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State Targeted Response to the Opioid Crisis Grants (Opioid STR)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Feb 17, 2017

Sponsoring Organization

Substance Abuse and Mental Health Services Administration (SAMHSA)


Aims to address the opioid crisis by increasing access to treatment, reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment, and recovery activities for opioid use disorder (OUD), including prescription opioids as well as illicit drugs such as heroin. Provides states and territories with formula grants to develop the skills and abilities required to effectively provide OUD treatment and to address the unmet need for OUD treatment and drug related deaths.

Required program activities include:

  1. Creating a needs assessment from statewide epidemiological data (or, if a needs assessment process is already established, collaborating with the local, state, or tribal epidemiological outcomes workgroup to improve and augment the existing process and its discoveries) to perform the following assessments:
    • Identifying locations where frequent opioid misuse and related activities occur
    • Determining the amount and location of local providers that offer opioid use treatment services
    • Identifying established practices and funding sources, as well as gaps in activities concerning opioid use prevention, treatment, and recovery
  2. Forming comprehensive, statewide strategies to fill identified gaps in opioid-related services
  3. Using evidence-based practices supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) or the Centers for Disease Control and Prevention (CDC) proven to decrease the amount of opioid-related deaths. Methods are used to plan, execute, improve, and evaluate primary and secondary prevention.
  4. Developing or increasing access to evidence-based OUD treatment, especially medication-assisted treatment (MAT) using methadone and other medications approved by the U.S. Food and Drug Administration (FDA)
  5. Creating new strategies and offering financial assistance to individuals with little to no insurance to help with treatment expenses
  6. Providing reintegration services for patients returning to their communities from incarceration or other rehabilitation settings
  7. Improving or fostering peer and other recovery support services meant to enhance retention in treatment, increase access to services, and promote long-term recovery

Allowable program activities include:

  • Providing training to substance use and mental health providers on best practices for prescribing opioids, pain management, recognizing potential cases of SUD, the treatment program referral process, and overdose prevention
  • Supporting access to healthcare services
  • Addressing barriers to receiving treatment such as reducing treatment costs, patient engagement and retention, developing a system of care, and addressing discrimination associated with received treatment
  • Training OUD prevention and treatment providers
  • Implementing telehealth services in rural and underserved areas
  • Adding health information technology programs to improve clinical decision tools, and support and engage patients with OUD
  • Purchasing naloxone for distribution in high need communities and training first responders, substance use treatment and prevention providers, and other on naloxone use as needed
  • Enhancing the state prescription drug monitoring program (PDMP)
  • Creating and/or improving statewide and community-based recovery support systems, networks, and organizations to increase the capacity at the state and local levels to design and implement peer and other recovery support services

Opioid STR presentation slides

Amount of Funding

Award ceiling: $44,749,771
Project period: Up to 2 years
Estimated number of awards: 59
Estimated total program funding: $485,000,000

State allocations for the Opioid STR grants are calculated by a formula based on the number of people with abuse or dependence on opioids with unmet treatment needs (NSDUH, 2011-2014) and the number of drug poisoning deaths (CDC Surveillance System). Appendix E of the program guidance offers more information on the formula award.

Who Can Apply

Single state agencies (SSAs) are eligible to apply.

Geographic Coverage


What This Program Funds

Capacity Building • Equipment • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in part I and part II of the funding announcement.

Applicant frequently asked questions


For programmatic questions:
Donna Hillman

Tonia Gray

For grants management or budget questions:
Odessa Crocker

Topics This Program Addresses

Community Planning and Coalition Building • Health and Wellness • Justice System • Medication-Assisted Treatment (MAT) • Naloxone • Opioids • Pain Management and Opioid Prescribing • Prevention • Recovery • Substance Use Disorder • Teleservices and Technology • Treatment