del Vecchio is former SAMHSA executive officer. At the age of 23, after years of mental health problems, addictions, and trauma, I found myself on a Philadelphia subway platform ready to end my life.

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.

The US Substance Abuse and Mental Health Services Administration (SAMHSA) has reversed its decision to terminate nearly $2 billion in grants to thousands of mental health and addiction treatment ...

The small federal agency tasked with easing the nation’s profound struggles with mental illness and drug addiction is in crisis itself: Hundreds of employees have left its staff of about 900, and its ...

The country's main mental health agency, the Substance Abuse and Mental Health Administration, commonly known as SAMHSA, is in the process of being dissolved. It has lost more than a third of its ...