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<classification authority="sudocs">GA 1.13:T-HEHS-97-135</classification>
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 <subject>Accountability</subject>
 <subject>Alcohol abuse</subject>
 <subject>Alcoholics treatment</subject>
 <subject>Drug abuse</subject>
 <subject>Drug treatment</subject>
 <subject>Block grants</subject>
 <subject>Interagency relations</subject>
 <subject>Mental health care services</subject>
 <subject>Strategic planning</subject>
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<titleInfo>
 <title>Substance Abuse and Mental Health: Reauthorization Issues Facing the Substance Abuse and Mental Health Services Administration</title>
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<abstract>GAO discussed the Substance Abuse and Mental Health Services
Administration&apos;s (SAMHSA) role in: (1) coordinating its efforts with
federal agencies involved in related research or services; (2) measuring
the results of its programs or activities, particularly in light of the
fact that most of its funds are used to support services provided by
states and local grantees; and (3) monitoring the impact of the
transition to managed health care on individuals with mental disorders
and substance abuse problems.&lt;p/&gt;GAO noted that: (1) SAMHSA faces three important challenges in the
current environment; (2) given the many different, yet related, federal
agency activities in the areas of substance abuse and mental health, it
is especially important that SAMHSA communicate and coordinate its
efforts with agencies involved in similar or complementary activities;
(3) under the Government Performance and Results Act, SAMHSA will have
to show that its funds are used efficiently and effectively; (4) this
will present a particular challenge for the agency because most of its
funds are used to support services provided by states and local
grantees; (5) the move to managed care in the private and public sectors
affords potential opportunities to improve the coordination of care, yet
it has risks given the financial pressures to control costs and health
plans limited experience in setting capitation rates for mental health
and substance abuse services; and (6) these are issues that deserve
SAMHSA&apos;s careful attention.</abstract>
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<note>Testimony</note>
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<subject>
 <topic>Accountability</topic>
 <topic>Alcohol abuse</topic>
 <topic>Alcoholics treatment</topic>
 <topic>Drug abuse</topic>
 <topic>Drug treatment</topic>
 <topic>Block grants</topic>
 <topic>Interagency relations</topic>
 <topic>Mental health care services</topic>
 <topic>Strategic planning</topic>
 <topic>Managed health care</topic>
 <topic>HHS Knowledge Development and Application Program</topic>
 <topic>Performance Partnership Grant</topic>
 <topic>Medicaid Program</topic>
</subject>
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 <titleInfo>
  <title>United States Public Law 321 (102nd Congress)</title>
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 <identifier type="public law citation">Public Law 102-321</identifier>
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