Tribal Opioid Response Grants (TOR)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jul 1, 2024


Substance Abuse and Mental Health Services Administration (SAMHSA)


Awards noncompetitive grants to strengthen and expand responses to the opioid crisis in tribal communities. Aims to reduce substance misuse and overdose deaths by supporting prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD) and co-occurring substance use disorders. Supports efforts to increase access to culturally appropriate and evidence-based treatment, including Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD). Funds may also be used to address stimulant use disorders and the misuse of stimulants, such as cocaine and methamphetamine.

One or more required activities must be selected and implemented from the following focus areas: treatment, harm reduction, prevention, or recovery support services. Recipients are not required to choose an activity from each category and should choose the activities most appropriate to address the needs of their communities. A complete list of required activities in each focus area can be found in the funding announcement.

Applicants are encouraged to incorporate priorities, strategies, and approaches from the National Tribal Behavioral Health Agenda.

Amount of Funding

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

Project period: Up to 5 years
Estimated number of awards: 130
Estimated total program funding: $63,000,000

Who Can Apply

Federally recognized tribes, tribal organizations, and consortia of tribes and tribal organizations are eligible to apply.

Additional provision of service requirements include:

  • A provider organization for direct services appropriate to the grant must be involved in the proposed project. The provider may be the applicant or another organization committed to the project. More than 1 provider organization may be involved.
  • Each tribe and tribal organization must officially document that all participating tribal mental health/substance use disorder (SUD) treatment provider organizations either comply with all applicable tribal requirements for licensing, accreditation, and certification or that such tribal licensing, accreditation, and certification requirements do not exist.
  • Non-tribal mental health/SUD treatment provider organizations must have at least 2 years experience providing relevant services. Non-tribal mental health/SUD treatment provider organizations must comply with all applicable local, city, county, and state licensing, accreditation, and certification requirements, as of the due date of the application.

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.

Applicant webinar
(Registration required)
May 16, 2024
4:00 - 5:30 p.m. Eastern


For programmatic questions:
William Longinetti

For grants management or budget questions:

For grant review process and application status questions:
Sara Fleming

Rural Awards

Past awards communities received in fiscal year 2022 can be found on the program website.

Rural communities who have received funding include:

  • Kickapoo Tribe in Horton, Kansas received an award to implement the Return to Community project to provide tribal members with holistic behavioral health services, including prevention; screening; treatment; community-based MOUD, and peer-led recovery for opioid, stimulant, and other substance use.
  • Eastern Shoshone Tribe in Fort Washakie, Wyoming was awarded funding for the Eastern Shoshone Recovery Medication-Assisted Treatment (MAT) program to address increased opioid use on the Wind River Reservation. The program will expand access to evidence-based treatment for 30 tribal members and implement culturally centered prevention and education services to decrease opioid and stimulant use disorders in the community.
  • Southern Ute Indian Tribe in Ignacio, Colorado received funding to build capacity to deliver harm reduction interventions for the tribal population on or near the Southern Ute Reservation. Program activities include MAT, naloxone training and distribution, anti-stigma marketing campaigns, and recovery housing.
  • Kiowa Tribe in Carnegie, Oklahoma was awarded a grant to establish MAT services for the tribal population in the Anadarko area in southwest Oklahoma. The program seeks to increase the number of individual receiving MAT through outreach, recovery supportive services, formal collaborations, community education, professional workforce development, and other activities.

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