Substance Free Download

[Gaetan Boren]

The988 Suicide & Crisis Lifeline has expanded services and continued to answer millions of calls, texts, and chats from people experiencing mental health or substance use crises since its launch in July 2022.

SAMHSA's Office of Behavioral Health works to ensure that people from racial, ethnic and sexual/gender marginalized populations with or at-risk for mental health and substance use conditions readily access quality care, thrive, and achieve well-being. To learn more, visit the links below:

SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes.

Please note that a substance need not be listed as a controlled substance to be treated as a Schedule I substance for criminal prosecution. A controlled substance analogue is a substance which is intended for human consumption and is structurally or pharmacologically substantially similar to or is represented as being similar to a Schedule I or Schedule II substance and is not an approved medication in the United States. (See 21 U.S.C. 802(32)(A) for the definition of a controlled substance analogue and 21 U.S.C. 813 for the schedule.)

Schedule I drugs, substances, or chemicals are defined as drugs with no currently accepted medical use and a high potential for abuse. Some examples of Schedule I drugs are: heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), 3,4-methylenedioxymethamphetamine (ecstasy), methaqualone, and peyote.

Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Some examples of Schedule II drugs are: combination products with less than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin

Schedule III drugs, substances, or chemicals are defined as drugs with a moderate to low potential for physical and psychological dependence. Schedule III drugs abuse potential is less than Schedule I and Schedule II drugs but more than Schedule IV. Some examples of Schedule III drugs are: products containing less than 90 milligrams of codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids, testosterone

Schedule IV drugs, substances, or chemicals are defined as drugs with a low potential for abuse and low risk of dependence. Some examples of Schedule IV drugs are: Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien, Tramadol

Schedule V drugs, substances, or chemicals are defined as drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics. Schedule V drugs are generally used for antidiarrheal, antitussive, and analgesic purposes. Some examples of Schedule V drugs are: cough preparations with less than 200 milligrams of codeine or per 100 milliliters (Robitussin AC), Lomotil, Motofen, Lyrica, Parepectolin

The Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) section 104 (i), as amended by the Superfund Amendments and Reauthorization Act (SARA), requires ATSDR and the EPA to prepare a list, in order of priority, of substances that are most commonly found at facilities on the National Priorities List (NPL) and which are determined to pose the most significant potential threat to human health due to their known or suspected toxicity and potential for human exposure at these NPL sites. CERCLA also requires this list to be revised periodically to reflect additional information on hazardous substances. In CERCLA, it is called the priority list of hazardous substances that will be candidates for toxicological profiles.

This substance priority list is generally revised and published every two years, with an informal review and revision each year. Each substance on the list is a candidate to become the subject of a toxicological profile prepared by ATSDR. The listing algorithm prioritizes substances based on frequency of occurrence at NPL sites, toxicity, and potential for human exposure to the substances found at NPL sites.

Thus, it is possible for substances with low toxicity but high NPL frequency of occurrence and exposure to be on this priority list. The objective of this priority list is to rank substances across all NPL hazardous waste sites to provide guidance in selecting which substances will be the subject of toxicological profiles prepared by ATSDR.

You may not think of these as drugs. But tobacco has a chemical called nicotine that gives you a little rush of pleasure and energy. The effect can wear off fast and leave you wanting more. You can abuse and get addicted to the nicotine in cigarettes, just like other drugs.

When you first start taking a substance, you may think you can control how much you use. But over time, you may need more of the drug to get the same feeling or effect. For some people, that can lead beyond abuse to addiction. Signals that you may have a problem with substance abuse include if you:

Substance abuse affects every part of your life. It can hurt you and the people around you. It can ruin relationships and your financial health. Abusing drugs can also lead to addiction and cause serious health problems and even death.

The report provides a summary of the risks and benefits of social media on the health, safety, and privacy of young people; best practices for parents and caregivers; recommended practices for industry; a research agenda; and suggested future work, including for the federal government. The strategies described in this report aim to help protect the mental health, safety, and privacy of youth online, but it will take a whole-of-government approach in collaboration with researchers, industry, civil society, youth, parents and caregivers, and others.

This issue brief offers valuable information to State Mental Health Authorities (SMHA) about the benefits of peer support and inclusion of the peer workforce throughout the behavioral health continuum. The document highlights current standards and best practices for including peer support workers as an essential component of services delivery for mental and co-occurring disorders, like substance use disorder (SUD).

Behavioral Health among Older Adults: Results from the 2021 and 2022 National Surveys on Drug Use and Health is an infographic report highlighting substance use and mental health indicators among older adults aged 60 or older in the United States.

Mental Health Client-Level Data (MH-CLD) 2022: Data on Clients Receiving Mental Health Treatment Services Through State Mental Health Agencies annual report presents the total number of clients receiving mental health treatment services in 2022 by demographics, National Outcome Measures (NOMs), and the top five mental health diagnoses for children (ages 0-17) and adults (ages 18 and older) by geographic distribution, and a summary of client characteristics for the 2018-2022 reporting periods.

This issue brief provides information for State Mental Health Authorities (SMHA) about strategies for promoting person-centered planning (PCP) to enhance the quality of behavioral health services and the valued recovery outcomes of those that use them.

The fifth edition of "The Diagnostic and Statistical Manual Disorders" (DSM-5), a manual used by clinicians that contains descriptions and symptoms of all mental disorders classified by the American Psychiatric Association, defines a substance use disorder as a problematic pattern of use of an intoxicating substance leading to significant impairment or distress.

Consultation with a professional is needed to diagnosis a substance use disorder. The professional will talk with the individual to determine if at least two of the following occurred within a 12-month period.

This free service allows you to compare treatment facilities to see which provide high-quality care. It also provides information on facility protocols, types of treatments offered, and insurance and alternate methods of payment accepted. Go to the Shatterproof Treatment Atlas.

The Division of Behavioral Health (DBH) manages programs and services for individuals who need help with their mental illnesses and/or substance use. Services available are prevention, education, evaluation, intervention, treatment, and rehabilitation. Here individuals and families seeking services can find the help they need. Most prevention and treatment services are provided by programs in the community through organizations which are contracted by the DBH to do so. These programs must meet federal and state requirements in order to provide mental illness and substance use treatment services. Please note that not all organizations providing these services in the community are contracted with the DBH.

Substance Awareness Traffic Offender Program (SATOP): The Department of Mental Health, Division of Behavioral Health certifies agencies to provide services to individuals who have had an alcohol or drug related traffic offense. SATOP is, by law, a required element in driver license reinstatement by the Department of Revenue.

All SATOP consumers enter the system via an Offender Management Unit. Consumers receive an assessment screening where a review of their driver record, breath alcohol concentration (BAC) at the time of their arrest, computer-interpreted assessment, and an interview with a Qualified Substance Abuse Professional is conducted. Based upon the information gathered during the assessment screening, a referral is made to one of several types of SATOP service levels. Click here for more information regarding SATOP.

The Division of Behavioral Health provides services through a network of contractors who operate alcohol and drug use prevention programs. The Division monitors these providers and their staff, who must meet certification standards. Preventing substance use not only prevents the tragic consequences of addiction, but allows for better use of the limited resources available. Therefore, the Division strives to reduce the number of persons needing treatment through an extensive prevention effort.

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