Category Archives: Public View

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National Awards for Innovative Substance Abuse Prevention Programs, Practices and Policies

2018 National Awards for Innovative Substance Abuse Prevention Programs, Practices and Policies

 

2018 AWARD WINNER
Combatting Retail Sales of Synthetic Drugs, North Coastal Prevention Coalition, California

Tracy Flinn (NASADAD), Erica Leary (NCPC), John Byrom (NCPC), Michelle Nienhius (NPN-South Carolina)

 

The North Coastal Prevention Coalition (NCPC) has facilitated community-level prevention strategies in the cities of Carlsbad, Oceanside, and Vista in North Coastal San Diego County since 1993. Coalition efforts focus on environmental prevention strategies in order to change the community norms, access, and availability that contribute to substance use problems.

The application detailed NCPC’s efforts to reduce the retail sales of synthetic drugs, particularly those designed to mimic marijuana, like K2 and spice. NCPC first learned about synthetic drugs like spice and bath salts back in 2009, when staff at an afterschool program explained that their students were using it as a ‘legal’ way to get high. High school kids were buying spice at local gas stations and convenience stores and were selling it to middle school students.

NCPC embarked on a multi-year effort to address this new and emerging substance, and worked with partners at the local, regional, state and federal level. Initial approaches began with increasing public awareness and partnering with local law enforcement agencies to urge local retail outlets to stop selling these dangerous products. Youth advocates were trained to conduct store assessments and purchase attempts and make follow up visits. Though these efforts had some success in reducing availability from corporate stores, other retailers like independent markets, liquor stores, and head shops continued to profit off these products since the laws and enforcement could not keep up.

After California law changed in January 2012 to prohibit the sale of synthetic cannabinoid compounds, NCPC worked with law enforcement to put retailers on notice that these products were illegal. By June 2012, most of the stores came into compliance. But two headshops and two smoke-shops in Oceanside did not comply.

After a string of medical calls for service in downtown Oceanside in 2015, the business association, law enforcement, the City Attorney, and NCPC collaborated to craft a local ordinance that would give additional tools to crack down on illegal sales. Rather than focusing on a class of chemical compounds, the local ordinance included pricing and packaging, and attached a $500 fine per package for violators. This was a critical step to eliminate these products from local stores and resulted in a dramatic decline in calls for service – from 181 between January 2013 and April 2016 (when the ordinance was adopted) to 9 from May 2016 to August 2017.

EXEMPLARY AWARDS ARCHIVE 2003-2017

State Specific Information

Please check back often as information is being added to this page continuously. Members are encouraged to share State-specific information with Policy Staff for posting.

Alabama

Alabama State Overview

Alaska

Alaska State Overview

Arizona

Arizona State Overview

Arkansas

Arkansas State Overview

California

California State Overview

Colorado

Colorado State Overview

Connecticut

Connecticut State Overview

Delaware

Delaware State Overview

District of Columbia

District of Columbia Overview

Florida

Florida State Overview

Georgia

Georgia State Overview

Hawaii

Hawaii State Overview

Idaho

Idaho State Overview

Illinois

Illinois State Overview

Indiana

Indiana State Overview

Iowa

Iowa State Overview

Kansas

Kansas State Overview

Kentucky

Kentucky State Overview

Louisiana

Louisiana State Overview

Maine

Maine State Overview

Maryland

Maryland State Overview

Massachusetts

Massachusetts State Overview

Michigan

Michigan State Overview

Minnesota

Minnesota State Overview

Mississippi

Mississippi State Overview

Missouri

Missouri State Overview

Montana

Montana State Overview

Nebraska

Nebraska State Overview

Nevada

Nevada State Overview

New Hampshire

New Hampshire Overview

New Jersey

New Jersey Overview

New Mexico

New Mexico Overview

New York

New York State Overview

North Carolina

North Carolina Overview

North Dakota

North Dakota Overview

Ohio

Ohio State Overview

Oklahoma

Oklahoma State Overview

Oregon

Oregon State Overview

Pennsylvania

Pennsylvania State Overview

Rhode Island

Rhode Island State Overview

South Carolina

South Carolina State Overview

South Dakota

South Dakota State Overview

Tennessee

Tennessee State Overview

Texas

Texas State Overview

Utah

Utah State Overview

Vermont

Vermont State Overview

Virginia

Virginia State Overview

Washington

Washington State Overview

West Virginia

West Virginia State Overview

Wisconsin

Wisconsin State Overview

Wyoming

Wyoming State Overview

Public Policy Issue Briefs

Public Policy Issue Briefs

NASADAD Members can contact Policy Staff for information on how to use these briefs for their State’s needs – including adding State-specific information.

2012

Budget Sequestration and the SAPT Block Grant Fact Sheet

SAPT Block Grant Prevention Set-Aside Fact Sheet

Substance Abuse Prevention and Treatment (SAPT) Block Grant Fact Sheet

Underage Drinking Fact Sheet

Marijuana Fact Sheet

2011

NASADAD and NASMHPD Joint Statement

NASADAD Priority Issues for ACA Implementation

2009

Health Reform Fact Sheet

Substance Abuse Prevention and Treatment (SAPT) Block Grant Fact Sheet

Center for Substance Abuse Treatment (CSAT) Fact Sheet

Center for Substance Abuse Prevention (CSAP) Fact Sheet

Department of Justice (DOJ)’s Bureau of Justice Assistance (BJA) and Office of Juvenile Justice and Delinquency Prevention (OJJDP)

2008

Trauma and Substance Use: Implications for Hurricanes Katrina and Rita

2007

Second Chance Act–Offender Reentry Legislation

Public Policy Priorities

2006

National Outcome Measures (NOMs)

Offender Reentry

2005

Substance Abuse and Trauma

Offender Reentry

Methamphetamine

 

D.C. Updates

The Public Policy Department creates a weekly update for NASADAD members that includes newly released resources on substance use disorder prevention, treatment, and recovery;  other timely news or information that members might be interested in; and information on meetings in which NASADAD staff have participated. These updates are sent via email and archived on this page.

November 2019

October 2019

September 2019

August 2019

July 2019

June 2019

May 2019

April 2019

March 2019

February 2019

January 2019

November 2018

October 2018

September 2018

July 2018

June 2018

May 2018

April 2018

March 2018

February 2018

January 2018

December 2017

November 2017

October 2017

June 2017

May 2017

April 2017

March 2017

February 2017

January 2017

 

Access older archived D.C. Updates here.

NASADAD Reports

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.

2016

Toward a State Adolescent EBP Selection Guide

Release Date: Posted to the NASADAD Website (9/23/16)

Funding Source: JBS International, Inc.

2015

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

Release Date: Posted to the NASADAD Website (9/8/15)

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

State Support of Youth SBIRT and SBIRT-Like Prevention Programs: Report of Case Studies”

Release Date: Posted to the NASADAD Website (4/8/15)

Funding Source: Conrad N. Hilton Foundation

The Launch of “Recovery Idaho”

Release Date: Posted to the NASADAD Website (4/7/15)

Funding Source: Idaho Department of Health and Welfare

2014

State Adolescent Substance Use and Recovery Practice Guide

Release Date: Posted to the NASADAD Website (10/14/14)

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

State Substance Abuse Agencies, Prescription Drugs, and Heroin Abuse: Results from a NASADAD Membership Inquiry

Release Date: Posted to the NASADAD Website (5/20/14)

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

Inquiry Questions: NASADAD Prescription Drug and Heroin Abuse Inquiry Questions

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)

State Progress Toward Recovery Oriented Systems of Care

Release Date: Posted to the NASADAD Website (03/2013)

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 from9:00 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 from9:00 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).

Research

Delphi Discussions on Outcomes Measures

HIPAA Help Center

Electronic Health Records

State Collaborative Activities Grant: Under this SAMHSA/CSAT grant to NASADAD, NASADAD engaged in projects that fostered the SAMHSA data strategy, supported the SAPT Block Grant Program, and continued work on HIPAA codes for substance abuse treatment. A wide range of NASADAD and SAMHSA/CSAT projects and initiatives were supported by this grant, which was also referred to as the Single Source Grant Award (SSGA). The SAMHSA/CSAT Division for State and Community Assistance oversaw these activities.

Co-Occurring Substance Abuse and Mental Health Disorders (V): NASADAD and the National Association of State Mental Health Program Directors (NASMHPD) engaged in collaborative efforts under previous awards from SAMHSA to improve services to this shared treatment population. Reports resulting from these efforts can be viewed in the “NASADAD Reports” page by following the link on the left. The continuation of this effort represented in “Co-Occurring V” fosters collaboration between the mental health and substance abuse systems in the areas of infrastructure development, systems improvement planning, consistent screening and assessment approaches, and the use of performance management for improved outcomes. In this initiative, a special focus on the homeless is maintained.

Data Analysis of the Integrated Database and Technical Assistance to States: As a subcontractor to SAMHSA contractor Medstat, NASADAD provides assistance in the form of in-depth knowledge and understanding of State systems, and facilitates communication between the contrator and its members on initiatives that seek to optimize the sharing of data between and among State agencies with a shared client based (Medicare, Mental Health and Substance Abuse).

National Center for Child Welfare and Substance Abuse: NASADAD is a Consortium member of the National Center on Substance Abuse and Child Welfare (NCSACW) Program funded by CSAT and works under contract with Children and Family Futures along with other Consortium members: APHSA, CWLA, NCJFCJ, and NICWA. The purpose of this effort is to implement a comprehensive program of information dissemination, knowledge application and technical assistance strategies to promote organizational and systems change at the National, State and local levels. The primary focus of program activities is system collaboration among State AOD and Child Welfare agencies and the Dependency Courts.

The National Institute on Alcohol Abuse and Alcoholism (NIAAA)/NASADAD Issue Briefs: NASADAD worked with NIAAA to develop four State Issue Briefs. These briefs focus on current alcohol research from the NIAAA research portfolio and discuss implications for State AOD Systems. Selected topics of interest to both federal NIAAA representatives and State AOD Directors are 1) current alcohol research in the use of medications as an adjunct to alcohol treatment, 2) alcohol research on screening and brief interventions 3) alcohol research on prenatal alcohol exposure and prevention, and current alcohol research on alcohol policy.

State Issue Brief on Alcohol Policy (9/06)

State Issue Brief on Screening and Brief Intervention (8/06)

State Issue Brief: Current Alcohol Research in the Use of Medications as an Adjunct to Alcohol Treatment and Implications for State Alcohol Treatment Systems (12/01)
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.

National Institute on Drug Abuse Issue Briefs: NASADAD worked with NIDA to develop two State Issue Briefs. These briefs focus on current research on drug addiction and treatment from the NIDA portfolio and discuss implications for State AOD Systems. One topic of interest to both federal NIDA representatives and State AOD Directors is current research on the use of buprenorphine to treat opioid addiction and its impact on State AOD Treatment Systems and Opioid Treatment Programs.

Issue Brief on Buprenorphine (6/06)

HIPAA – Health Insurance Portability Technical Assistance Subcontract: In addition to the work under the SSGA Grant to identify needed service codes to meet HIPAA requirements and to identify issues and concerns regarding HIPAA and State AOD Agencies, NASADAD developed a Working Definitions Guide for the HCPCS Substance Abuse and Behavioral Health Procedure and Modifier Codes. This guide provides basic definitions that can be associated with these codes so that professionals may have a higher degree of precision in communicating about services.

Substance Abuse HCPCS Code User’s Guide Unofficial Standard Definitions (11/07)