Measurement based care (MBC) for behavioral health care is a clinical process that uses standardized measurements to track a client’s progress over time that inform shared patient-provider treatment planning and decision-making. One significant challenge to the broader adoption of MBC is financing. This report uses analyses based on discussions with payers, policy makers, financing experts, and providers and an environmental scan to explore MBC reimbursement options and to identify challenges and potential solutions for increasing use of MBC across diverse community behavioral health care settings.

This evidence-based guide provides strategies and insights specific to at-risk groups, to support interventions and help prevent suicides. The guide highlights existing research, discusses barriers that hinder youth’s access to prevention and intervention services, and offers guidance on selecting, implementing, and evaluating evidence-based prevention programs. It also highlights programs that are making strides in addressing suicidal thoughts and behaviors in young people from underserved communities.

Designed for professionals involved in disaster behavioral health planning, this guide provides an overview of disaster behavioral health and the planning process, description of relevant resources, and phases of plan development. It also features a disaster behavioral health planning checklist.

This manual provides guidelines for operating an opioid treatment program. It covers patient-centered care planning, assessment, admission, and monitoring; medication administration and use; medical and clinical provisions and practices; certification and accreditation; and the importance of practitioner judgment in providing care.

This Issue Brief offers valuable information to State Mental Health Authorities (SMHA) about co-occurring mental health and substance use disorders (COD). The document highlights the commonality of CODs and negative outcomes in the absence of evidence-based integrated care. It also provides an overview of treatment barriers and potential solutions, and the effectiveness of integrated care. 

This compilation of resources includes best practices on understanding, coping, and addressing trauma and behavioral health needs in the aftermath of violence. The list features resources for and about children, youth, and young adults; parents and caregivers; schools; and responders, as well as information about relevant SAMHSA programs.

This tip sheet is designed for individuals impacted by gun violence and provides information about the signs of grief and anger, as well as how to cope with grief, including tips specific for helping children. In addition, a “helpful resources” section provides hotline numbers and treatment locators for those who may want further support.

SAMHSA’s ReCAST program supports youth and families impacted by gun violence and other trauma through implementation of evidence-based violence prevention, and community youth engagement programs, and linkages to trauma-informed behavioral health services. This report highlights lessons learned from SAMHSA’s ReCAST grant program to uplift the voices of communities impacted by violence as well as share strategies other communities can implement to promote healing, recovery and resiliency.

These are the 2023 Uniform Reporting System (URS) Output Tables. The URS state reporting system is collected annually to support the Community Mental Health Services Block Grant program. State Mental Health Authorities report on National Outcome Measures (NOMS), evidence-based practices, and utilization measures providing an overview of state mental health delivery systems.

Financing Peer Crisis Respites in the United States highlights the benefits of peer crisis respites within the recovery-oriented continuum of crisis care and identifies common components, operations, and funding of peer crisis respites in a national sample of programs across the United States.

Find behavioral health data for Asian subgroups from the 2021-2023 National Surveys on Drug Use and Health (NSDUH).

Find mental health data for Hispanic/Latino subgroups from the 2021-2023 National Surveys on Drug Use and Health (NSDUH).

This guide presents best practices for expanding community-initiated prevention and care, information on the role of behavioral health specialists, examples of community-based models of care, and resources for communities working to ensure community members’ well-being.

Behavioral Health of Adolescents Across Sexual Identities: Results from the 2023 National Survey on Drug Use and Health is an infographic report highlighting substance use and mental health indicators among LGB+ youth.

The N-SUMHSS is a voluntary annual survey of all active substance use and mental health facilities in the United States, its territories, and D.C. The annual report presents findings on the key operational characteristics of substance use and mental health treatment facilities, use of pharmacotherapies, language assistance services, and suicide prevention assistance services.

Advancing Diversity, Equity, Inclusion and Access (DEIA) Principles in Recovery emphasizes the principles: DEIA; behavioral health equity; culturally and linguistically appropriate services; trauma-informed and resilience-centered care; and person- and family-centered care. It also provides introductory information and directs readers to recommended resources and examples of best practice recovery programs and services.

This content is undergoing Section 508 remediation. If you need assistance to access this file, please contact 508@samhsa.hhs.gov.

Important Considerations in Recovery addresses trends and challenges in the recovery field, with a specific focus on providing guidance related to issues that may impact knowledge of recovery principles and practices across systems. The objective of this issue brief is to empower states and SSAs with information and prepare them to implement policies, funding strategies and mechanisms, and workforce development initiatives.

This content is undergoing Section 508 remediation. If you need assistance to access this file, please contact 508@samhsa.hhs.gov.

Funding Recovery Support Services Through the SUPTRS Block Grant illustrates allowable recovery support service (RSS) expenditures through the Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUPTRS BG), organized around the four recovery dimensions. The document provides specific examples, guidance on limitations, and resources for more information.

This content is undergoing Section 508 remediation. If you need assistance to access this file, please contact 508@samhsa.hhs.gov.

A Guide for Single State Agencies: Supporting Recovery with SUPTRS Block Grant Funding gives Single State Agencies and Authorities (SSAs), providers, and community partners an overview of recovery and RSS, a background on SUPTRS BG funding, and a review of state examples of how SUPTRS BG is used to fund RSS. Additionally, it provides guidance on new policies regarding allowable RSS expenditures through SUPTRS BG.

This content is undergoing Section 508 remediation. If you need assistance to access this file, please contact 508@samhsa.hhs.gov.

Peer Support Specialist: A Growing Mental Health and Addictions Workforce highlights the expanding peer workforce, benefits of services, challenges identified by peer support specialists, and additional information sources.

The Intersection of Physical Activity, Wellness, and Recovery highlights the benefits associated with the integration of physical activity into recovery from substance use, mental health, and co-occurring conditions. Physical activity is increasingly recognized as a vital component of the recovery process for people seeking relief from challenges associated with mental health, substance use, and co-occurring conditions.

This report provides important insights into the effectiveness of high-dose buprenorphine for treating opioid use disorder, especially among individuals exposed to high-potency synthetic opioids.

This fact sheet is for state agencies, service providers, people in recovery, family members and others involved in behavioral health care provision. This factsheet provides a short summary on data, tools, approaches, and strategies for advancing recovery in LGBTQIA+ populations.

This fact sheet is for beneficiaries, peer supporters, family members, and the general public. This factsheet offer guidance for individuals and families on where to turn for assistance and what to do if you believe your rights are being violated.

This fact sheet is for service providers and systems working to build recovery-oriented systems and networks statewide. This information will be used to shed light on recovery-oriented and person-centered practices to optimize its effectiveness and leverage its potential.

Provides a summary of the finding from the convening that identify gaps and scalable solutions to increase recovery supports and learn about innovative approaches to meet the unique recovery needs of the LGBTQIA community.

This advisory highlights the need for primary substance use prevention programs for young adults ages 18 to 25 with disabilities, provides guidance to prevention specialists on designing and tailoring these programs, and describes factors that may affect the delivery of prevention.

This brochure emphasizes the crucial role of early detection and intervention in serious mental illnesses, emphasizing the need for prompt attention at the first onset of symptoms. In addition, the resource highlights the importance of youth and family engagement in early intervention services and supports. Early detection of serious mental illness and the provision of effective treatment can improve outcomes for individuals and promote long term mental health recovery.

This report provides key findings from the 2023 National Survey on Drug Use and Health (NSDUH) on substance use, mental health, and treatment among the noninstitutionalized U.S. population aged 12 or older. Estimates are presented by age group and by race/ethnicity for selected measures.

The report provides a summary of the risks and benefits of social media on the health, safety, and privacy of young people; best practices for parents and caregivers; recommended practices for industry; a research agenda; and suggested future work, including for the federal government. The strategies described in this report aim to help protect the mental health, safety, and privacy of youth online, but it will take a whole-of-government approach in collaboration with researchers, industry, civil society, youth, parents and caregivers, and others.

The 2024 SAMHSA LAP is a road map toward language justice—an environment where individuals can communicate in their preferred language without a dominant language negatively defining their communication or sense of belonging.

Guidance to states and communities on using federal funding to support mental health services for LGBTQI+ youth. 

This issue brief offers valuable information to State Mental Health Authorities (SMHA) about the benefits of peer support and inclusion of the peer workforce throughout the behavioral health continuum. The document highlights current standards and best practices for including peer support workers as an essential component of services delivery for mental and co-occurring disorders, like substance use disorder (SUD).

This infographic report highlighting substance use and mental health indicators among older adults aged 60 or older in the United States. 

Mental Health Client-Level Data (MH-CLD) 2022: Data on Clients Receiving Mental Health Treatment Services Through State Mental Health Agencies annual report presents the total number of clients receiving mental health treatment services in 2022 by demographics, National Outcome Measures (NOMs), and the top five mental health diagnoses for children (ages 0-17) and adults (ages 18 and older) by geographic distribution, and a summary of client characteristics for the 2018-2022 reporting periods. 

This issue brief provides information for State Mental Health Authorities (SMHA) about strategies for promoting person-centered planning (PCP) to enhance the quality of behavioral health services and the valued recovery outcomes of those that use them.

This 2023 Comprehensive Plan builds upon the 2022 Comprehensive Plan adopted by the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD). This 2023 Comprehensive Plan reports conclusively on the three-year Comprehensive Plan Targets established in the 2018 Plan.

This report provides guidance to decision-makers about how to identify and select the intervention(s) that will best serve their state or community, as required by the STOP Act.1 The STOP Act also requires the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) to include in the report measures of states’ use of best practices in preventing and reducing underage drinking.

This report provides background history of the development of Peer Recovery (PR), including an overview of the current landscape of PR Programs. This report also provides a description of the variation in peer recovery rates, supervision, credentialing, and substance use disorder vs mental health.

Drug Abuse Warning Network (DAWN): ED Visits Involving Alcohol Short Report presents the following data from January 2021-September 2023 (1) national estimates and characteristics of alcohol-related ED visits (2) demographics of alcohol-related ED visits (3) percent of ED visits related to alcohol and at least one other substance.

This Advisory outlines how healthcare providers (i.e., obstetrician-gynecologists [OB-GYNs], primary care physicians, and other professionals who treat pregnant people) can take an active role in supporting the health of pregnant individuals who have OUD and their babies.

This report looks at state and federal laws and policies that encourage braided funding to provide substance use disorder services, best practices for braiding funds, and pathways to sustainability for substance use disorder programs.

This report provides an update on the present state of coverage, availability of, and access to, medications for treating ongoing alcohol use disorder (AUD) and opioid use disorder (OUD) and reversing an opioid overdose within state Medicaid plans. It also includes examples of innovative efforts to increase access to medications for the treatment of SUDs.

This new consumer guide offers people with past or current problematic substance use a straightforward exploration of the roles, values, and work environments of professional peer specialists. This guide is a comprehensive resource that will help readers understand who professional peer specialists are, what they do in various work settings, and how to access and pay for their services. Through visual aids illustrating the integration of peer specialists into the treatment and recovery landscape and practical forms readers can fill out, this consumer guide will help facilitate a strong start toward collaboration with a peer specialist.

This Quick Start Planning Guide will help you plan and host a results-oriented Communities Talk activity in your community. There are many ways to hold both in-person and virtual activities.

The Advisory outlines the principles and components of low barrier care, and how low barrier care may be leveraged to overcome substantial gaps in access, while also engaging individuals in treatment.

This report for policy makers and criminal justice and behavioral health professionals provides an overview of the status of the fields of competence to stand trial, incompetence to stand trial, and competence restoration for adults and youth in the criminal justice and juvenile justice systems.

This Treatment Improvement Protocol (TIP) provides guidance to counselors, administrators, and supervisors about recovery-oriented services, supports, and care, allowing them to better serve individuals in or seeking recovery from problematic substance use.

This report explores the use of Value-Based Payment (VBP) model and the potential to improve delivery of integrated and coordinated substance use disorder (SUD) treatment services.

This report provides key findings from the 2022 National Survey on Drug Use and Health (NSDUH) on substance use, mental health, and treatment among the noninstitutionalized U.S. population aged 12 or older. Estimates are presented by age group and by race/ethnicity for selected measures.

Mental Health Client-Level Data (MH-CLD) 2021: Data on Clients Receiving Mental Health Treatment Services Through State Mental Health Agencies annual report presents the total number of clients receiving mental health treatment services in 2021 by demographics, National Outcome Measures (NOMs), and the top five mental health diagnoses for children (ages 0-17) and adults (ages 18 and older) by geographic distribution.

The N-SUMHSS is a voluntary annual survey of all active substance use and mental health facilities in the United States, its territories, and D.C. The annual report presents findings on the key operational characteristics of substance use and mental health treatment facilities, use of pharmacotherapies, language assistance services, and suicide prevention assistance services.

This brief report presents self-reports of recovery among adults aged 18 and older in the United States who thought they ever had a problem with their use of drugs or alcohol and/or mental health. These findings provide a clearer characterization of the factors associated with recovery among adults and how future efforts can foster a whole-health approach to sustain recovery from mental health and substance use conditions.

Drug Abuse Warning Network (DAWN): Drug-Related ED Visits Involving Suicide Attempts Short Report presents national estimates and characteristics of drug-related ED visits involving suicide attempts and the top substance involved in suicide attempts.

This practical guide reviews the principles of Assertive Community Treatment (ACT), presents key considerations for adapting ACT across various treatment settings, populations, and related domain areas, and provides practical guidance for navigating cross-cutting issues.

This publication is a product of the HEALing Communities Study (HCS) and informed by the Communities That HEAL (CTH) Intervention Manual as well as integral contributions from research and community partners across four research sites. This guide was developed in recognition of the need to center community engagement throughout the efforts to address the opioid overdose crisis.
This guide exists to help communities decrease opioid overdose deaths; it includes tools and real-world examples that can be used to build and strengthen community coalitions that work to reduce opioid overdose deaths.

This guide was drawn from HEALing Communities Study (HCS) learnings to-date and expert insights to provide guidance regarding implementation of ORCCA menu strategies.

Es un recurso útil para que usen los padres, cuidadores y educadores después de un desastre o un evento traumático. Explica cómo ayudar a los niños y jóvenes hacer frente a estos eventos y además contiene una lista de recursos útiles.

A guide for parents, caregivers, and teachers on how to talk with and help children and youth cope in the aftermath of a disaster or traumatic event. It explains how to help children and young people cope with these events and also contains a list of useful resources.

Ofrece consejos de autoayuda para hacer frente a las secuelas de un evento traumático. Trata sobre el impacto a largo plazo del trauma, incluyendo las incertidumbres personales, los cambios en las relaciones familiares, las alteraciones en el trabajo y las preocupaciones financieras. Ofrece consejos para las personas que han sobrevivido un evento traumático.

Ofrece consejos para ayudar a los socorristas a prevenir y manejar el estrés. Incluye estrategias para ayudar a los socorristas a prepararse para la tarea que les ha sido asignada, tomar precauciones para reducir el estrés mientras cumplen con la tarea asignada, y manejar el estrés en la fase de recuperación de dicha asignación.

This fact sheet presents individual and organizational approaches for preventing and managing stress among emergency response and public safety workers. It describes normal reactions to a disaster, signs of the need for stress management, and strategies for handling stress.

This tip sheet describes aspects of the transition families go through when a member returns home after a disaster deployment. It also suggests ways that family members can navigate the transition and support the responder in coping with the return home.

This resource discusses the long-term impact of trauma, including personal uncertainties, family relationship changes, work disruptions, and financial concerns. Tips for overcoming these challenges are included.

Ofrece consejos y estrategias que pueden usar las familias de soccoristas para ayudarlos a adaptarse a la vida diaria cuando regresan a casa. Describe las cosas que se deben tener en cuenta al ajustarse al regreso de un ser querido, cuáles son las señales de estrés y cuándo se debe buscar ayuda.

Ayuda a los socorristas a identificar cuáles son las señales de advertencia del uso indebido del alcohol, de medicamentos recetados y de otras sustancias. Repasa los indicadores físicos, emocionales, sociales, conductuales y mentales de un posible abuso de sustancias y ayuda a determinar cuándo deben buscar ayuda.

This fact sheet describes for disaster response workers specific warning signs of substance use disorders. It also reviews specific indicators, such as physical and emotional, social and behavioral, and mental, and highlights when people should seek help.

This document updates SAMHSA’s 2018 document and outlines best practices for the implementation and operation of recovery housing. These best practices are intended to serve as a tool for states, governing bodies, providers, recovery house operators, and other interested stakeholders to improve the health of their citizens, reduce incidence of overdose, and promote recovery housing as a key support strategy in achieving and sustaining recovery.

This postcard-sized print public service announcement (PSA) encourages community members to help coach kids on and off the field and make sure they understand the risks and dangers of underage drinking and other drug use.

This brochure provides information and tips to help parents and caregivers get informed, be prepared, and take action for prevention by talking with their teens about the risks and dangers of drinking alcohol.

This postcard-sized print public service announcement (PSA) encourages community members to help kids bloom and take the time to talk with them about the risks and dangers of underage drinking and other drug use.

This flyer-sized print public service announcement (PSA) encourages community members to create opportunities for dialogue with kids and find creative ways to engage them in important conversations about alcohol and other drugs.

This fact sheet provides information on how parents and caregivers can tell if their kids are drinking alcohol or using other drugs. It also features tips parents and caregivers can use to find help.

This flyer-sized print public service announcement (PSA) encourages community members to tune in to the substance use prevention conversation and look for opportunities to talk with kids about alcohol and other drugs.

This wallet card–sized print public service announcement (PSA) encourages community members to create opportunities for dialogue with kids and find creative ways to engage them in important conversations about alcohol and other drugs.

This fact sheet provides parents and caregivers with information about why their kids might start drinking alcohol or using other drugs. It also features tips parents and caregivers can use to help their kids avoid substance use.

This wallet card–sized print public service announcement (PSA) encourages community members to tune in to the substance use prevention conversation and look for opportunities to talk with kids about alcohol and other drugs.

This square-sized print public service announcement (PSA) encourages community members to give kids guidance and be ready to talk with them about alcohol and other drugs.

This square-sized print public service announcement (PSA) encourages community members to volunteer their wisdom to kids and be prepared to support them and answer any questions they may have about alcohol and other drugs.

This square-sized print public service announcement (PSA) encourages community members to advocate for youth substance use prevention and take the time to talk with kids about the risks and dangers of underage drinking and other drug use.

This postcard-sized print public service announcement (PSA) encourages community members to help coach kids through life and look for ways to start, and continue, talking with them about the risks and dangers of underage drinking and other drug use.

This postcard-sized print public service announcement (PSA) encourages community members to use their faith community to support kids and make sure they understand the risks and dangers of drinking alcohol and using other drugs.

This postcard-sized print public service announcement (PSA) encourages community members to help keep kids on a positive path and be there for them when it comes to avoiding underage drinking and other drug use.

This flyer-sized print public service announcement (PSA) encourages community members to help coach kids on and off the field and make sure they understand the risks and dangers of underage drinking and other drug use.

This brochure provides information and tips to help parents and caregivers get informed, be prepared, and take action for prevention by talking with their children about the risks and dangers of drinking alcohol.

This square-sized print public service announcement (PSA) encourages community members to help kids bloom and take the time to talk with them about the risks and dangers of underage drinking and other drug use.

This postcard-sized print public service announcement (PSA) encourages community members to create opportunities for dialogue with kids and find creative ways to engage them in important conversations about alcohol and other drugs.

This fact sheet provides information and tips on what parents and caregivers can do to help prevent their kids from drinking alcohol or using other drugs.

This postcard-sized print public service announcement (PSA) encourages community members to tune in to the substance use prevention conversation and look for opportunities to talk with kids about alcohol and other drugs.