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Tribal Opioid Response Grants (TOR)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Mar 19, 2021

Sponsoring Organization

Substance Abuse and Mental Health Services Administration (SAMHSA)


Awards noncompetitive grants to strengthen and expand responses to the opioid epidemic in American Indian and Alaska Native (AI/AN) tribal communities. Increases access to culturally appropriate and evidence-based treatment, including medication-assisted treatment (MAT), to reduce unmet treatment needs and opioid related deaths through prevention, treatment, and recovery activities for OUD. Funds may also be used to address stimulant use disorders and the misuse of stimulants, such as cocaine and methamphetamine. Required program activities include:

  • Completing a comprehensive strategic plan, based on the most current epidemiological data, to address gaps in prevention, treatment, and recovery efforts
  • Implementing workforce development activities to ensure individuals working in tribal communities are well versed in strategies to prevent and treat opioid misuse
  • Developing prevention strategies, such as elder education; outreach and engagement of youth; strategic messaging and community prevention activities; purchasing naloxone and training people on its use
  • Implementing service delivery models that enable the full spectrum of treatment and recovery support services that facilitate positive treatment outcomes and long term recovery
  • Implementing community recovery support services, including peer supports, recovery coaches, spiritual support, social engagement, and recovery housing
  • Providing treatment transition and coverage for patients reentering communities from the criminal justice system or other rehabilitative settings
  • Assessing the impact of the grant

Amount of Funding

Funds are distributed noncompetitively based on each tribe's user population. Annual award amounts can be found in Appendix K of the funding announcement.

Project period: Up to 2 years
Estimated number of awards: 150
Estimated total program funding: $37,647,916

Who Can Apply

Federally recognized American Indian or Alaska Native (AI/AN) tribes or tribal organizations are eligible to apply. Tribes and tribal organizations may apply individually, as a consortium, or in partnership with an urban Indian organization (UIO).

Grant recipients funded under TI-20-011 fiscal year (FY) 2020 Tribal Opioid Response Grants are not eligible to apply for this funding opportunity.

Geographic Coverage


What This Program Funds

Capacity Building • Operating Costs and Staffing • Training Providers

Application Process

Application instructions, requirements, and other information is available in the funding announcement.


For programmatic questions:
Amy Romero

For grants management or budget questions:
Odessa Crocker

For grant review process and application status questions:
Angela Houde

Rural Awards

Past awards communities have received are described on the program website.

Rural communities who have received funding include:

  • Winnebago Tribe in Winnebago, Nebraska received funding to provide outreach for pre-treatment and aftercare treatment needs for 30 clients from tribal halfway houses and men's and women's shelters. The program will also incorporate spiritual and cultural healing practices into client recovery plans.
  • Turtle Mountain Tribe in Belcourt, North Dakota were granted funds to increase capacity of the 5th Generation Healing Center in order to serve 60 additional clients and their families, train 500 community members in the use of Narcan, train 5 doctors in MAT, and reach 2,000 community members with information on opioid and methamphetamine use.
  • St. Croix Chippewa Indians in Webster, Wisconsin received grant funding to increase access to stimulant and opioid use disorder treatment through the St. Croix Tribal Health Clinic and Behavioral Health Clinic. Funds will be used to hire behavioral health clinicians, ensure competency in evidence-based strategies, and provide last-resort cost assistance for residential treatment.

Topics This Program Addresses

American Indians, Alaska Natives, and Native Hawaiians • Harm Reduction • Health and Wellness • Health Education for Community and Patients • Justice System • Medication-Assisted Treatment (MAT) • Methamphetamine • Naloxone • Opioids • Overdose Prevention • Prevention • Recovery • Reimbursement and Payment Models • Substance Use Disorder • Teleservices and Technology • Treatment