Trump officials froze a federal database of addiction and mental health treatments. Nobody's sure why.

In late December, the Health and Human Services Department canceled the contract of the organization that oversees the National Registry of Evidence-based Programs and Practices, a federal database of vetted and approved interventions to treat drug addiction and mental illness, The Washington Post reports. HHS officials froze the website in September, meaning no new treatments have been added in the past 90 days, and mental health and substance abuse specialists are both concerned about the database's future and confused as to why the Trump administration is changing the registry after 20 years.

Instead of an outside contractor, Development Services Group Inc., choosing which treatments are scientifically sound, the HHS Substance Abuse and Mental Health Services Administration (SAMHSA), and specifically its new National Mental Health and Substance Use Policy Laboratory, or Policy Lab, will run the registry. Sen. Rob Portman (R-Ohio) said he was "concerned" by the change "and looking into it," and Rep. Grace Meng (D-N.Y.) said she was "shocked to learn that the NREPP contract has been terminated as an opioid epidemic continues to shake our nation" and is "determined to find out why SAMHSA has made such a mind-boggling decision."

Mental health professionals tell the Post they view the database as neutral, nonpartisan, and a crucial tool for choosing treatments, and they're worried moving it inside SAMHSA could politicize the treatment selection process. Agency spokesman Christopher Garrett said Wednesday that it's SAMHSA's job to "lead the efforts to rapidly institute evidence-based practices in all behavioral health treatment programs," and "the federal government should not be in the business of having a single contractor determine winners and losers in behavioral health care." In its email informing program participants its contract was canceled, Development Services Group said SAMHSA explained the decision as "for the convenience of the government." You can read more about the registry at The Washington Post.

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