First Responders – Comprehensive Addiction and Recovery Act (FR-CARA)
Application Deadline: May 17, 2021
Substance Abuse and Mental Health Services Administration (SAMHSA)
Awards funding to allow the use of drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency reversal of known or suspected opioid overdose by first responders, including firefighters, law enforcement officers, paramedics, emergency medical technicians, or other legally organized and recognized volunteer organizations that respond to adverse opioid related incidents, and members of other key community sectors. Provides training and resources at the state, tribal, and local levels to first responders on carrying and administering drugs or devices approved for emergency treatment of known or suspected opioid overdose. Offers funding to establish processes and protocols for referral to appropriate treatment and recovery support services, and for safety around fentanyl, carfentanil, and other dangerous licit and illicit drugs.
Required program activities include:
- Making drugs or devices for emergency reversal of known or suspected opioid overdose available to be carried and administered by first responders and members of other key community sectors
- Training and providing resources for first responders and members of other key community sectors on carrying and administering drugs or devices for emergency reversal of known or suspected opioid overdose
- Training and providing resources for first responders and members of other key community sectors on safety around fentanyl, carfentanil, and other dangerous licit and illicit drugs
- Establishing processes, protocols, and mechanisms for referral to appropriate treatment and recovery communities, and safety around fentanyl, carfentanil, and other dangerous licit and illicit drugs, including hiring an outreach coordinator or team to connect individuals receiving opioid overdose reversal drugs to follow-up services
Other allowable FR-CARA activities include:
- Collaborating with healthcare providers to educate them on overdose dangers and recommend they provide resources to overdose victims and families
- Establishing protocols in collaboration with peer service providers to implement warm handoffs after opioid reversal events
- Providing public education on state "Good Samaritan" laws that permit bystanders to alert emergency responders to an overdose or to administer overdose reversal drugs approved by the U.S. Food and Drug Administration (FDA) without fear of civil or criminal penalties
- Forming or joining an established advisory council that meets the requirements of the grant
Amount of Funding
- Up to $800,000 per year for states
- Up to $500,000 per year for local government entities
- Up to $250,000 per year for tribes or tribal organizations
Project period: Up to 4 years
Estimated number of awards: 15-20
Estimated total program funding: $7,900,000
Approximately $4,500,000 of the total funding will be for recipients serving rural communities with high rates of opioid abuse.
Who Can Apply
Applications may be submitted by:
- State governments
- Federally recognized American Indian/Alaska Native (AI/AN) tribes, tribal organizations, Urban Indian Organizations, and consortia of tribes or tribal organizations
- Local governmental entities including, but not limited to, municipal corporations, counties, cities, boroughs, incorporated towns, and townships
Applicants proposing to serve rural areas must document that the community where the project will be implemented is not located in a metropolitan statistical area (MSA), as defined by the U.S. Office of Management and Budget, and has disproportionately impacted by opioid abuse.
Grant recipients funded under First Responders-Comprehensive Addiction and Recovery Act (FR-CARA) SP-17-005 in fiscal year (FY) 2018 and under FR-CARA TI-19-004 in FY 2019 and 2020 are not eligible to apply for this funding opportunity.
What This Program Funds
Application instructions, requirements, and other information about the online application process can be found in the funding announcement.
For programmatic or technical
For grants management or budget
For grant review process and application status
Rural communities who have received funding include:
- Vermont State Agency of Human Services in Waterbury received a grant for the Vermont First Responder Emergency Opioid Response Project to expand access to naloxone to over 6,648 first responders in 12 rural counties in Vermont. The project also offers training to first responders on opioid overdose response, community education on overdose harm reduction, integrating EMS providers as referral partners for patients, and improved inter-departmental coordination.
- Southern Plains Tribal Health Board Foundation in Oklahoma City, Oklahoma, received funding for its CARA Project to train and provide resources to first responders on carrying and administering naloxone and on safety around fentanyl and other dangerous drugs in designated rural areas. The program aims to train 800 first responders, provide outreach activities to 4,000 Native American families, and reach 72,000 Native American adults through media campaigns.
- Lake of the Woods County Auditors in Baudette, Minnesota used funding to provide opioid overdose response training to all first responders in rural Lake of the Woods County. The program will address opioid use and overdose through community involvement, physician education, law enforcement education, and the implementation of consistent opioid prescription guidelines.
Topics This Program Addresses
Emergency Medical Services • Harm Reduction • Health Education for Community and Patients • Naloxone • Opioids • Overdose Prevention • Recovery • Substance Use Disorder • Treatment