At a 2002 national summit co-sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Center for Substance Abuse Treatment (CSAT) and the Robert Wood Johnson Foundation, representatives called the current treatment system “inadequate and underdeveloped,” and based on adult models for treatment. They identified the urgent need for a comprehensive systems approach to treat adolescent substance use disorders.
As a result, SAMHSA/CSAT created the State Adolescent Substance Abuse Treatment Coordination Grant Program (SAC). While 47 states and the District of Columbia applied for grants, only 16 states received three-year grants of $400,000 each.
SAC grantee states reported substantive systems development in the following areas:
“The SAC grant's spotlight on system inadequacies, coupled with shared knowledge, support and emphasis on accountability, motivated the changes realized in all of the states,” the authors write.