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Opioid drugs in maintenance and detoxification treatment of opiate addiction; Substance Abuse and Mental Health Services Administration, HHS. Final rule.

The Department of Health and Human Services and the Substance Abuse and Mental Health Services Administration (SAMHSA) are issuing final regulations for the use of narcotic drugs in maintenance and detoxification treatment of opioid addiction. This final rule repeals the existing narcotic treatment regulations enforced by the Food and Drug Administration (FDA), and creates a new regulatory system based on an accreditation model. In addition, this final rule shifts administrative responsibility and oversight from FDA to SAMHSA. This rulemaking initiative follows a study by the Institute of Medicine (IOM) and reflects recommendations by the IOM and several other entities to improve opioid addiction treatment by allowing for increased medical judgment in treatment.

Humans↗

Fiscal year (FY) 1999 funding opportunities. Substance Abuse and Mental Health Services Administration, HHS. Notice of funding availability.

The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) announces the availability of FY 1999 funds for the following activity. This activity is discussed in more detail under Section 4 of this notice. This notice is not a complete description of the activity; potential applicants must obtain a copy of the Guidance for Applicants (GFA) before preparing an application. (See table.) Note: SAMHSA also published notices of available funding opportunities for FY 1999 in subsequent issues of the Federal Register. The actual amount available for awards and their allocation may vary, depending on unanticipated program requirements and the volume and quality of applications. Awards are usually made for grant periods from one to three years in duration. FY 1999 funds for the activity discussed in this announcement were appropriated by the Congress under Public Law no. 105-277. SAMHSA's policies and procedures for peer review and Advisory Council review of grant and cooperative agreement applications were published in the Federal Register (Vol. 58, No. 126) on July 2, 1993. The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of Healthy People 2000, a PHS-led national activity for setting priority areas. The SAMHSA Centers' substance abuse and mental health services activities address issues related to Healthy People 2000 objectives of Mental Health and Mental Disorders; Alcohol and Other Drugs; Clinical Preventive Services; HIV Infection; and Surveillance and Data Systems. Potential applicants may obtain a copy of Healthy People 2000 (Full Report: Stock No. 017-001-00474-0) or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (Telephone: 202-512-1800).

Financing, Government↗

Funding reductions in fiscal year 1982. Health Services Administration. Notice.

This notice announces: (1) Factors that the Health Services Administration (HSA) will use in determining which Community Health Center (CHC) projects to fund, and (2) restrictions on the type of project activities that will be eligible for Federal support under the CHC program. a reduced level of authorization of appropriations for section 30 of the Public Health Service (PHS) Act in the recently enacted Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35) is the reason for the announcement of these factors and restrictions.

Community Health Centers↗

Fiscal year (FY) 1999 funding opportunities. Substance Abuse and Mental Health Services Administration, HHS. Notice of funding availability.

The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS), announces the availability of FY 1999 funds for one cooperative agreement for the following activity. This activity is discussed in more detail under section 4 of this notice. This notice is not a complete description of the activity; potential applicants must obtain a copy of the Guidance for Applicants (GFA) before preparing an application.

Affective Symptoms↗

Fiscal year (FY) 1999 funding opportunities. Substance Abuse and Mental Health Services Administration, HHS. Notice of funding availability.

The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT) and the Center for Mental Health Services (CMHS) announce the availability of FY 1999 funds for the following activities. These activities are discussed in more detail under Section 4 of this notice. This notice is not a complete description of the activities; potential applicants must obtain a copy of the Guidance for Applicants (GFA) before preparing an application. (See table.) Note: SAMHSA also published notices of available funding opportunities for FY 1999 in subsequent issues of the Federal Register. The actual amount available for awards and their allocation may vary, depending on unanticipated program requirements and the volume and quality of applications. Awards are usually made for grant periods from one to three years in duration. FY 1999 funds for activities discussed in this announcement were appropriated by the Congress under Public Law No. 105-277. SAMHSA's policies and procedures for peer review and Advisory Council review of grant and cooperative agreement applications were published in the Federal Register (Vol. 58, No. 126) on July 2, 1993. The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of Healthy People 2000, a PHS-led national activity for setting priority areas. The SAMHSA Centers' substance abuse and mental health services activities address issues related to Healthy People 2000 objectives of Mental Health and Mental Disorders; Alcohol and Other Drugs; Clinical Preventive Services; HIV Infection; and Surveillance and Data Systems. Potential applicants may obtain a copy of Healthy People 2000 (Full Report: Stock No. 017-001-00474-0) or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (Telephone: 202-512-1800).

Community Health Services↗

Evaluation in the Substance Abuse and Mental Health Services Administration.

The evaluation policy of the Substance Abuse and Mental Health Services Administration (SAMHSA) is described in this article. Three studies are presented that exemplify SAMHSA's evaluations. These include evaluations of a program to prevent substance abuse among pregnant and postpartum women and their infants; a Job Corps treatment enrichment program; and the McKinney program for homeless persons with severe mental illnesses. Each of these evaluations demonstrated the effectiveness of the programs in reducing substance abuse or homelessness and in improving the health and well-being of the consumers served. SAMHSA will use the results of these and similar evaluations to guide policy and program development. Through its evaluations, SAMHSA must identify effective approaches to prevention, treatment, and rehabilitation. By using its evaluation results to guide policy and program development, SAMHSA aims to improve the quality of the public system of substance abuse and mental health services.

Adolescent↗

Bibliographic research and critical inquiry: a learning module for graduate students in health services administration.

Critical to the success of contemporary health administration practice is the ability to identify, access, synthesize, apply, and report information from a diversity of sources. To enhance the critical logic and bibliographic research skills of first-semester graduate students in health services administration, a fifteen-hour learning module was collaboratively developed and integrated into a required course on health care organization. Reference librarians and health administration faculty participate to provide both group and individual instruction.

Education, Graduate↗

An applied master's degree curriculum for health services administrators in the 1990's.

Central Michigan University offers a Master of Science in Administration (MSA) degree with a concentration in Health Services Administration (HSA) to on-campus students and a large number of non-traditional students at about fifty off-campus locations throughout the continental United States and Hawaii. The degree and concentration emphasize a practical, applied course of study. The University recently undertook a curriculum review of the MSA degree and the HSA concentration with the goal of building on existing strengths and altering the curriculum to accommodate changing educational needs of future health services administrators. The review sought broadly-based input from alumni, employers, faculty/advisors, and a consultant. This ensured both that academicians' and practitioners' perspectives would guide discussions and that decisions would preserve the program's academic quality and applied nature. Generally the review did not create the sort of radical curricular change which some advisors and staff had first thought might happen. Instead it developed a consensus on curriculum content which reemphasized basic managerial skills; provided students additional preparation in cognitive skills of data gathering, analysis, synthesis, and communication; and strengthened strategic planning competencies.

Administrative Personnel↗

Fiscal year (FY) 1999 funding opportunities. Substance Abuse and Mental Health Services Administration, HHS. Notice of funding availability.

The Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT) announces the availability of FY 1999 funds for the following activities. These activities are discussed in more detail under Section 3 of this notice. This notice is not a complete description of the activities; potential applicants must obtain a copy of the Guidance for Applicants (GFA) before preparing an application. (See table.) Note: SAMHSA also published notices of available funding opportunities for FY 1999 in subsequent issues of the Federal Register. The actual amount available for awards and their allocation may vary, depending on unanticipated program requirements and the volume and quality of applications. Awards are usually made for grant periods from one to three years in duration. FY 1999 funds for activities discussed in this announcement were appropriated by the Congress under Public Law No. 105-277. SAMHSA's policies and procedures for peer review and Advisory Council review of grant and cooperative agreement applications were published in the Federal Register (Vol. 58, No. 126) on July 2, 1993. The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of Healthy People 2000, a PHS-led national activity for setting priority areas. The SAMHSA Centers' substance abuse and mental health services activities address issues related to Healthy People 2000 objectives of Mental Health and Mental Disorders; Alcohol and Other Drugs; Clinical Preventive Services; HIV Infection; and Surveillance and Data Systems. Potential applicants may obtain a copy of Healthy People 2000 (Full Report: Stock No. 017-001-00474-0) or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (Telephone: 202-512-1800).

Financing, Government↗

The policy context of health services administration education through outcomes assessment.

Effectively evaluating preparation programs for health services administrators is important for program providers, trainers, future employers, the health care system, and the American public. Because the methods employed for evaluation do not exist in a vacuum, policy formation with respect to learner outcomes assessment is a critical concern for all those interested in health care management issues. During the 1990s, the prevalent trend in evaluation is "assessment," which emphasizes performance-oriented outcomes rather than traditional testing approaches. This article examines the evolving role of assessment from a higher education policy perspective. Current trends and issues in general education, teacher testing, and nursing home administrator preparation are brought to bear on the problem of how to implement the goals of assessment. Realistic expectations of assessment are subsequently offered.

Accreditation↗

Training and developing health services administrators in Zimbabwe.

An article by Stephen Thornton in "Hospital and Health Services Review" in 1984 ended with a challenge to the unwary: "Could we as members of a highly developed profession in the United Kingdom assist our colleagues in Zimbabwe to acquire the necessary skills to become a thriving profession in a health care system so clearly modelled on our own?" Allan McNaught found himself in a situation where he was able to take up the challenge. This article outlines his experience in Zimbabwe, over 1987-1989, developing a local training programme for health services administrators. His work was undertaken as part of the World Bank funded "Family Health Project". His formal contract of employment was held by the British Overseas Development Administration, which contributed to most of the Project's "Management Strengthening Component".

Administrative Personnel↗

Health services administration education: meeting the challenge of a culturally diverse work force.

Curriculum revision is a continuous and an ongoing process. Health services administration programs must revise course offerings to reflect current demands and changing trends within our society. Given the expected changes in the work force by the year 2000, health services administration programs must consider incorporating cultural diversity issues as they relate to the management of a diverse work force within the health care industry. Labor force and population trends are projected to include a slowly growing work force population, a decline in the pool of young workers, entrance of more females, increased participation of minorities into the labor force, an increased non-white percentage of new entrants and the largest work force increase attributed to increasing numbers of immigrants. In preparation for the diversity within the work force by the 21st century, health administration programs may find the approaches outlined as conducive for teaching students to become sensitive and cognizant of culturally diverse employees. Incorporation of cultural diversity issues may occur in a variety of ways, however, a close examination of the best way to integrate this content lies within each educational program.

Cultural Diversity↗

Health services administrator role delineation methodology: an institutional long-term care example.

Health services administrators (HSA) are the cynosure of much current research because of their pivotal positions vis-a-vis quality of care and cost-effective policies. Role delineation methods used to date are too simple and/or too subjective to reflect the actual complexities of these roles. Dimensional analysis, as used to delineate complex organizational processes, more succinctly and accurately reflects these complexities and is more objective. The inherent weakness of dimensional analysis in devising the initial list of tasks can be counteracted by the use of facet analysis. A set of LTC administrator tasks from a national study is dimensionally analyzed to produce a role delineation and the subroles are validated through criterion analyses and amplified through reference to the literature. A similar strategy could usefully and readily be applied to extant data sets for other HSAs.

Analysis of Variance↗