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Letters to the Editor
Published Online: 9 January 2025

A New Version of SMI Adviser

Letters to the Editor

Readers are invited to submit letters of not more than 350 words for possible publication. Psychiatric News reserves the right to edit letters and publish them in any of its formats—print, electronic, or other media. Receipt of letters is not acknowledged. Letters should be emailed to [email protected]. Clinical opinions are not peer reviewed and thus should be independently verified.
In response to Drs. Dotson and Richardson’s “Viewpoints” article in the December 2024 issue of Psychiatric News, “End of SMI Adviser Funding Leaves a Critical Gap That Must Be Filled,” I am writing to request an update to the article.
SAMHSA appreciates the recognition of the valuable resources provided by the Serious Mental Illness (SMI) Adviser grant program. SAMHSA has consistently received positive feedback and remains committed to continuing and enhancing these services. Whereas the grant has ended, this work will continue through a more robust contract.
Through a competitive contracting process, SAMHSA has contracted with the National Council for Mental Wellbeing and on September 6, 2024, SAMHSA awarded a contract to establish the Serious Mental Illness Training and Technical Assistance Center (SMI-TTAC). The SMI-TTAC builds upon and expands the work previously offered under the SMI Adviser grant. The revised version will be available in early 2025.
The SMI-TTAC includes a sub-award to the American Psychiatric Association, which will continue the SMI Personalized Intensive Technical Assistance Services that were so valuable. This feature is intended to replicate the process through which many practicing clinicians learn: the curbside consultation. Over the years, a cadre of SMI experts provided very specific replies to specific situations, such as the management of side effects of clozapine, dosing of long-acting injectables, practical drug interactions, and many other topics that are designed to advance the safe and effective treatment of persons with serious mental illnesses.
The new edition of the SMI-TTAC provides comprehensive training, technical assistance, and resources to professionals, caregivers, and individuals experiencing SMI or first-episode psychosis (FEP). Its primary goals include:
Offering technical assistance and consultations to stakeholders
Access to personalized intensive technical assistance
Developing and disseminating evidence-based resources
Supporting the adoption of promising practices for SMI treatment and recovery
Key features of the SMI-TTAC include:
Learning collaboratives
Specific technical assistance for individuals and organizations
Educational resources and virtual training sessions
Updates on advancements in SMI treatment and recovery practices
Through the SMI-TTAC, SAMHSA aims to enhance the capacity of mental health providers to deliver effective recovery-oriented care.
The SMI TTAC is funded by SAMHSA and operated by the National Council for Mental Wellbeing. Sub-awards have been developed with APA as well as the National Association of State Mental Health Program Directors, C4 Innovations, and the Bizzell Group. Together, we are committed to supporting SMI-TTAC as an invaluable and long-term resource that will advance evidence-based treatment and recovery support of those with SMI. All of us are very excited about this new version of the SMI-TTAC.
For more information, please visit samhsa.gov/smi-ttac. ■
ANITA EVERETT, M.D.
Director, Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
Past President, American Psychiatric Association

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