SAMHSA Funding · substance_use_prevention_campaign

Federal: SAMHSA Funding

Official title“Talk. They Hear You.”® Celebrates 10 Years of Preventing Underage Substance Use

Federal · Relevance score 30 of 100 (tangential). low impact.

Informational only

This summary is informational and is not legal advice. Read the source text before acting on it.

The itemStructured facts, then the operational reading.

What this policy change does.

Jurisdiction
Federal
Published
September 29, 2023
Impact score
30 of 100, from analysis of the full text: tangential
Primary source
SAMHSA

Impact on your practice

This is a SAMHSA campaign milestone announcement without direct implications for therapist reimbursement, licensing, or practice policy. Therapists may benefit from prevention resources but face no operational changes.

Key facts

  • SAMHSA's 'Talk. They Hear You' campaign celebrates 10th anniversary
  • Focuses on underage drinking and substance use prevention
  • Targets parents, caregivers, educators, and community members
  • No legislative changes, funding announcements, or practice directives
The readingGenerated from the full source text, and labelled as analysis rather than fact.

What it would mean for a practice.

This SAMHSA campaign milestone carries no direct operational, reimbursement, or compliance implications for your clinical practice. You will not face new documentation requirements, prior authorization rules, or scope-of-practice changes as a result of this announcement. However, the campaign's 10-year expansion trajectory—from parent-focused alcohol prevention (2013) to youth substance use across all drugs under age 21 (2018 onward)—reflects a federal shift in how prevention is positioned in the treatment ecosystem. If your practice treats adolescents or provides family therapy, you should be aware that SAMHSA is actively promoting parent-led prevention conversations as a complementary intervention point. This may increase referrals from schools, community partners, and parents seeking clinical guidance after exposure to campaign materials. The campaign does not fund clinical treatment directly, so there is no new revenue stream for therapists. Instead, understand this as a public health backdrop that may reshape patient intake—parents may arrive asking about evidence-based family conversations, screening tools like Screen4Success, or resources mentioned in PSAs. Your role remains clinical assessment and treatment, not campaign implementation, though awareness of these free parent resources (mobile app, screening tool, discussion guides, podcasts) allows you to make informed collateral recommendations.

Background

The 'Talk. They Hear You' campaign originated from the STOP Act (Sober Truth on Preventing Underage Drinking Act), a federal mandate requiring HHS to fund and evaluate a national prevention media effort. Over a decade, SAMHSA expanded the campaign's scope from alcohol-focused parent education to a multi-stakeholder prevention model encompassing schools and communities. This reflects a broader federal strategy: investing in upstream prevention rather than relying solely on clinical treatment. The opioid crisis (2017 onward) accelerated this expansion to include all drugs, signaling that federal prevention dollars are increasingly directed toward parent engagement and community mobilization. For therapists, this matters contextually because it indicates federal commitment to prevention-as-infrastructure, which can create referral pathways into your practice (parents seeking clinical support after prevention education) but does not directly fund or regulate clinical mental health services.

What you should do

  • Familiarize yourself with Screen4Success and other free 'Talk. They Hear You' tools so you can knowledgeably discuss them with parents and adolescents during intake; recommend the screening tool as a collateral assessment if appropriate for your practice population.
  • If you work in schools or community settings, review the campaign's implementation guide and consider whether your agency should register as a licensed campaign partner (1,500+ partners exist nationwide); this increases community visibility but requires no clinical credential changes.
  • Monitor SAMHSA's annual Report to Congress (via ICCPUD) for campaign evaluation data; understanding what messaging is reaching your patient population helps tailor family interventions and recognizes common language parents may use.
  • Plan to integrate awareness of these parent-focused resources into your clinical workflows: when treating adolescents with substance use concerns, you can now confidently recommend evidence-based parent conversation frameworks that SAMHSA has disseminated nationally.
  • Distinguish your clinical role from prevention messaging: clarify in documentation that you are providing treatment/assessment for diagnosed substance use or mental health conditions, not running a prevention program; this protects your coding and prevents scope creep.

Notable excerpts

"Talk. They Hear You.® seeks to: Increase parents' awareness of the prevalence and risks of underage substance use; Equip parents with the knowledge, skills, and confidence to prevent underage use; and Increase parents' actions to prevent underage use." (SAMHSA, September 2023)
"The campaign has registered more than 1,500 licensed campaign partners across the country" and garnered "more than 22.4 billion impressions of its PSAs... [estimated] at $267 million" in media value. (SAMHSA, September 2023)
View full source text
Date: September 29, 2023 Categories: Substance Use, Prevention By: Robert M. Vincent, M.S.Ed., Associate Administrator for Alcohol Prevention and Treatment Policy, SAMHSA’s Center for Substance Abuse Prevention and Nelia Nadal, M.P.H., Public Health Analyst, Center for Substance Abuse Prevention This year, “Talk. They Hear You.”® celebrates its 10th anniversary. SAMHSA’s national prevention campaign helps parents and caregivers, educators, and community members get informed, be prepared, and take action to prevent underage drinking and other substance use. The campaign is designed to capitalize on the prevention science literature and add to the knowledge base. The literature1,2 suggests that parents’ interactions with kids about alcohol and other substances can provide a unique opportunity for effective intervention. “Talk. They Hear You.”® seeks to: - Increase parents’ awareness of the prevalence and risks of underage substance use; - Equip parents with the knowledge, skills, and confidence to prevent underage use; and - Increase parents’ actions to prevent underage use. The campaign offers: - A mobile app - Screen4Success ― a 10-minute online screening tool to better understand your child’s health, wellness, and well-being (and find resources to address their needs) - “What Parents are Saying” podcast - “Parents’ Night Out” educational session toolkits - Discussion starter videos (and guides) - Public Service Announcements (PSAs) ― for TV, radio, and print (and original soundtracks) - E-newsletter - Other resources for parents and caregivers, schools, and communities, including products in Spanish Anyone can make use of the campaign’s free products and tools, anytime. Communities and schools can get started with “Talk. They Hear You.”® by downloading the easy-to-use campaign implementation guide (PDF | 925 KB). Launched in 2013, the campaign set out to provide parents and caregivers with resources to address alcohol with their children. In 2017, amid the opioid crisis, the campaign was extended to include other drugs; and in 2018, it grew from an initial focus on kids ages 9-15 to encompass all youth under age 21. Given the success of the campaign, it further expanded to include the role of schools in 2020 and communities in 2022. Screen4Success launched in 2022. Under the leadership of the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD), SAMHSA’s Center for Substance Abuse Prevention (CSAP) developed the “Talk. They Hear You.”® campaign in response to directives set forth in the Sober Truth on Preventing Underage Drinking Act (STOP Act), requiring the U.S. Department of Health and Human Services (HHS) Secretary to: fund and oversee a national adult-oriented media public service campaign; and report annually on the production, broadcasting, and evaluation of this campaign. The campaign has: - Registered more than 1,500 licensed campaign partners across the country. - Garnered more than 22.4 billion impressions of its PSAs on television, radio, and in print publications. The value of these PSAs, based on what they would have cost as paid ads, is estimated at $267 million. - Earned recognition from the National Parent Teacher Association’s School of Excellence Program. - Won 58 awards (Viddy Awards, Telly Awards, Berreth Award, dotCOMM Awards, Hermes Creative Awards, MarCom Awards, Thoth Award) since 2018. An evaluation of “Talk. They Hear You.”® is part of the ICCPUD’s annual Report to Congress. We invite you to celebrate “Talk. They Hear You.”® with us. You can also join us at SAMHSA’s 20th Prevention Day. Plan a local event with Communities Talk to Prevent Alcohol and Other Drug Misuse. Participate in National Prevention Week and #MyPreventionStory throughout the year. For additional opportunities for youth and young adults to get involved as agents of change, visit Voices of Youth. Download SAMHSA’s Prevention Month toolkit, each October. Everyone has a role to play in prevention. Check out our “Talk. They Hear You.”® campaign to learn more about what you can do today ― to advance prevention in your community. Together, we’re partners in prevention. 1 Nash SG, McQueen A, Bray JH. (2005). Pathways to Adolescent Alcohol Use: Family Environment, Peer Influence, and Parental Expectations. The Journal of Adolescent Health, 37(1), 19–28. 2 Wood MD, Read JP, Mitchell RE, Brand, NH. (2004). Do Parents Still Matter? Parent and Peer Influences on Alcohol Involvement Among Recent High School Graduates. Psychology of Addictive Behaviors, 18(1), 19–30.
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Read the original policy source.

Primary source text, linked directly.

https://www.samhsa.gov/blog/talk-they-hear-you-celebrates-10-years-preventing-underage-substance-use

Analysis by
Therapy Companion policy engine
Confidence
high
Analyzed
July 28, 2026
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