, outreach, and resources offered by the Single State Agencies (SSAs) in charge of drug and alcohol treatment and prevention services to respond to the needs of returning veterans and their families. This scan was conducted to learn how to more effectively serve returning veterans and family members impacted by substance use disorders (SUDs). To accomplish this, NASADAD conducted case studies of nine States that had been identified as having the largest number of initiatives for returning veterans. The data for these case studies were gleaned from 36 interviews with SSA staff and staff from publicly funded SUD treatment facilities. NASADAD staff gathered data on State policies, trainings, and outreach efforts, as well as recommendations for future development of technical assistance and training materials to address the gaps in services.

2009

Telehealth in State Substance Use Disorder (SUD) Services
Release Date: Posted to the NASADAD Website (08/2009)
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

Results of Criminal Justice Inquiry
Release Date: 2/2009

2008

An Inventory of Cost Offset Studies for State Substance Abuse Agencies
Release Date: Posted to the NASADAD Web site, 11/08.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

Guidance to States: Treatment Standards for Women With Substance Use Disorders Release Date: Posted to the NASADAD Web site, 09/08.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

SSA Preparations for Substance Abuse Service Needs of OEF/OIF Returning Vets: A NASADAD Inquiry

Release Date: Posted to the NASADAD Web site, 08/08.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2007

Substance Abuse HCPCS Code User’s Guide Unofficial Standard Definitions

Release Date: Posted to the NASADAD Web site, 11/07.
Funding Source:
Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment with Health Systems Research, Inc.

State Issue Brief on Methadone Overdose Deaths

Release Date: Posted to NASADAD Web site, 11/07.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment, Division of Pharmacologic Therapy

Performance Measurement and Management

Release Date: Posted to NASADAD Web site, 11/07.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2006

Current State AOD Agency Practices Regarding the Use of Patient Placement Criteria (PPC) – An Update

Release Date: Posted to NASADAD Web site, 11/06.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

State Issue Brief on Alcohol Policy

Release Date: Posted to NASADAD Web site, 9/06. Printed copies released, 8/06.
Funding Source: National Institute on Alcohol Abuse and Alcoholism

State Issue Brief on Screening and Brief Intervention

Release Date: Posted to NASADAD Web site, 8/06. Printed copies released, 8/06.
Funding Source: National Institute on Alcohol Abuse and Alcoholism

Issue Brief on Buprenorphine

Release Date: Posted to NASADAD Web site, 6/06. Printed copies released, 6/06.
Funding Source: National Institute on Drug Abuse

2005

Issue Brief on Fetal Alcohol Syndrome

Release Date: Posted to NASADAD Web site only, 9/05. Printed copies of this report are not available.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

State Alcohol and Drug Treatment Program Licensing Requirements and Certification Standards for Substance Abuse Counselors and Prevention Professionals: A National Review

Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2004

States’ Perspectives on Buprenorphine and Office Based Medication Assisted Opioid Dependency Treatment

Release Date: Posted to NASADAD Web site only, 12/04. Printed copies of this report are not available.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report identifies and compiles NASADAD members’ concerns and the preliminary actions taken by the State AOD Agencies regarding office-based opioid addiction treatment. Specifically, NASADAD saw value for its members and relevant federal agencies in seeking basic information and perceptions on how the availability of buprenorphine may impact State treatment capacity, outreach efforts, information dissemination, clinical practices, regulatory provisions, abuse and diversion potential, client- level data collection, planning, and third-party reimbursement issues.

A Policy Guide on Collaborative Models for State Alcohol and Other Drug Directors and Child Welfare Administrators (7/04)

Release Date: July, 2004
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The intent of this document is to provide a reference source for State AOD Directors and Child Welfare Administrators. It includes recommendations developed by a workgroup composed of State AOD Directors and Child Welfare Administrators, and related information on agreements which have been developed by States that may be of value to other States seeking ways to facilitate the creation of systems more responsive to the requirements of ASFA and the welfare of children. To operate efficiently and effectively within the constraints of the time frames specified in ASFA, it is important for policy makers and practitioners in both the Child Welfare System (CWS) and the AOD system to collaborate with each other as well as to collaborate with other related systems such as mental health (MH), social services, child and maternal health, primary health, and the dependency court to provide needed and timely services to children and families. The policy recommendations focus on the elements, content, and development of collaborative models between the State CWS and the AOD system as well as other systems to guide AOD Directors and Child Welfare Administrators as they develop policies and oversee services delivered to families in the child welfare system who are involved with substance abuse. A Memorandum of Understanding (MOU), a Memorandum of Agreement (MOA), or a similar inter-agency instrument that describes a joint statement of purpose and commitment and specifies roles and responsibilities between two or more parties at various levels (i.e. Federal, State, Regional, County, operational) should be prepared among Child Welfare, AOD, and other agencies working with families in the CWS who are involved with substance use disorders. These agreements lay the groundwork for collaboration to occur and proceed among the various systems for the benefit of families.

2003

Catalog of the Status of National Treatment Plan Activity Within the States: Review of State Activities

Release Date: August, 2003
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The purpose of this report is to provide necessary information for developing a NASADAD strategy for assisting States in implementing the National Treatment Plan (NTP). The report compiles the results of a NASADAD Membership consultation designed to gather basic information concerning the depth of involvement of the State Alcohol and Other Drug (AOD) Agencies in the NTP. In addition to a descriptive analysis of the data collected, the report includes responses compiled on a State-by-State basis concerning the current status and progress of the implementation of the NTP within each State.

2002

State Buprenorphine Focus Group Pulse Check States Perspective on Buprenorphine and Office based Treatment

Release Date: August, 2002
Funding Source:
Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report synthesizes focus group input on the issues surrounding the approval of buprenorphine and its rollout in the States. The members of the NASADAD Treatment Committee were invited to participate in this focus group, convened by NASADAD with support from SAMHSA/CSAT/OPAT July 8, 2002. The intent of this activity was to inform other stakeholders of the perspective of State AOD agencies and to provide guidance to CSAT as to the nature of technical assistance that may be desired by the States. Activating the links below will being you to the full text of the report, report appendices, and a PowerPoint presentation of report highlights.
State Perspectives on Buprenorphine and Office-Based Treatment PowerPoint Presentation


Identification and Description of Multiple Alcohol and Other Drug Treatment Systems

Release Date: August, 2002
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: Under various forms of health care reform and specialized initiatives, many States now provide publicly supported alcohol and other drug treatment through several different channels. In some cases, changing substance abuse treatment financing options and the development of treatment delivery systems designed to meet a variety of specific needs combined to create parallel treatment systems frequently administered by agencies other than the State Alcohol and Other Drug (AOD) Agency. As a result of that process, policy makers at the national level have an incomplete and fragmented picture of the publicly funded alcohol and other drug abuse treatment system. This study provides information regarding these multiple systems by identifying State and local entities that operate treatment services outside of the State AOD Agency systems.

Treatment and Prevention Services for Persons with Alcohol and other Drug Disorders who are Homeless

Release date: April, 2002
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report examines the State AOD Agency response to the complex problem of homelessness among individuals with alcohol and other drug use disorders. Although there are no systemic requirements to provide services or to capture data regarding treatment targeted to this population, State AOD Agencies are engaged in an impressive array of initiatives and services for the homeless. The report explores the types of treatment most frequently offered, the range of treatment settings available, the percentage of clients who are homeless admitted to the State treatment systems, the different funding streams tapped to support these efforts, and how data is captured regarding this group. The report concludes that an investment in improved interagency collaboration, management information systems and the dissemination of best practices may help to offset the negative impact of limited resources in the face of increasing demand.

Publicly Supported Alcohol and Drug Treatment Systems: 1985 through 1997

Release date: February 2002
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report draws from data warehoused at NASADAD to analyze the State AOD Agency administered alcohol and drug abuse treatment system. The report relies largely on data from the State Resources and Services Related to Alcohol and Other Drug Problems: An Analysis of State Alcohol and Drug Abuse Profiles for Fiscal Years 1998 and 1999 (SADAP) but also solicited the views of the directors of AOD Agencies concerning the transitions that the data indicates the system has undergone.

2001

State Issue Brief #1: Current Alcohol Research in the Use of Medications as an Adjunct to Alcohol Treatment and Implications for State Alcohol Treatment Systems

Release date: December, 2001
Funding source: National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Abstract: Reviews current research comparing treatment programs that incorporate the use of medication as an adjunct to treatment with treatment outcomes. Several medications have been introduced to the treatment field that reduce alcohol consumption by interfering with the euphoric feeling alcohol induces (naltrexone, nalmefene, and acamprosate). This brief provides State AOD Agency Directors with information that may facilitate decisions around the use of such medications in the publicly funded treatment system. The brief concludes that using these medications as an adjunct to treatment may improve treatment outcomes.

Analysis of State Data Management Capabilities and Plans

Release Date: November, 2001
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This paper reports the results of a NASADAD membership inquiry regarding State Alcohol and Other Drug (AOD) Agency information systems. The purpose of the consultation was to help determine whether a model web-based system, developed at the national level, could help States in meeting new requirements for performance reporting and ease transition to new technology. States were asked to estimate the annual cost of operating and maintaining their existing information systems. Cost estimates were solicited in six categories: system operations, system software maintenance, user training and help desk, supervision and administration, equipment and software upgrades, and overhead. A total of 47 States responded. The report evaluates the evidence of States’ ability to finance information systems; the hurdles a State might face in integrating a model system with existing infrastructure, policy and allied systems; State status and plans for shifting to web based systems; State priorities for systems development; the available technical documentation for existing State systems; and the overall interest of States in a model system.

Traditional, Alternative, or Complementary Therapies, in Addiction Treatment (TATAC) Report: National and State Profiles

Release date: August, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment/Office of Pharmacologic and Alternative Therapies
Abstract: This report documents and catalogues traditional, alternative, or complementary therapies in addiction treatment (TACTAT) used in publicly funded alcohol and other drug (AOD) State treatment systems. “Traditional” therapies include practices that derive from spiritual traditions or health practices of indigenous groups outside of the contemporary recognized medical establishment. “Alternative and complementary” therapies may include acupuncture, aroma therapy, art therapy, biofeedback, dance therapy, flavor therapy, guided imagery and visualization, herbal remedies, homeopathic remedies, hypnosis, light therapy, massage, meditation/TM, music therapy, nutritional supplements, recreational therapy, reiki, relaxation therapy, shamanic therapies, sound therapy, sweat lodges, and yoga/tai chi. The study includes individual State profiles, as well as an aggregate national profile.

National Institute on Alcohol Abuse and Alcoholism (NIAAA) Research Findings – Orientation to Naltrexone and the Integration of Medication into State Treatment Systems

Release date: August 31, 2001
Funding source: National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Abstract: Summary of the “National Institute on Alcohol Abuse and Alcoholism (NIAAA) Research Findings – Orientation to Naltrexone and the Integration of Medication into State Treatment Systems” presentation to the NASADAD membership. This presentation took place on Saturday, June 2nd from 9:00 a.m. – 12:30 p.m. in LaSalle Ballroom “C” at the Intercontinental Hotel in New Orleans, Louisiana, as part of the NASADAD Annual Meeting, 2001.

State Resources and Services Related to Alcohol and Other Drug Problems: An Analysis of State Alcohol and Drug Abuse Profiles for Fiscal Years 1998 and 1999 (SADAP) Financial and Client Data Tables.

Release date: June, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The Directors of the State AOD Agencies from 46 States voluntarily submitted information to NASADAD for the FY 1998 and the FY 1999 SADAP report. Fiscal information includes an overview of individual State treatment expenditures by source and by type of program activity, and compares total expenditures over a six-year time frame. The report also estimates the number of publicly funded treatment units by State and compares this with the total number of treatment units in the State. Alcohol and drug client treatment admissions are broken out by State, age, gender, race, type of drug and treatment setting. Admission treatment estimates are also provided for pregnant women and intravenous drug users. States responded to extensive questions regarding the structure and activities of treatment and prevention systems, and these are presented in individual State profiles (Note: Profiles are not available on the Web site, but may be purchased by contacting NASADAD)

Report on Alcohol and Other Drug Treatment Effectiveness – A Review of State Outcome Studies

Release date: March, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: Qualitative meta-analysis of State outcome studies to determine the effectiveness of alcohol and drug abuse treatment across States primarily as measured by the four effectiveness measures included in the 2000 Substance Abuse Prevention and Treatment Block Grant Application (SAPT) and two additional performance indicators. In addition to reviewing and comparing the data from individual studies among treatment effectiveness indicator areas, other relevant variables that impact treatment were identified and reviewed and other related studies were examined. A total of 53 studies in 24 states, mostly completed between 1994 to 1999, were selected for inclusion in the final analysis. The studies varied in methodology and in measures used to evaluate outcomes, but consistently demonstrate that treatment has a positive impact on important indicators, including employment, criminal justice involvement, and abstinence. Includes a PowerPoint presentation that may be used to communicate the effectiveness of treatment to legislators and to representatives from adjacent services.

1999

An Inventory of State Prevention Activities Funded Under the 20 Percent Prevention Set-Aside of the Substance Abuse Prevention and Treatment Block Grant

Release Date: October, 1999

Financing and Marketing the New Conceptual Framework for Co-occurring Mental Health and Substance Abuse Disorders

Release date: March, 1999
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This is the final report of the Joint Task Force convened to address the issue of co-occurring mental health and substance abuse disorders. The Task Force focused on the need to develop a comprehensive, coordinated system of care for those with co-occurring disorders, noting that this would require a significant commitment of time, creativity, resources, and expertise.The Task Force developed a general set of principles needed to finance such a continuum of care and discussed ways to market the conceptual framework and financing principles to those who fund, provide, and consume mental health and substance abuse services. The report is accompanied by a PowerPoint presentation that can be used in communicating these principles and strategies to administrators and program managers.

1998

National Dialogue on Co-occurring Mental Health and Substance Abuse Disorders

Release date: June, 1998
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This White Paper is the product of a Joint Task Force of representatives from the National Association of State Mental Health Program Directors and the National Association of State Alcohol and Drug Abuse Directors. The Task Force was also comprised of recognized experts in the field, and representatives from the SAMHSA Centers for Substance Abuse Treatment and Mental Health. The paper presents a “consensual framework” for considering both the needs of individuals with co-occurring disorders and the system requirements designed to address these needs. The framework conceptualizes co-occurring disorders in terms of symptom multiplicity and severity rather than specific diagnoses, thereby encompassing the full range of people who have co-occurring mental health and substance abuse disorders. These theoretical underpinnings provide the bases of recommendations for future strategies (see “Financing and Marketing the New Conceptual Framework,” below).

Reports on this page are prepared by Research and Program Application Division staff. Click on the title of the report to preview and download the full text in Adobe (.pdf) format.

2010

Tobacco Cessation in Substance Abuse Treatment Facilities: Single State Agency (or SSA) Tobacco Policies
Release Date: Posted to the NASADAD Website (04/2010)
Funding Source: The UCSF Smoking Cessation Leadership Center

Addressing the Substance Use Disorder (SUD) Service Needs of Returning Veterans and Their Families: The Training Needs of State Alcohol and Other Drug Agencies and Providers
***If you are interested in receiving any of the appendix materials referenced in this report, please contact Melanie Whitter with Partners for Recovery at Melanie_Whitter@abtassoc.com***
Release Date: Posted to the NASADAD Website (04/2010)
Funding Source: Partners for Recovery Initiative (PFR), a Substance Abuse and Mental Health Services Administration (SAMHSA) initiative
Abstract: The National Association of State Alcohol and Drug Abuse Directors (NASADAD) conducted an environmental scan of the training, outreach, and resources offered by the Single State Agencies (SSAs) in charge of drug and alcohol treatment and prevention services to respond to the needs of returning veterans and their families. This scan was conducted to learn how to more effectively serve returning veterans and family members impacted by substance use disorders (SUDs). To accomplish this, NASADAD conducted case studies of nine States that had been identified as having the largest number of initiatives for returning veterans. The data for these case studies were gleaned from 36 interviews with SSA staff and staff from publicly funded SUD treatment facilities. NASADAD staff gathered data on State policies, trainings, and outreach efforts, as well as recommendations for future development of technical assistance and training materials to address the gaps in services.

2009

Telehealth in State Substance Use Disorder (SUD) Services
Release Date: Posted to the NASADAD Website (08/2009)
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

Results of Criminal Justice Inquiry
Release Date: 2/2009

2008

An Inventory of Cost Offset Studies for State Substance Abuse Agencies
Release Date: Posted to the NASADAD Web site, 11/08.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

SSA Preparations for Substance Abuse Service Needs of OEF/OIF Returning Vets: A NASADAD Inquiry

Release Date: Posted to the NASADAD Web site, 08/08.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2007

Substance Abuse HCPCS Code User’s Guide Unofficial Standard Definitions

Release Date: Posted to the NASADAD Web site, 11/07.
Funding Source:
Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment with Health Systems Research, Inc.

State Issue Brief on Methadone Overdose Deaths

Release Date: Posted to NASADAD Web site, 11/07.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment, Division of Pharmacologic Therapy

Performance Measurement and Management Reporting Requirements and Associated Technical Assistance Needs

Release Date: Posted to NASADAD Web site, 11/07.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2006
Current State AOD Agency Practices Regarding the Use of Patient Placement Criteria (PPC) – An Update

Release Date: Posted to NASADAD Web site, 11/06.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

State Issue Brief on Alcohol Policy

Release Date: Posted to NASADAD Web site, 9/06. Printed copies released, 8/06.
Funding Source: National Institute on Alcohol Abuse and Alcoholism

State Issue Brief on Screening and Brief Intervention

Release Date: Posted to NASADAD Web site, 8/06. Printed copies released, 8/06.
Funding Source: National Institute on Alcohol Abuse and Alcoholism

Issue Brief on Buprenorphine

Release Date: Posted to NASADAD Web site, 6/06. Printed copies released, 6/06.
Funding Source: National Institute on Drug Abuse

2005

Issue Brief on Fetal Alcohol Syndrome

Release Date: Posted to NASADAD Web site only, 9/05. Printed copies of this report are not available.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment

2004

States’ Perspectives on Buprenorphine and Office Based Medication Assisted Opioid Dependency Treatment

Release Date: Posted to NASADAD Web site only, 12/04. Printed copies of this report are not available.
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report identifies and compiles NASADAD members’ concerns and the preliminary actions taken by the State AOD Agencies regarding office-based opioid addiction treatment. Specifically, NASADAD saw value for its members and relevant federal agencies in seeking basic information and perceptions on how the availability of buprenorphine may impact State treatment capacity, outreach efforts, information dissemination, clinical practices, regulatory provisions, abuse and diversion potential, client- level data collection, planning, and third-party reimbursement issues.

A Policy Guide on Collaborative Models for State Alcohol and Other Drug Directors and Child Welfare Administrators (7/04)

Release Date: July, 2004
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The intent of this document is to provide a reference source for State AOD Directors and Child Welfare Administrators. It includes recommendations developed by a workgroup composed of State AOD Directors and Child Welfare Administrators, and related information on agreements which have been developed by States that may be of value to other States seeking ways to facilitate the creation of systems more responsive to the requirements of ASFA and the welfare of children. To operate efficiently and effectively within the constraints of the time frames specified in ASFA, it is important for policy makers and practitioners in both the Child Welfare System (CWS) and the AOD system to collaborate with each other as well as to collaborate with other related systems such as mental health (MH), social services, child and maternal health, primary health, and the dependency court to provide needed and timely services to children and families. The policy recommendations focus on the elements, content, and development of collaborative models between the State CWS and the AOD system as well as other systems to guide AOD Directors and Child Welfare Administrators as they develop policies and oversee services delivered to families in the child welfare system who are involved with substance abuse. A Memorandum of Understanding (MOU), a Memorandum of Agreement (MOA), or a similar inter-agency instrument that describes a joint statement of purpose and commitment and specifies roles and responsibilities between two or more parties at various levels (i.e. Federal, State, Regional, County, operational) should be prepared among Child Welfare, AOD, and other agencies working with families in the CWS who are involved with substance use disorders. These agreements lay the groundwork for collaboration to occur and proceed among the various systems for the benefit of families.

2003

Catalog of the Status of National Treatment Plan Activity Within the States: Review of State Activities

Release Date: August, 2003
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The purpose of this report is to provide necessary information for developing a NASADAD strategy for assisting States in implementing the National Treatment Plan (NTP). The report compiles the results of a NASADAD Membership consultation designed to gather basic information concerning the depth of involvement of the State Alcohol and Other Drug (AOD) Agencies in the NTP. In addition to a descriptive analysis of the data collected, the report includes responses compiled on a State-by-State basis concerning the current status and progress of the implementation of the NTP within each State.

2002

State Buprenorphine Focus Group Pulse Check: States Perspective on Buprenorphine and Office-based Treatment

Release Date: August, 2002
Funding Source:
Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report synthesizes focus group input on the issues surrounding the approval of buprenorphine and its rollout in the States. The members of the NASADAD Treatment Committee were invited to participate in this focus group, convened by NASADAD with support from SAMHSA/CSAT/OPAT July 8, 2002. The intent of this activity was to inform other stakeholders of the perspective of State AOD agencies and to provide guidance to CSAT as to the nature of technical assistance that may be desired by the States. Activating the links below will being you to the full text of the report, report appendices, and a PowerPoint presentation of report highlights.

Report Appendices
Accompanying PowerPoint Presentation


Identification and Description of Multiple Alcohol and Other Drug Treatment Systems

Release Date: August, 2002
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: Under various forms of health care reform and specialized initiatives, many States now provide publicly supported alcohol and other drug treatment through several different channels. In some cases, changing substance abuse treatment financing options and the development of treatment delivery systems designed to meet a variety of specific needs combined to create parallel treatment systems frequently administered by agencies other than the State Alcohol and Other Drug (AOD) Agency. As a result of that process, policy makers at the national level have an incomplete and fragmented picture of the publicly funded alcohol and other drug abuse treatment system. This study provides information regarding these multiple systems by identifying State and local entities that operate treatment services outside of the State AOD Agency systems.

Treatment and Prevention Services for Persons with Alcohol and other Drug Disorders who are Homeless

Release date: April, 2002
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report examines the State AOD Agency response to the complex problem of homelessness among individuals with alcohol and other drug use disorders. Although there are no systemic requirements to provide services or to capture data regarding treatment targeted to this population, State AOD Agencies are engaged in an impressive array of initiatives and services for the homeless. The report explores the types of treatment most frequently offered, the range of treatment settings available, the percentage of clients who are homeless admitted to the State treatment systems, the different funding streams tapped to support these efforts, and how data is captured regarding this group. The report concludes that an investment in improved interagency collaboration, management information systems and the dissemination of best practices may help to offset the negative impact of limited resources in the face of increasing demand.

Publicly Supported Alcohol and Drug Treatment Systems: 1985 through 1997

Release date: February 2002
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This report draws from data warehoused at NASADAD to analyze the State AOD Agency administered alcohol and drug abuse treatment system. The report relies largely on data from the State Resources and Services Related to Alcohol and Other Drug Problems: An Analysis of State Alcohol and Drug Abuse Profiles for Fiscal Years 1998 and 1999 (SADAP) but also solicited the views of the directors of AOD Agencies concerning the transitions that the data indicates the system has undergone.
2001

State Issue Brief #1: Current Alcohol Research in the Use of Medications as an Adjunct to Alcohol Treatment and Implications for State Alcohol Treatment Systems

Release date: December, 2001
Funding source: National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Abstract: Reviews current research comparing treatment programs that incorporate the use of medication as an adjunct to treatment with treatment outcomes. Several medications have been introduced to the treatment field that reduce alcohol consumption by interfering with the euphoric feeling alcohol induces (naltrexone, nalmefene, and acamprosate). This brief provides State AOD Agency Directors with information that may facilitate decisions around the use of such medications in the publicly funded treatment system. The brief concludes that using these medications as an adjunct to treatment may improve treatment outcomes.

Analysis of State Data Management Capabilities and Plans

Release Date: November, 2001
Funding Source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This paper reports the results of a NASADAD membership inquiry regarding State Alcohol and Other Drug (AOD) Agency information systems. The purpose of the consultation was to help determine whether a model web-based system, developed at the national level, could help States in meeting new requirements for performance reporting and ease transition to new technology. States were asked to estimate the annual cost of operating and maintaining their existing information systems. Cost estimates were solicited in six categories: system operations, system software maintenance, user training and help desk, supervision and administration, equipment and software upgrades, and overhead. A total of 47 States responded. The report evaluates the evidence of States’ ability to finance information systems; the hurdles a State might face in integrating a model system with existing infrastructure, policy and allied systems; State status and plans for shifting to web based systems; State priorities for systems development; the available technical documentation for existing State systems; and the overall interest of States in a model system.

Traditional, Alternative, or Complementary Therapies in Addiction Treatment (TATAC) Report: National and State Profiles

Release date: August, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment/Office of Pharmacologic and Alternative Therapies
Abstract: This report documents and catalogues traditional, alternative, or complementary therapies in addiction treatment (TACTAT) used in publicly funded alcohol and other drug (AOD) State treatment systems. “Traditional” therapies include practices that derive from spiritual traditions or health practices of indigenous groups outside of the contemporary recognized medical establishment. “Alternative and complementary” therapies may include acupuncture, aroma therapy, art therapy, biofeedback, dance therapy, flavor therapy, guided imagery and visualization, herbal remedies, homeopathic remedies, hypnosis, light therapy, massage, meditation/TM, music therapy, nutritional supplements, recreational therapy, reiki, relaxation therapy, shamanic therapies, sound therapy, sweat lodges, and yoga/tai chi. The study includes individual State profiles, as well as an aggregate national profile.

National Institute on Alcohol Abuse and Alcoholism (NIAAA) Research Findings – Orientation to Naltrexone and the Integration of Medication into State Treatment Systems.

Release date: August 31, 2001
Funding source: National Institute on Alcoholism and Alcohol Abuse (NIAAA)
Abstract: Summary of the “National Institute on Alcohol Abuse and Alcoholism (NIAAA) Research Findings – Orientation to Naltrexone and the Integration of Medication into State Treatment Systems” presentation to the NASADAD membership. This presentation took place on Saturday, June 2nd from 9:00 a.m. – 12:30 p.m. in LaSalle Ballroom “C” at the Intercontinental Hotel in New Orleans, Louisiana, as part of the NASADAD Annual Meeting, 2001.

State Resources and Services Related to Alcohol and Other Drug Problems: An Analysis of State Alcohol and Drug Abuse Profiles for Fiscal Years 1998 and 1999 (SADAP) Financial and Client Data Tables.

Release date: June, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: The Directors of the State AOD Agencies from 46 States voluntarily submitted information to NASADAD for the FY 1998 and the FY 1999 SADAP report. Fiscal information includes an overview of individual State treatment expenditures by source and by type of program activity, and compares total expenditures over a six-year time frame. The report also estimates the number of publicly funded treatment units by State and compares this with the total number of treatment units in the State. Alcohol and drug client treatment admissions are broken out by State, age, gender, race, type of drug and treatment setting. Admission treatment estimates are also provided for pregnant women and intravenous drug users. States responded to extensive questions regarding the structure and activities of treatment and prevention systems, and these are presented in individual State profiles (Note: Profiles are not available on the Web site, but may be purchased by contacting NASADAD)

Report on Alcohol and Other Drug Treatment Effectiveness – A Review of State Outcome Studies

Release date: March, 2001
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: Qualitative meta-analysis of State outcome studies to determine the effectiveness of alcohol and drug abuse treatment across States primarily as measured by the four effectiveness measures included in the 2000 Substance Abuse Prevention and Treatment Block Grant Application (SAPT) and two additional performance indicators. In addition to reviewing and comparing the data from individual studies among treatment effectiveness indicator areas, other relevant variables that impact treatment were identified and reviewed and other related studies were examined. A total of 53 studies in 24 states, mostly completed between 1994 to 1999, were selected for inclusion in the final analysis. The studies varied in methodology and in measures used to evaluate outcomes, but consistently demonstrate that treatment has a positive impact on important indicators, including employment, criminal justice involvement, and abstinence. Includes a PowerPoint presentation that may be used to communicate the effectiveness of treatment to legislators and to representatives from adjacent services.

1999

Financing and Marketing the New Conceptual Framework for Co-occurring Mental Health and Substance Abuse Disorders

Release date: March, 1999
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This is the final report of the Joint Task Force convened to address the issue of co-occurring mental health and substance abuse disorders. The Task Force focused on the need to develop a comprehensive, coordinated system of care for those with co-occurring disorders, noting that this would require a significant commitment of time, creativity, resources, and expertise.The Task Force developed a general set of principles needed to finance such a continuum of care and discussed ways to market the conceptual framework and financing principles to those who fund, provide, and consume mental health and substance abuse services. The report is accompanied by a PowerPoint presentation that can be used in communicating these principles and strategies to administrators and program managers.

1998

National Dialogue on Co-occurring Mental Health and Substance Abuse Disorders

Release date: June, 1998
Funding source: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Treatment
Abstract: This White Paper is the product of a Joint Task Force of representatives from the National Association of State Mental Health Program Directors and the National Association of State Alcohol and Drug Abuse Directors. The Task Force was also comprised of recognized experts in the field, and representatives from the SAMHSA Centers for Substance Abuse Treatment and Mental Health. The paper presents a “consensual framework” for considering both the needs of individuals with co-occurring disorders and the system requirements designed to address these needs. The framework conceptualizes co-occurring disorders in terms of symptom multiplicity and severity rather than specific diagnoses, thereby encompassing the full range of people who have co-occurring mental health and substance abuse disorders. These theoretical underpinnings provide the bases of recommendations for future strategies (see “Financing and Marketing the New Conceptual Framework,” below).