Substance Abuse & Mental Health Services Administration (SAMSHA)

The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. It is charged with improving the quality and availability of treatment and rehabilitative services in order to reduce illness, death, disability, and the cost to society resulting from substance abuse and mental illnesses.

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Targeted Outreach for Pregnant Women Act (TOPWA)

Targeted Outreach for Pregnant Women Act (TOPWA) was created in 1999 to reach HIV-infected pregnant women or high risk pregnant women who are not receiving services. The TOPWA programs assist under-served women in accessing the medical or social services needed to lower their risk of HIV infection or substance abuse. TOPWA outreach workers go into untraditional venues/locations in high risk communities to identify and enroll HIV-infected or substance-abusing pregnant who have not yet accessed adequate care and treatment.

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Health Connect in our Schools

Cheer Health Centers facilitate basic health care services to students in public schools. Services include screenings and assessments to follow up care, mental and behavioral health services, nutrition and health counseling, access to a regular primary care physician, emergency first aid/CPR, chronic disease management and primary health services for uninsured students with no other options or access to healthcare.



Healthy Start

The Healthy Start Program is an initiative that assures that pregnant women and young children ages 0-3 years in Florida have access to prenatal and child health care and services necessary for mother and infants to have healthier outcomes.

Florida law mandates that all pregnant women be offered the Healthy Start Prenatal Risk Screening at their first prenatal visit and the Healthy Start Infant risk screening before leaving the birthing facility.

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Expanded Testing Initiative

To increase awareness of HIV status, CDC established the Expanded Testing Initiative (ETI), under which three programs have been launched. In 2007, CDC implemented PS 07-768 Expanded and Integrated Human Immunodeficiency Virus (HIV) Testing for Populations Disproportionately Affected by HIV, Primarily African American. It was followed by PS10-10138: Expanded Human Immunodeficiency Virus (HIV) Testing for Disproportionately Affected Populations (2010-2011), which in turn was incorporated into PS12-1201: Comprehensive Human Immunodeficiency Virus (HIV) Prevention Programs for Health Departments (2012-2017).

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High Impact HIV Prevention

CDC and its partners are pursuing a High-Impact Prevention approach to reducing new HIV infections. By using combinations of scientifically proven, cost-effective, and scalable interventions targeted to the right populations in the right geographic areas, this approach promises to increase the impact of HIV prevention efforts – an essential step in achieving the goals of NHAS.

This approach is designed to maximize the impact of prevention efforts for all Americans at risk for HIV infection, including gay and bisexual men, communities of color, women, injection drug users, transgender women and men and youth.

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