Special Conditions of Awards for Behavioral Health Disparity

SAMHSA requires a disparity impact statement (DIS) for all new grant awards. Examples of a DIS for each major type of grant program: services, infrastructure, and training and technical assistance as well as an example for tribal grantees are provided in this section. These examples can be used as references for format and types of information that should be included in the DIS. The submission date and content requirements are listed in the NoA. Additional guidance may be provided by your Government Project Officer identified under Contacts on the NoA.

Disparity Impact Examples

Last Updated: 11/14/2014

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Emergency Department Data / DAWN

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Drug Abuse Warning Network, 2011: National Estimates of Drug-Related Emergency Department Visits
This publication presents national estimates of drug-related visits to hospital emergency departments (EDs) for the calendar year 2011, based on data from the Drug Abuse Warning Network (DAWN). Also presented are comparisons of 2011 estimates with those for 2004, 2009, and 2010. DAWN is a public health surveillance system that monitors drug-related ED visits for the Nation and for selected metropolitan areas. The Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), is the agency responsible for DAWN. SAMHSA is required to collect data on drug-related ED visits under Section 505 of the Public Health Service Act.
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Substance Abuse Facilities Data / NSSATS

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National Survey of Substance Abuse Treatment Services (N-SSATS): 2012
This report presents results from the 2012 National Survey of Substance Abuse Treatment Services (N-SSATS), an annual census of facilities providing substance abuse treatment. Con- ducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), N-SSATS is designed to collect data on the location, characteristics, and use of alcohol and drug abuse treatment facilities and services throughout the 50 states, the District of Columbia, and other U.S. jurisdic- tions. It is important to note that values in charts, narrative lists, and percentage distributions are calculated using actual raw numbers and rounded for presentation in this report; calculations using rounded values may produce different results.
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Mental Health Facilities Data / NMHSS

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National Mental Health Services Survey (N-MHSS): 2010
This report presents findings from the 2010 National Mental Health Services Survey (N-MHSS) conducted from June 2010 through January 2011 with a reference date of April 30, 2010. The N MHSS collects information from all known facilities1 in the United States, both public and private, that provide mental health treatment services to persons with mental illness.
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Client Level Data / TEDS

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Treatment Episode Data Set (TEDS) 2002 - 2012
This report presents national-level data from the Treatment Episode Data Set (TEDS) for admissions in 2012 and trend data for 2002 to 2012. The report provides information on the demographic and substance abuse characteristics of admissions to treatment aged 12 and older for abuse of alcohol and/or drugs in facilities that report to individual state administrative data systems. It is important to note that values in charts, narrative lists, and percentage distributions are calculated using actual raw numbers and rounded for presentation in this report; calculations using rounded values may produce different results.
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Population Data / NSDUH

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Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings
This report and the detailed tables present a first look at results from the 2013 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. Both the report and detailed tables present national estimates of rates of use, numbers of users, and other measures related to illicit drugs, alcohol, and tobacco products, with a focus on trends between 2012 and 2013 and from 2002 to 2013, as well as differences across population subgroups in 2013. NSDUH national estimates related to mental health and NSDUH State-level estimates related to both substance use and mental health will be published in separate releases in the fall of 2014.
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Evaluation & Services

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Behavioral Health Barometer - United States, 2013
This is the first edition of the Behavioral Health Barometer: United States, one of a series of State and national reports that provide a snapshot of the state of behavioral health in the Nation. This national report presents a set of substance use and mental health indicators as measured through data collection efforts sponsored by SAMHSA (the National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services), the Centers for Disease Control and Prevention (the Youth Risk Behavior Survey), and the National Institute on Drug Abuse (the Monitoring the Future survey). Also included are data on the use of mental health and substance use treatment services by Medicare enrollees, as reported by the Centers for Medicare & Medicaid Services. This array of indicators provides a unique overview of the Nation's behavioral health at a point in time as well as a mechanism for tracking change and trends over time.
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Quality Metrics

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National Behavioral Health Quality Framework
The NBHQF provides a mechanism to examine and prioritize quality prevention, treatment, and recovery elements at the payer/system/plan, provider/practitioner, and patient/population levels. The NBHQF is aligned with the NQS in that it supports the three broad aims of better care, healthy people/healthy communities, and affordable care. However, it was specifically broadened to include the dissemination of proven interventions and accessible care. The latter concept encompasses affordable care, along with other elements of care accessibility, including the impact of health disparities.
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Special Conditions of Awards for Behavioral Health Disparity

Disparity Impact Examples