[Federal Register Volume 64, Number 109 (Tuesday, June 8, 1999)]
[Notices]
[Pages 30531-30533]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-14522]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Services Administration


Changing the Conversation--A National Plan To Improve Substance 
Abuse Treatment: Call for Public Comment

AGENCY: Center for Substance Abuse Treatment, Substance Abuse and 
Mental Health Services Administration, DHHS.


[[Page 30532]]


ACTION: Request for public comment on five issues (domains) of concern 
to the substance abuse treatment field when assessing substance abuse 
treatment.

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SUMMARY: This notice announces that the Substance Abuse and Mental 
Health Services Administration (SAMHSA) Center for Substance Abuse 
Treatment (CSAT) is formally inviting public comment on five issues 
(domains) that are of concern to the substance abuse treatment field 
and require development and exploration. Via several mechanisms, 
including public hearings, CSAT intends that findings from the 
exploration of individual domains will ultimately be synthesized into a 
coherent national strategy to guide substance abuse treatment program 
and policy development for the future. Individuals and organizations 
are encouraged to comment in one of several ways: (1) in writing, by 
submission through the U.S. Mail or courier service; (2) via the 
National Treatment Plan web site (http://www.natxplan.org); or (3) in 
person at one of the four public hearings scheduled at locations across 
the country. The final cutoff date for comments is December 1, 1999. 
This notice discusses the public hearings at which interested 
individuals/organizations may testify regarding the five substance 
abuse treatment domains discussed below.

DATES/LOCATIONS: CSAT plans to conduct four public hearings in 1999--
July in Hartford, Connecticut; September in Chicago, Illinois; October 
in Portland, Oregon; and November in Tampa/St. Petersburg, Florida. The 
first hearing will be held at the Connecticut State Capitol, 
Legislative Office Building, 300 Capitol Avenue, Hartford, Connecticut, 
06106, on July 8, 1999, between the hours of 8:30 a.m. and 5 p.m. EDT. 
Specific details regarding subsequent hearings will be published in the 
Federal Register approximately one month prior to each hearing.
    Requests to testify at the Hartford, Connecticut, public hearing 
must be submitted to one of the addressees indicated below by July 1, 
1999. Seating is limited. In the event that interpretive services for 
the hearing-impaired are required, please indicate these special needs 
to either of the addressees.

FOR FURTHER INFORMATION CONTACT: Requests for additional information 
regarding the hearing and/or testimonies, as well as requests to 
testify must be addressed to:

Peggy Cockrill,
[Tele: (301) 443-7024; e-mail: [email protected]; Fax: (301) 480-
6077]
      or
Ann Mahony, [Tele: (301) 443-7924; E-mail: [email protected]; Fax: 
(301) 480-6077], c/o TASCON 1803 Research Boulevard, Suite 305, 
Rockville, Maryland 20850

    Written comments (without a request to personally testify) will 
also be accepted by either of the above addressees. Written testimonies 
are limited to five (5) typed pages using 1.5 line spacing and 12 point 
font.

SUPPLEMENTARY INFORMATION:

Background

    Building on recent advances and studies, CSAT has initiated plans 
to focus on how to apply its extensive knowledge to the practical 
objective of improving treatment outcomes. The plans include 
synthesizing current knowledge and recommendations about treatment, 
service systems, application of best practices, diffusion methods, and 
organization and financing of substance abuse treatment services. 
Federal Government and outside experts, as well as the interested 
public, will explore the current state of the knowledge, resources, 
needs, and service and organizational capacity. The objective is the 
culling of priorities for action by the government and by others in the 
substance abuse treatment field. As noted above, CSAT is inviting the 
public to comment on five domains as part of the initial step of the 
plan. The domains, as well as some initial questions for exploration, 
include:
    (1) Closing the Treatment Gap: Where are the gaps? How big are they 
for different populations? For different types of settings and 
treatment modalities? How big are gaps in other related systems of 
care, e.g., welfare, child welfare, housing? What are the policy, 
organization, and financing issues that must be addressed in the 
private and public systems, including Medicaid and Medicare, to close 
the treatment gap?
    (2) Reducing Stigma and Changing Attitudes: What are the nature, 
causes and consequences of addiction stigma? What can CSAT, the 
treatment field, consumers and families do to address stigma related to 
addiction, substance abuse treatment and individuals with substance 
abuse disorders? How do other stigmas impact/compound the stigma of 
addiction?
    (3) Improving and Strengthening Treatment Systems: What are the 
clinical and organizational challenges facing treatment organizations 
in the public and private sectors? What can CSAT, the treatment field, 
consumers and families do to improve and strengthen treatment 
organizations so that they can adapt to the new imperatives of the 
changing treatment system, and to improve the relationship between the 
general health care system and the specialty substance abuse treatment 
system? What should be done at the State, county and/or local levels to 
improve and strengthen substance abuse treatment?
    (4) Connecting Services and Research: What are the best methods by 
which CSAT, the treatment field, consumers and families can foster and 
support evaluation of proven research findings in community-based 
settings and identification and adoption of best practices?
    (5) Addressing Workforce Issues: What are the issues facing 
clinicians treating addictions? What can CSAT, the treatment field, 
consumers and families, and professional associations do to foster 
training, appropriate credentialing, and licensure in all settings in 
which treatment occurs, and to support treatment organizations in 
developing appropriate policies for clinical training?

Hearing Format

    The hearings will be divided into five segments (i.e., the five 
domains described above) of approximately 45-60 minutes each. Each 
individual/organization participant will be limited to three (3) 
minutes of oral testimony and five (5) pages of typed testimony per 
domain. Participants who wish to address more than one domain and find 
it impossible to be in attendance during the scheduled time frame for 
other domains they also wish to address will, with CSAT staff 
concurrence, be allowed to address multiple domains at once. In these 
instances, the participant must clearly indicate the domain being 
addressed, and again, will be limited to three (3) minutes of oral 
testimony and five (5) pages of typed testimony per domain. All oral 
testimonies must be accompanied by a written testimony of no more than 
five (5) typed pages using 1.5 line spacing and 12 point font. Written 
testimonies may either be submitted before the hearing to one of the 
addressees listed above or to the registrar at the hearing. As the 
hearing schedule allows, unscheduled testimonies will be accommodated.
    All testimonies (recorded and written) will become a part of the 
public domain.


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    Dated: June 3, 1999.
Richard Kopanda,
Executive Officer, Substance Abuse and Mental Health Services 
Administration.
[FR Doc. 99-14522 Filed 6-7-99; 8:45 am]
BILLING CODE 4162-20-P