Substance Abuse Prevention and Treatment Block Grant (SABG)

Background

The SABG supports primary prevention services and treatment services for individuals without health insurance or other resources who seek specialty treatment and prevention services for substance use disorders (SUD). It is used to plan, implement and evaluate activities to prevent and treat SUD. Grant funds are also used to provide early intervention services for HIV and tuberculosis disease in high-risk substance users. The following sections provide information on SUD treatment, independent case review, primary prevention, TB prevention, and the Synar Program aimed at preventing underage access and use of tobacco/nicotine substances.

Treatment

SABG funds are used to ensure access to treatment and long-term recovery support services for priority populations established by the Substance Abuse and Mental Health Administration (SAMHSA) including the following populations in order of priority:

  1. Pregnant women/teenagers who use drugs by injection,
  2. Pregnant women/teenagers who use substances,
  3. Other persons who use drugs by injection,
  4. Substance using women and teenagers with dependent children and their families, including females who are attempting to regain custody of their children, and
  5. All other individuals with a substance use disorder, regardless of gender or route of use, (as funding is available).

To get more information about applying for SABG funding for SUD treatment services please go to Behavioral Services Map link under resources and select the Tribal/Regional Behavioral Health Authority (T/RBHA) nearest you to contact. Members can receive treatment through SABG while going through the enrollment process for AHCCCS or if denied eligibility as shown in the Accessing the Behavioral Health System link under resources.

Applications and Reports

Applications

Reports

Resources

AHCCCS contracts for independent case review to assess the quality, appropriateness, and efficacy of treatment services provided in the State to individuals under the SABG involved, and ensure that at least 5 percent of the entities providing services in the State under SABG are reviewed. The programs reviewed shall be representative of the total population of such entities.

The purpose of independent case review is to review the quality and appropriateness of treatment services. The review focuses on treatment programs and the substance use service system rather than on the individual practitioners. The intent of the independent peer review process is to continuously improve the treatment services to alcohol and drug users within the State system. “Quality,” for purposes of this section, is the provision of treatment services which, within the constraints of technology, resources, and patient/client circumstances, will meet accepted standards and practices which will improve patient/client health and safety status in the context of recovery. “Appropriateness,” for purposes of this section, means the provision of treatment services consistent with the individual's identified clinical needs and level of functioning.

The independent case reviewers are individuals with expertise in the field of alcohol and drug use treatment. Because treatment services may be provided by multiple disciplines, AHCCCS makes every effort to ensure that individual case reviewers are representative of the various disciplines utilized by the SABG. Individual case reviewers are also knowledgeable about the modality being reviewed and its underlying theoretical approach to addictions treatment, and are sensitive to the cultural and environmental issues that may influence the quality of the services provided.

As part of the independent case review, the reviewers review a representative sample of member records to determine quality and appropriateness of treatment services, while adhering to all Federal and State confidentiality requirements, including 42 CFR part 2. The reviewers examine the following:

  1. Admission criteria/intake process;
  2. Assessments;
  3. Treatment planning, including appropriate referral, e.g., prenatal care and tuberculosis and HIV services;
  4. Documentation of implementation of treatment services;
  5. Discharge and continuing care planning; and
  6. Indications of treatment outcomes.

AHCCCS ensures that the independent peer review will not involve practitioners/providers reviewing their own programs, or programs in which they have administrative oversight, and that there be a separation of peer review personnel from funding decision-makers. In addition, AHCCCS ensures that independent peer review is not conducted as part of the licensing/certification process.

Reports

SAMHSA requires that grantees spend no less than 20% of their SABG allotment on substance use primary prevention strategies, which are strategies that are directed at individuals not identified to be in need of substance use disorder treatment. The Substance Abuse Prevention program must include, but is not limited to, the following strategies:

  • Information Dissemination providing awareness and knowledge of the nature, extent, and effects of alcohol, tobacco, and drug use, abuse, and addiction on individuals families and communities;
  • Education aimed at affecting critical life and social skills, such as decision making, refusal skills, critical analysis, and systematic judgment abilities;
  • Alternative programs that provide for the participation of target populations in activities that exclude alcohol, tobacco, and other drug use;
  • Problem Identification and referral that aims at identification of those who have indulged in illegal/age inappropriate use of tobacco or alcohol, and those individuals who have indulged in first use of illicit drugs, in order to assess if the behavior can be reversed by education to prevent further use;
  • Community-based Process that include organizing, planning, and enhancing effectiveness of program, policy, and practice implementation, interagency collaboration, coalition building, and networking; and
  • Environmental Strategies that establish or change written and unwritten community standards, codes and attitudes, thereby influencing incidence and prevalence of the abuse of alcohol, tobacco and other drugs used in the general population.

Resources

Pursuant to the 45 CFR Part 96 Sect. 127, AHCCCS is required to routinely make available tuberculosis services as defined in §96.121 to each individual receiving treatment for substance use, implement infection control procedures including the screening of patients, and identify those individuals who are at high risk of becoming infected.

Pursuant to Public Health Services Act (42 U.S.C. 300x-26) and the Tobacco Regulation for the Substance Abuse Prevention and Treatment Block Grant (SABG) (45 C.F.R. 96.130) AHCCCS is required to comply with the Synar Amendment. The Synar Amendment and program is responsible for implementing the requirements of the Synar Agreement and requires States to:

  • Enact laws prohibiting any manufacturer, retailer, or distributor of tobacco products from selling or distributing such products to any individual younger than age 18
  • Enforce these laws
  • Conduct annual, unannounced inspections that provide a valid probability sample of tobacco sales outlets accessible to minors
  • Negotiate interim targets and a date to achieve a noncompliance rate of no more than 20%
  • Submit an annual report detailing activities to enforce the law

Reports

Resources


For additional questions please contact the grantsmanagement@azahcccs.gov email address.