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Title page 1
Contents 3
Highlights 2
Letter 5
Background 9
SAMHSA Programs and Activities 9
Selected SAMHSA Grant Programs 10
SAMHSA's Role During the COVID-19 Pandemic 12
Grant Flexibilities Available During COVID-19 14
Advisory Councils and Policy Lab Provided Advice and Resources to Support SAMHSA's COVID-19 Response 16
Advisory Council Advice Related to COVID-19 16
Policy Lab Support During the COVID-19 Pandemic 23
Selected SAMHSA Awardees Made Various Changes to Service Delivery During the COVID-19 Pandemic Amid Challenges Such as Workforce Hiring and Retention 26
Selected Awardees Increased Telehealth to Maintain Services and Expanded Some Services to Address COVID-19 Needs 26
Selected Awardees Experienced Workforce Hiring and Retention and Telehealth Implementation Challenges That Affected Service Delivery 33
SAMHSA Provided Technical Assistance and Grant Administration and Program Flexibilities to Support Awardees During the COVID-19 Pandemic 37
Technical Assistance 37
Grant Administration and Program Flexibilities 41
Agency Comments 51
Appendix I: Objectives, Scope and Methodology 52
Appendix II: Summary of Selected SAMHSA Grant Programs During COVID-19 56
Appendix III: Selected Grant Administration Flexibilities Allowed by SAMHSA During the COVID-19 Pandemic 59
Appendix IV: GAO Contact and Staff Acknowledgments 61
Tables 3
Table 1. Selected Flexibilities Related to SAMHSA Awardees' Program Implementation During and After the COVID-19 Pandemic 47
Table 2. Summary of Selected SAMHSA Grant Programs That Supported Behavioral Health Services During the COVID-19 Pandemic, Fiscal Years 2020-2023 57
Table 3. Overview of Selected Grant Administration Flexibilities Allowed by SAMHSA During the COVID-19 Pandemic 59
Figures 4
Figure 1. SAMHSA Advisory Councils and Focus Areas During the COVID-19 Pandemic, January 2020-May 2023 17
Figure 2. SAMHSA Policy Lab Considerations for Using Telehealth to Treat Serious Mental Illness and Substance Use Disorder 24
Figure 3. Examples of Selected State and Provider Awardees' Changes to Behavioral Health Services During the COVID-19 Pandemic 27
Figure 4. Examples of Locations for Behavioral Health Staff and Clients to Connect Through Telehealth 29
Figure 5. Example SAMHSA Resource-Wallet Card on Managing Stress During the COVID-19 Pandemic, Published July 2020 41
Figure 6. Number of SAMHSA Awardees That Received Project Period Extensions for Block Grant COVID-19 Supplemental Funding 43
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