Shatterproof Statement on SAMHSA National Survey on Drug Use and Health Staffing Cuts
NORWALK, Conn., April 4, 2025 /PRNewswire/ -- Staff at the Substance Abuse and Mental Health Services Administration (SAMHSA) responsible for conducting the National Survey on Drug Use and Health (NSDUH) were impacted by the recent reduction in force within HHS and its component agencies. There is reason to be concerned that these changes will impede the public's ability to access important data from this survey that has been ongoing since 1971.
NSDUH provides valuable insights annually on the scope of the problem of drug use in the United States, including the types of substances used, treatments engaged, and payors involved in paying for that treatment. This data informs policymakers and market participants on unmet needs and solutions to address addiction. Nearly 49 million Americans ages 12 and older had a substance use disorder (SUD) within the past year, and the NSDUH is an invaluable source of nationally representative data on the use of tobacco, alcohol, and drugs and the trends and challenges driving the addiction crisis in the U.S.
HHS Secretary Kennedy and Congress have made addressing addiction a priority, and it is essential that we have a robust, best-practice national survey to inform substance use policy and treatment resources. Ideally, this should include the publication of the forthcoming NSDUH 2024 data without interruption. This will enable Congress and state and local governments to make evidence-informed decisions in the fight against addiction – one of our nation's most pressing public health challenges that take the lives of nearly 250 people a day.
'Without this single, historic measure of U.S substance use and misuse, we lose our ONLY way to monitor and manage problems that seriously affect the entire population,' said Thomas McLellan, PhD, Emeritus Professor, Perelman School of Medicine, University of Pennsylvania, and Shatterproof Scientific Advisor. 'America cannot be great if it continues to suffer from substance use disorder - and without NSDUH we will lose our major monitoring and management tool.'
As one of the leading national nonprofits focused on helping people navigate the complexities of SUD, Shatterproof urges the Trump Administration and Congress to make publication of the NSDUH a very timely priority.
About Shatterproof
Shatterproof is a national nonprofit organization dedicated to transforming the addiction treatment system in the U.S. Shatterproof is focused on guiding society, especially families, through the complexities of a substance use disorder; informing the public on prevention, treatment and recovery from addiction; and educating the public to reduce addiction stigma to ensure that people who use substances or have a substance use disorder can live healthy and fulfilled lives. Find Shatterproof on Facebook, X and YouTube: @ShatterproofHQ or follow them on Instagram at @weareshatterproof. To learn more, visit www.Shatterproof.org.
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Pillay, who is also a leadership development expert who works with Fortune 500 companies to help them build more resilient, agile, creative and productive teams, shares that according to research from McKinsey & Co., employee disengagement and attrition could cost a median-size S&P 500 company between $228 million and $355 million a year in lost productivity. 'Over five years, that's at least $1.1 billion in lost value per company. The multitasking that occurs while working and engaging social media may slow people down, hamper creativity, and increase anxiety, thereby impacting engagement.' Taking breaks and getting outside can help you get back on track with your day after a disruptive ... More scrolling session. Prentis Hemphill, a therapist focused on embodiment and the author of What It Takes to Heal, encourages starting by acknowledging how social media is actually designed to hijack your attention. 'I think it's good for us to know and understand that the design of social media has us consuming a lot of information and experiences of other people, but the speed at which we can do that doesn't align with the speed at which our body processes emotion and experiences. So if we end up in that scrolling vortex, we usually experience some kind of overwhelm.' That information about your mental state gives you a starting place. 'Once we notice we're triggered or overwhelmed, that's a time to take a step back.' They encourage checking in with yourself about exactly what you're feeling. 'This can give you clues as to which actions you can take. Discern exactly what it is you feel.' When we recognize what we're feeling and what's contributing to the uncomfortable feelings, explains Dr. Fleck, 'we get some information about what the antidote would be.' In many cases, she says, the inverse can be helpful. If you're scrolling inside, get outdoors, if you're in a climate with sun. 'You can even just sit outside without your phone.' Or if you've been sitting down while scrolling, 'flip that on its head and get some movement. These are just some physiological ways of regulating your body.' Considering how social media impacts your thoughts is also helpful, she says. 'On social media, you're being told to buy this and do that. You're getting the fundamental messaging that you're not enough. Self-validation is so important. You can say to yourself, 'I don't need anything other than what I am and what I have. I am enough.' You can validate, of course I'm feeling bad—I'm comparing myself to people who are photoshopped to the nth degree. Recognize that it's a distorted reality.' Sometimes being honest with yourself about what you're looking for on social media can also offer valuable clues, explains Dr. Fleck. 'If you're getting into scrolling while you're working, most likely what you need in that moment is a break from the mental stimulation of the work you're doing.' However, instead of giving ourselves a break, we flood our nervous system with these messages, she says, 'and it makes us feel keyed up and burnt out at the same time. Instead of restoring our faculties, we've exhausted them. So if the function is to regulate or distract, if you notice this pattern more than once, it becomes about, 'What can I do' to change this pattern.' Hemphill adds, 'Carving out some time and space to be with your focus and train your focus as best you can makes it a little easier to you do have to refocus or shift, having a mini ritual, such as a mini meditation, to help you be intentional about that transition to where you're back in the driver's seat of your attention can help you. A lot of us don't transition back—our minds are still in that other space but we have work to do. This helps us get back into our bodies.' Some other examples they share are taking a deep breath and going outside to connect with nature and your body. Dr. Pillay adds that deliberately seeking positive online experiences can help in the shrt term too. 'For example, if laughing babies make a person happy, they might search for a video online to switch their mood instantly. Or if a particular song puts them in a better mood, they might listen to that song immediately.' He also points to a study that demonstrated that affirming one's values is rewarding to the brain. 'This works especially if you think about what you want to honor in the future.' Your mindset around social media has been shown to play a role in how it impacts you. Dr Fleck encourages being honest with yourself about why you're scrolling. To go back to the example of someone looking up symptoms, she says, 'When we look up symptoms on social media, sometimes we're seeking some degree of, 'Is there anybody out there who's feeling what I feel?' What we're seeking there is some signal that what we're going through is real and overwhelming and hard. But that isn't always the type of validation that serves us. It would be so much healthier to have someone to talk to rather than validation that things are as bad as they seem.' If you've noticed that some people you know will tell you they find social media uplifting while others find it draining, the reason for that likely lies within, explains Dr. Pillay. 'Recent research suggests the answer lies not in the platforms themselves, but in the mindsets we bring to them. In a large-scale, multi-study investigation involving over 2,000 participants, scientists introduced the concept of social media mindsets—core beliefs about how much control people feel over their use and whether they view it as helpful or harmful to their lives.' 'The study found that people with a sense of agency and a positive outlook on social media's role in their lives tend to enjoy greater psychological and relational well-being,' he says. 'In contrast, those who feel out of control and believe social media harms them report higher levels of distress.' Those who felt like they could control when they scrolled and could take a break whenever they wanted fared better than those who felt like it was out of their control. 'As you rethink your digital health behaviors,' says Dr. Pillay, 'consider that changing your mindset may just change your relationship with social media—and yourself. Health experts recommend setting healthy boundaries with social media and building in restorative ... More daily practices. The Lifestance survey data reflects that an increasing number of people are considering using digital detoxes as ways to disconnect, with 76% of respondents reporting that they find the idea of a digital detox appealing, with Gen Z (84%) and millennial (83%) respondents most interested compared to respondents from other generations. Over a quarter of respondents stated that they actually believe a permanent TikTok ban would positively impact their mental health. 'I think these questions of how we manage social media in our lives are so important,' says Hemphill. 'I think it's so important for us to have identities and lives that are full beyond social media.' They encourage exploring how you can cultivate a sense of autonomy when we have such strong algorithms driving negative emotions like insecurity and fear. Hemphill recommends designating specific times and spaces for social media. 'Setting blocks of time can help you set a reliable place and time where you know you can go in and come out. There are also places that are sacred spaces. I don't scroll on social media when I'm with my kid or my partner. I also try to have other practices during my day and hold certain spaces sacred where social media can't enter. You can also fill out your own social media experience with the types of content you want to see.' Matthew Solit, LCSW, Executive Clinical Director at LifeStance Health, adds, 'Be careful with online mental health content and self-diagnosis. While it may seem more comfortable, it is not reliable. Wellness takes work and that work is most likely actualized through working in direct partnership with mental health professionals. The mental health challenges that can be fueled by excessive internet use, 'doom-scrolling' and overstimulation are real. If your thoughts involve harming yourself or others, please seek help immediately.'
