The Office of Addiction Services and Supports (OASAS) is an agency of the New York state government overseeing addiction prevention, treatment, recovery, and harm reduction services across New York. [1] It is part of the pro forma Department of Mental Hygiene along with the Office of Mental Health (OMH) and Office for People With Developmental Disabilities (OPWDD).
It regulates and funds a statewide network of certified providers, operates 12 state-run treatment centers, and serves over 700,000 individuals annually. OASAS sets standards for addiction care, distributes state and federal funding, and coordinates strategic initiatives to address substance use and problem gambling, including programs for underserved populations, harm reduction outreach, and peer-based recovery support.
OASAS oversees a comprehensive continuum of treatment programs for substance use and gambling disorders ranging from outpatient services to intensive residential care. OASAS itself directly operates 12 Addiction Treatment Centers staffed by medical and clinical professionals, providing state-run inpatient and residential treatment for approximately 5,000 individuals each year. [1] The vast majority of services, however, are delivered by community-based programs run by nonprofit agencies and hospitals under OASAS oversight. Within the certified treatment system alone, nearly 200,000 individuals receive substance use disorder (SUD) treatment in a given year. [2]
OASAS supports evidence-based programs in schools and communities targeting underage drinking, drug misuse, and gambling. [3] It funds regional Prevention Resource Centers and community coalitions that deliver education, workshops, and training sessions, and helps coordinate local prevention activities and public awareness campaigns. [4] [5]
OASAS oversees workforce development in the field: it establishes qualifications and administers professional credentialing for substance abuse counselors and prevention specialists, and provides training to improve the competence of the workforce. [1] Professional credentialing includes Credentialed Alcoholism and Substance Abuse Counselors (CASACs), Credentialed Prevention Professionals (CPPs), Credentialed Prevention Specialists (CPSs), and Credentialed Problem Gambling Counselors (CPGCs). [6] Within the Education Department, the State Board for Mental Health Practitioners licenses the mental health counselors (LMHCs) and the State Board for Social Work licenses the social workers (LMSWs, LCSWs) that are integral to addiction treatment and recovery support.
The Statewide Health Information Network for New York (SHIN-NY, pronounced "shiny") is a health information exchange that allows healthcare providers to access and share patient data, managed by the nonprofit New York eHealth Collaborative. There are several regional health information organizations such as Hixny.
The Department of Mental Hygiene was established in 1926–1927 as part of a restructuring of the state government, and was given responsibility for people diagnosed with mental illness, intellectual disability, or epilepsy. [7] [8] [9] In 1961 a Division of Alcoholism was created by executive order within it. In 1962 the Metcalf‐Volker Act provided for the civil commitment of narcotics addicts. [10] [11] In 1966 the Narcotic Addition Control Commission (NACC) was established within the Department of Mental Hygiene to oversee a statewide program for the compulsory treatment, prevention, and research of drug addiction, including court-ordered rehabilitation in state-run facilities and community-based outpatient clinics. [12] [13] In 1973, NACC was renamed the Drug Abuse Control Commission (DACC), expanding its authority to include other dangerous drugs while shifting outpatient supervision to probation departments. [14] [15] In 1975 it was further renamed the Office of Drug Abuse Services. [16]
In 1978, the Department of Mental Hygiene was reorganized into the autonomous Office of Mental Health (OMH), Office of Alcoholism and Substance Abuse (OASA), and the Office of Mental Retardation and Developmental Disabilities (OMRDD). [17] [9] In 1989 the Statewide Anti-Drug Abuse Council was created by executive order. [18] In 1992, the Division of Alcoholism and Alcohol Abuse (DAAA) and Division of Substance Abuse Services (DSAS) were merged into the Office of Alcoholism and Substance Abuse Services (OASAS). [19] [20] In 2012, the Protection of People with Special Needs Act (PPSNA) established the Justice Center for the Protection of People with Special Needs to create uniform safeguards for people with special needs served in residential facilities and day programs by provider agencies that are operated, licensed, or certified by a multitude of state agencies, including the OMH, OASAS, and OPWDD. [21] [22] In 2019 the Office of Alcoholism and Substance Abuse Services became the Office of Addiction Services and Supports (OASAS). [23] [24] [25] The Clinical and Research Institute on Addictions was established in affiliation with the University at Buffalo in 1970 for the conduct of biological, psychological, and social research on the etiology, prevention, and treatment of alcoholic disorders. [26]