(2) state funds can be used for medical supplies, laboratory services, disease intervention, and some staff; and (3) local funds usually provide the facilities and primary staff for the clinic.

Division of Adolescent and School Health

In addition to monitoring the incidence and prevalence of risks among youth, this division supports every state and territorial education agency and 18 local education agencies that serve cities with the highest number of reported AIDS cases. Division of Adolescent and School Health's (DASHs) efforts in this area focus on assisting these agencies to develop and implement HIV-related school policies and student curricula and training teachers to carry out prevention efforts.

Substance Abuse and Mental Health Services Administration Programs

An agency under the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) has three centers that provide substance abuse and mental health services, with a FY 1997 budget of approximately $1.4 billion. The three centers include: the Center for Mental Health Services (CMHS), the Center for Substance Abuse Prevention (CSAP), and the Center for Substance Abuse Treatment (CSAT). There are two offices within the agency that coordinate services related to women and AIDS—the Office for Women's Services and the Office on AIDS. CSAT administers the block grant program supporting the 10,000 substance abuse treatment facilities throughout the country that receive federal funds, and is responsible for residential and treatment programs for pregnant and postpartum women; demonstration projects that target special populations, including those with HIV; and programs that address the needs of people under the criminal justice system. CSAP has a number of projects focused on women that are ending this year. No new targeted programs are planned.

The Prevention and Treatment of Substance Abuse Block Grant Program is funded at $1.3 billion and is intended to address substance abuse in states and cities. It requires that 35% of funds be spent on alcohol prevention and treatment; 35% on drug prevention and treatment; 20% on supporting primary prevention; and 10% for pregnant and postpartum women and women with dependent children.

State AIDS Programs

State agency staff have programmatic responsibility for administering HIV/AIDS health care, prevention, education, and supportive service programs funded by the state and federal governments. All 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and the U.S. Pacific Islands have AIDS



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