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Rural Health Integration Models for Parents and Children to Thrive (IMPACT)


Additional Links

Fact Sheet
Notice of Funding Opportunity (


Application Deadline: Jul 2, 2018


Maternal and Child Health Bureau (MCHB)


Awards funding to 1 eligible organization to operate 3 demonstration projects seeking to implement evidence-based 2-generational strategies that address health, social, and economic issues to improve the well-being of young children and parents in rural areas. Offers technical assistance, training, and support to demonstration sites to coordinate programs and services that support healthy childhood development and increase family economic opportunity. Provides universal technical assistance to the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) and Early Childhood Comprehensive Systems (ECCS) programs.

Program goals include:

  • Ensuring rural children, prenatal to age 3, and their families have access to coordinated health, development, education, and family support services
  • Improving early identification and intervention of high-risk families who have experienced or are at risk for adverse childhood experiences (ACEs), maternal depression and other mental health issues, substance use disorders (SUDs), including opioid use and related neonatal abstinence syndrome (NAS), as well as other factors leading to poor health and social outcomes for rural families
  • Developing, implementing, and expanding two-generational strategies that link children and their families to services that support children's healthy development and help families achieve economic security and self-sufficiency

Program activities include:

  • Building on lessons learned from the initial Rural IMPACT demonstration to provide sites with better resources, assistance, planning, partnerships, and leadership assistance
  • Identifying three demonstration sites and providing intensive technical assistance
  • Providing universal technical assistance to additional HRSA-funded programs by identifying and disseminating resources
  • Convening a representative steering committee to guide program strategies and activities
  • Establishing partnerships between national organizations in key program areas and local communities
  • Implementing appropriate quality improvement plans and mechanisms

Part of HRSA's Early Childhood Systems (ECS) portfolio that supports the development of 2-generational early childhood systems at the state and community level in order to improve population level health, well-being, and development of infants, toddlers, and families.

Amount of Funding

Award ceiling: $600,000 per year
Project period: Up to 5 years
Estimated number of awards: 1
Estimated total program funding: $600,000

Who Can Apply

Any domestic public or private entities, including Indian tribes and tribal organizations, and domestic faith-based and community-based organizations are eligible to apply.

Geographic Coverage


What This Program Funds

New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information about the online application process are available on the program website.


For programmatic or technical questions:
Dina Joy Lieser, MD, FAAP

For grants management or budget questions:
Mary C. Worrell

Topics This Program Addresses

Adverse Childhood Experiences • Mental Health • Opioids • Parents, Families, and Children • Social Services • Substance Use Disorder • Women