SUBSTANCE ABUSE

该项目将研究ADAMH整体赠款计划对以下方面的影响 通过分析50年代的支出数据来分析州药物滥用支出 1984-96财政年度之间的州。关于这个街区的一个中心问题 赠款形式的政府间援助是指各国是否将资金花在 预期的服务，或者是否使用预算策略来出现 遵守维持努力的规定，但有效 重新分配药物滥用服务的整笔赠款资金。这个 调查人员对六年国家药物滥用的初步研究 机构支出表明，ADAMH的整体拨款刺激了州政府 支出，但这种影响可能只是自1990年以来，而且因州而异。 鉴于1993年因滥用药物而终止的整笔补助金的变化， 整笔赠款作为国家资金来源的持续重要性 各机构滥用药物，以及对整笔赠款的浓厚兴趣 在“新的、新的联邦主义”中，仔细研究ADAMH 有批量赠与经验是有保证的。对ADAMH影响的兴趣 针对陈旧支出的整笔拨款超出了药物滥用社区的范畴 给那些关心政府间关系和公共资金的人 社会项目。 该项目将： L。记录联邦整笔拨款要求和执法努力 学习的时间。 2.对整笔拨款的效果进行计量经济学调查 为州政府机构支出提供资金。1989-1992年整笔补助金公式的变化 并在1993年收益率外生变化的关键自变量 利息。我们将测试中间选民理论的一个含义，即 增加整笔拨款将对药物滥用产生影响 相当于国家人均收入增加的资金。此外，我们 将检验以下与实质政策相关的假设 滥用服务资金： H1：联邦整体拨款每增加一美元，州政府就会增加 少花一美元。 H2：加强联邦政府对整笔拨款规定的执行，包括 维持努力的规定与更大的影响 政府支出的整笔拨款。 H3：药物滥用机构是精神病患者的一部分的州 卫生机构将增加药物滥用支出减少以应对 与美国各州相比，联邦政府支出有所增加 药物滥用机构不是精神健康机构的一部分。 H4：整笔拨款在州中所占比例较大的州 支出将增加他们的支出，以回应整笔拨款 与整笔赠款数额较小的州相比 国家基金份额。 3.使用州整笔拨款报告和与州机构的讨论 一些州的人员定性地评估联邦政府 法规在影响国家组成方面取得了成功 在服务类别内和目标人群的支出。

This project will study the effect of the ADAMH block grant program on state substance abuse spending by analyzing spending data from the fifty states between fiscal years 1984-96. A central question about the block grant form of intergovernmental aid is whether states spend the funds on the intended services, or whether they use budgetary strategies to appear to be in compliance with maintenance-of-effort provisions but in effect reallocate block grant funds away from substance abuse services. The investigators' preliminary study of six years of state substance abuse agency spending suggests that the ADAMH block grant has stimulated state spending, but this effect may be only since 1990, and differs by state. Given changes in the block grant ending for substance abuse in 1993, the continued importance of the block grant as a source of funding for state agencies in substance abuse, and the heightened interest in block grants across the board in the "new, new federalism," careful study of the ADAMH block grant experience is warranted. Interest in the impact of the ADAMH block grant on stale spending extends beyond the substance abuse community to those concerned with intergovernmental relations and public funding for social programs. This project will: l. Document federal block grant requirements and enforcement efforts over the period of study. 2. Conduct an econometric investigation of the effect of block grant funding on state agency spending. Block grant formula changes in 1989-1992 and in 1993 yield exogenous changes in the key independent variable of interest. We will test an implication of median voter theory that an increase in block grant funding will have an effect on substance abuse funding equal to an increase in state per capita income. In addition, we will test the following hypotheses relevant to policy towards substance abuse services funding: H1: A one dollar increase in federal block grant funding increases state spending by one dollar. H2: Increased federal enforcement of block grant regulations including maintenance-of-effort regulations is associated with a larger impact of block grants on state spending. H3: States in which the substance abuse agency is part of the mental health agency will increase substance abuse spending less in response to an increase in federal spending in comparison to states in which the substance abuse agency is not part of the mental health agency. H4: States in which the block grant makes up a larger share of state spending will increase their spending more in response to block grant funding in comparison to states in which the block grant is a smaller share of state funds. 3. Use state block grant reports and discussions with state agency personnel in a subset of states to assess qualitatively whether federal regulations have been successful in influencing the composition of state spending within categories of service, and for target populations.