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U.S. Department of Health and Human Services Department of Health and Human Services
Substance Abuse and Mental Health Services Administration

Substance Abuse & Mental Health Services Administration

Last Updated: 6/22/2012

SAMHSA’s Resource Center to Promote Acceptance,
Dignity and Social Inclusion Associated with
Mental Health (ADS Center)


Brochures, Fact Sheets, Guides and Toolkits

A Window of Opportunity: Philanthropy's Role in Eliminating Health Disparities through Integrated Health Care
This report is a product of a February 2012 meeting hosted by the Hogg Foundation for Mental Health in Austin, TX, and attended by representatives of national, regional, and local foundations that do work in the area of integrated health care, or integration of primary health care with mental health and substance use treatment services. Meeting participants discussed ways in which foundations can support integrated health care to help eliminate disparities among racial and ethnic minorities and people with limited English proficiency. The report examines the issue of health disparities, how integrated care can help combat these disparities, and ways in which philanthropic individuals and groups can promote integration of care and reduction of health disparities.

Improving Quality and Access to Integrated Care for Racially Diverse and Limited English Proficiency Communities
Developed by the SAMHSA-HRSA Center for Integrated Health Solutions and the Federal Office of Minority Health, this webinar presents information on integration of mental health and substance use services and primary care services in ways that are culturally and linguistically competent, with the ultimate goal of reducing health disparities. The webinar covers standards, recommendations, and specific ways to make care more culturally and linguistically competent in order to boost access to quality physical and mental health care and substance use treatment. Webinar materials and other archived webinars are available at

Integrating Behavioral Health in Primary Care: Lessons from Health Centers (FQHCs)
A product of the SAMHSA-HRSA Center for Integrated Health Solutions, this webinar describes a project in which 11 community health centers across the Nation made changes to improve integration of mental health and substance use services into the primary care services they provide. The webinar begins with a project overview, which is followed by presentations from two of the participating health centers, one in Massachusetts and the other in Oregon. It identifies tools developed in the course of this project, which may be useful to other community health centers. Webinar materials and other archived webinars are available at

Return on Investment in Systems of Care for Children With Behavioral Health Challenges
Published by the Georgetown University National Technical Assistance Center for Children's Mental Health, this report was created in response to State and local budgetary pressures, large-scale Medicaid redesign, and national healthcare reform. While more focus has been placed on the importance of behavioral health care, and particularly on its integration into broader healthcare systems, the many demands for resources mean that policymakers nevertheless face significant challenges in deciding how to invest public funds. This document seeks to show the high return on investment for funding of children's mental health services, which should make these services a top investment priority.

Involuntary Outpatient Commitment Myths and Facts
Created by the National Coalition for Mental Health Recovery, this fact sheet evaluates current justifications for imposing involuntary outpatient commitment (IOC) on individuals and discusses how IOC outcomes have looked in practice. Costs and outcomes of IOC are compared to those of peer-run crisis respites, which cost less than a third of what IOC costs per day and have been shown in studies to be as effective as standard care. Other alternatives and their documented outcomes are also discussed, including supportive housing and mobile crisis services. The Bazelon Center for Mental Health Law and the National Disability Rights Network also contributed to this fact sheet.

The Affordable Care Act Resource Kit
This toolkit was created by the National Partnership for Action to End Health Disparities (NPA) to assist community stakeholders and affiliate organizations interested in doing outreach to educate the public about the Affordable Care Act (ACA) and facilitate enrollment in their State-based healthcare markets. The kit includes key messaging to promote; a guide for putting on events and taking action; a glossary of key terms; a wide range of special topic resources including information about ACA benefits for people with disabilities, ACA benefits for veterans and military families, ACA resources related to racial and ethnic minorities, and others; and a large directory of general ACA resources in 11 languages.

Mental Health in Primary Care: Training Consulting Psychiatrists
This curriculum was designed to train consulting psychiatrists to integrate collaborative behavioral healthcare services into existing primary care settings. The principles of this method of care and job descriptions within these settings are discussed in conjunction with how these practices can be implemented in existing facilities.

Training Trauma-Informed Peer Supporters
This Webinar sponsored by the National Council for Behavioral Health introduces listeners to trauma-informed care and how it brings valuable core elements of survival, healing, hope, and recovery to practice. Speakers discuss the significant impact and importance of training the peer workforce in these approaches in order to strengthen interventions. Access this and other archived Webinars at

Not Without Us (Video)
This video highlights the importance of choice, hope, and empowerment in recovery and the fact that recovery is possible. Video participants discuss their experiences of being told that they needed treatment and chemicals to balance their brains, and that then the rest of their life would follow suit. They share their belief that in fact, recovery is accomplished through working on all aspects of one's life. Psychiatric survivors share their stories of recovery and reclaiming their lives after moving away from the traditional treatment model.

The Past, Present, & Future of Federal Government's Commitment to Addressing the Impact of Trauma on Women
This webinar was hosted by the Women and Trauma Federal Partners Committee to introduce the work of the committee, highlight their initiative within the Peace Corps to have trauma-informed policies and procedures for staff and volunteers, and feature other valuable resources and publications for those looking to bring trauma-informed care and policies into their organizations and communities. The philosophy behind trauma-informed care and difficulties in bringing it into practice are discussed, along with tools and successful models that can help others to integrate these philosophies into their own practices.

Advanced Messaging: Effective Communications in an Era of Budget Cuts
This presentation outlines valuable strategies that community-based health centers (CBHCs) can use in promoting their organization to fiscally conservative policymakers. Slides cover building a long-term relationship with the individual, promoting the CBHC as a local business and employer, expanding and building upon their community network, and finding ways to engage and collaborate with the policymaker.

Control the Conversation: Grassroots 101
This interactive tutorial serves as a guide for behavioral health leaders interested in developing skills to effectively communicate messages designed to educate their elected representatives about key issues. It discusses what to expect when meeting with a congressional staff member and highlights key points of interaction and setting up the meeting while also being successful in getting one's voice heard.

Pathways to Integrated Health Care: Strategies for African American Communities and Organizations; Consensus Statements and Recommendations
This report incorporates findings from a national dialogue on effective holistic health for African Americans hosted by the Office of Minority Health in August 2010. Key stakeholders from across the country were brought together to discuss ways to improve behavioral and primary healthcare delivery systems, reduce negative attitudes, increase cultural competence and proficiency of services, and improve health across the life span of African Americans in a holistic manner. The report presents the history of the issues it covers, along with examples of successful integrated care models; consensus statements; and recommendations for policy, projects, and further research and evaluation.

WHO QualityRights Tool Kit
This tool kit was created based on discussions during the United Nations Convention on the Rights of Persons with Disabilities. It contains tools and information on how to assess and improve the quality of care and protection of human rights within mental health and social care facilities. It includes interview tools, observation tools, and both individual facility and countrywide assessment reports.

Building Partnerships: Conversations with LGBTQ Youth about Mental Health Needs and Community Strengths
This resource discusses mental health needs and unique requirements that providers and policymakers need to address for young people who identify as lesbian, gay, bisexual, transgendered, and/or questioning. This publication outlines findings from a project that engaged a spectrum of underserved populations in California to gain community perspectives as to what the mental health system could do to more effectively reach out to them. The publication includes direct quotes and considerations gathered from project participants.

State Laws Affecting the Voting Rights of People with Mental Disabilities
This table summarizes the voting laws, guardianship laws, mental health statutes, and developmental disability statutes for each State to help give individuals a better understanding of laws that can affect the voting rights of people with mental health problems.

The OECD Mental Health and Work Project
This webpage focuses on the Mental Health and Work Project run by the Organization for Economic Co-operation and Development (OECD), an international organization working to promote economic and social well-being for people around the world. The project looks specifically at mental health and the workplace and gathers statistics from various countries regarding the impact mental health issues can have on measures of employment success, such as one's ability to retain a job, reenter the workforce, and advance in his or her career. The project reports on these statistics for various countries, the impact of policies, and successful models of integration and support.

Practice Guidelines for Recovery-Oriented Care for Mental Health and Substance Use Conditions
In the second edition of the practice guidelines developed by the Connecticut Department of Mental Health and Addiction Services, the department further outlines and builds upon the steps they have been taking to create a recovery-oriented healthcare system in Connecticut. This system utilizes State-required Individualized Recovery Planning as a means to involve both individuals and their families in the recovery process and to ensure practitioners are being sensitive and attentive to each individual's needs and strengths. This type of planning emphasizes and utilizes the ability of individuals to make informed decisions regarding their own personal health and wellness.

Rural Behavioral Health Programs and Promising Practices
Based on a 2008 study of barriers to evaluating behavioral health practices in rural areas, this document highlights the importance of gathering and using data to improve programs, proving the effectiveness of services, and finding funding to enable continuation of programs. The document discusses the shift toward evidence-based practices (EBPs) in the behavioral health field and its effect on consumers, providers, researchers, and policymakers, as well as adaptation of EBPs to rural areas. This manual identifies innovative rural programs that may become EBPs and suggests steps and tools that existing organizations may use to improve their effectiveness. Key organizational issues discussed include staff hours, expertise, funding, and understanding of practices in addition to accessibility, availability, and acceptability for the individuals they serve.

THRIVE: Community Tool for Health & Resilience In Vulnerable Environments
The Prevention Institute, with funding from the Office of Minority Health, part of U.S. Department of Health and Human Services, developed and then recently updated this community health and resilience toolkit. The toolkit was designed to assist communities in reducing the inequalities that minorities have experienced and in attaining better health outcomes for all community members. To achieve these positive outcomes, the toolkit helps community members pinpoint issues that are contributing to disparities and learn how to take action to effect improvements.

Standard Framework for Levels of Integrated Healthcare
Coordinated care is becoming increasingly important as providers of physical and mental health care and policy makers recognize its value in improving health outcomes. The framework was developed as a guide to assist primary and behavioral healthcare provider organizations in assessing where they are in the process of achieving integration of care and in determining how to move ahead with this process to achieve positive outcomes as they plan and implement effective, coordinated treatment. This Web page provides access to the full report, a PowerPoint or PDF outline that describes the elements of this framework and measures to achieve them, and an 8-minute video on the framework.

DHHS Secretary Kathleen Sebelius 2013 National Council Conference
In her speech at the 2013 National Council Conference, Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services, discusses healthcare changes due to the Mental Health Parity and Addiction Equity Act and the Affordable Care Act.

Stories of recovery: Sally Zinman
In this Stories of Recovery video, Sally Zinman, an advocate within the mental health consumer/survivor movement for over 30 years, describes her experiences of being abused while in treatment for her mental health issues. She discusses how these experiences changed her life and led to a life of advocacy work in the recovery movement to improve treatment conditions and to stop forced treatment and abuse of individuals in treatment for their mental disorders. Zinman also shares details of what helped her in her own recovery journey, including reading, reconnecting with nature through organic farming, and focusing on doing healthy things to strengthen her body and mind.

Mental health works: Maine State government participates in depression screening and work-focused intervention
Mental Health Works is a quarterly publication produced by the Partnership for Workplace Mental Health, a program of the American Psychiatric Association. This issue focuses on Maine's use of depression screening and work-focused intervention to improve the mental health of its employees. These employees have benefited from their State government's participation in the Work and Health Initiative care program pilot study, which includes different supports like work-focused counseling. In addition to Maine's recent efforts, this issue explores the efforts of others, like the Chesapeake Energy Corporation in Oklahoma City, in engaging employees and providing resources for them to address mental disorders. This issue also examines the exclusion of mental health treatment from employers' health insurance coverage.

Homelessness and substance use disorder treatment: Recovery-oriented housing and achieving healthy lifestyles
This 2010 SAMHSA Webcast recognizes the complex relationship between homelessness and mental and substance use disorders and explores the connection between homelessness and the treatment of substance use disorders from a program and policy view. Also, it examines some of the issues of permanent supportive housing and methods of recovery support that help people achieve healthy lives and long-term recovery.

Sick on the job? Myths and realities about mental health and work
This Organisation for Economic Co-operation and Development (OECD) fact sheet presents data relevant to many of the misconceptions about mental health and employment. Productivity within the workplace as well as the role of quality treatment on improving employment outcomes is discussed. This OECD fact sheet also provides a list of ways that policy can help create a more inclusive job market for people with mental health problems.

Individual Development Accounts (IDAs)
This web page, provided through the Corporation for Enterprise Development's Web site, describes Individual Development Accounts (IDAs), matched savings accounts that help people in low- to moderate-income households develop assets. The Web site provides information about IDAs, including a directory of IDA programs, guidance on starting an IDA, and a public policy link for people interested in supporting efforts to have IDA programs become available to more low-income families across the U.S.

Registered Disability Savings Plan (RDSP)
This Web site describes the Registered Disability Savings Plan (RDSP), a Canada-wide savings plan reserved for individuals with disabilities. People with disabilities in Canada can use the RDSP to save and invest money and have their savings matched by the Canadian government. Relatives of people with disabilities may also contribute to an RDSP to help a family member save. The Web site provides a general overview of the RDSP, a tutorial to learn more, and a step-by-step guide.

Mental health, poverty, and development: Mental health core to development
This fact sheet shares information on connections between mental disorders and poverty through global data, charts, and other visuals. It describes the links between poverty and mental health as cyclical, with poverty heightening one's risk of mental disorders and having a mental disorder increasing one's chances of becoming poor. Also, it discusses the need for national and international agendas to address improving mental health and reducing poverty.

Mental Health and Housing
This program, which can be viewed online, explores housing issues for individuals with mental and substance use disorders. Episode 1 features a woman sharing her experience with homelessness and mental disorders. In Episode 2, a woman who is a housing provider and a man who is an advocate and policymaker discuss the housing issues of people with mental disorders.

Developing a State Interagency Council on Homelessness: A Step-by-Step Guide
This guide provides steps in how to develop a state council on homelessness. In addition to these steps, benefits, functions, activities, along with some features of a successful council are shared in this guide.

Stepping Stones To Recovery: A Case Manager's Manual for Assisting Adults Who Are Homeless, with Social Security Disability and Supplemental Security Income Applications
The purpose of this manual is to help individuals, specifically case managers, assist homeless people with behavioral health problems in applying for Social Security Administration's (SSA) disability programs. This manual highlights many of the eligibility and documentation requirements, with the goal of facilitating the application process and reducing the need for appeals. It is a useful tool for anyone applying for SSA disability programs.

Supported Employment Evidence Based Practices KIT
This KIT offers standards on supported employment for individuals with severe behavioral health problems and promotes the idea that people with serious behavioral health conditions can participate fully in the workforce. It includes information on how to get started with evidence-based practice, national resources for consumers and families, and instruments to assess cultural competence.

WHO resource book on mental health, human rights and legislation
This book from the World Health Organization highlights the issues and principles behind good behavioral health and human rights legislation. It is meant to serve as a resource to countries as they draft and adopt the legislation but is also a valuable resource for stakeholders such as advocacy groups and health professionals.

Grading the States 2009
This interactive map provides an overview of the National Alliance on Mental Illness's 2009 State-by-State evaluation of mental health care systems. The Nation as a whole received a 'D' for the health care it provides to people with serious mental illness. The organization graded based on community integration and social inclusion, empowerment, and other factors. The full report, describing methodology, findings, and recommendations, is available for download.

A mentally healthy workforce: It's good for business
This booklet provides assistance to employers and companies who are interested in changing the workplace from a mentally unhealthy environment to a healthy one.

Maryland rural families speak: About mental health
This article briefly discusses the findings from a study of families in two Maryland counties. It provides insight into the experiences of rural, low-income families.

Filing an ADA employment discrimination charge: 'Making it work for you'
This guidebook provides information about how the ADA employment discrimination administrative charge process works and what has happened when individuals with psychiatric disabilities have filed administrative claims of employment discrimination. It explains, through discussion and examples, when, where, and how to file a charge.

Guidelines for non-handicapping language in APA journals: Committee on disabilities issues in psychology
This fact sheet provides guidelines for the use of appropriate language regarding people with disabilities.

Employment scenarios: What would you do?
This Web page outlines three examples of mental health issues in the workplace, and provides appropriate responses about how to address them. It also provides links to appropriate resources. 

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This Web site was developed under contract with the Office of Consumer Affairs in SAMHSA’s Center for Mental Health Services. The views, opinions, and content provided on this Web site do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. The resources listed in this Web site are not all-inclusive and inclusion on this Web site does not constitute an endorsement by SAMHSA or HHS.