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The correct expansion of SAMHSA is "Substance Abuse and Mental Health Services Administration." This agency is crucial in the realm of public health and serves to improve the quality and availability of substance use and mental health services in the United States. SAMHSA's primary objective is to lead the nation in the prevention, treatment, and recovery support from mental and substance use disorders, thereby promoting a more integrated approach to health care.

Understanding the nuances within the other options can help clarify why they do not accurately reflect the core mission and naming of this agency. For instance, while options discussing "Substance and Mental Health" may seem relevant, they mischaracterize the specific focus of SAMHSA on both "substance abuse" and "mental health," which are critical components of its mission. Additionally, terms like "Maintenance Health Services Authority" do not align with the established name and purpose of the agency, demonstrating a lack of adherence to the recognized terminology in mental health and substance abuse services. Overall, recognizing the precise name helps reaffirm the agency's role and responsibilities within the mental health landscape.