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Addiction Medicine Fellowship Program
Letter of Intent
Jan 13, 2020
Application Deadline: Feb 25, 2020
Bureau of Health Workforce (BHW)
Awards funding to accredited institutions to expand addiction medicine fellowship (AMF) and addiction psychiatry fellowship (APF) programs and increase the number of fellows trained as addiction psychiatry physicians or as primary care doctors with an addiction subspecialty. Supports clinical training that integrates primary care with mental health disorder and substance use disorder (SUD) prevention and treatment services in underserved, community-based settings. Aims to help patients in underserved areas access quality addiction prevention, treatment, and recovery services at various points of care across different sectors of the healthcare system.
Program objectives include:
- Increase the number of board certified addiction medicine or addiction psychiatry sub-specialists per program annually by providing stipends for new fellowship slots and additional program support to sponsoring institutions
- Establish formal relationships and collaborate with underserved, community-based practice sites, such as HRSA-supported health centers, integrated behavioral health centers, medication-assisted treatment (MAT) facilities, and affiliated evidence-based substance use treatment centers, to provide AMF training
- Develop or strengthen AMF faculty training from collaborating programs to enhance faculty skills and expertise in the provision of opioid use disorder (OUD) and SUD prevention, treatment, and recovery services as part of an integrated, interprofessional team
Funded programs are intended to support U.S. Department of Health and Human Services (HHS) and Health Resources and Services Administration (HRSA) priorities of combating the opioid crisis and mental health disorders, transforming the workforce by targeting the need, and expanding telehealth.
Stipend amounts may not exceed $100,000 per fellow. Fellows may receive no more than 12 consecutive months of stipend support through this program. Part-time trainees are allowed to receive a stipend prorated at one-half of the fixed amount for no more than 24 consecutive months.
Amount of Funding
Award ceiling: $800,000 per year
Project period: 5 years
Estimated number of awards: 33
Estimated total program funding: $26,700,000
Matching funds are required only in cases where the AMF program chooses to provide stipends that exceed $100,000 per fellow. Recipients must cover any stipend costs beyond $100,000, including funds needed to meet geographic reimbursement requirements set by the applicable educational institution or association. Matching funds must be from non-federal sources.
Who Can Apply
Eligible applicants include U.S. based sponsoring institutions of accredited addiction medicine fellowship programs or accredited addiction psychiatry fellowship programs, or a consortium consisting of at least one domestic teaching health center and one domestic addiction medicine or addiction psychiatry fellowship program.
In order to be eligible, sponsoring institutions of addiction medicine or addiction psychiatry fellowship programs must be accredited by the Accreditation Council for Graduate Medical Education (ACGME). American College of Academic Addiction Medicine (ACAAM) accredited programs not actively seeking ACGME accreditation will not be eligible for the AMF program after 2021.
Applicants can request funding priority by demonstrating that they meet one of the three criteria below:
- Priority 1: Team-based care by demonstrating the applicant's experience in training providers to practice team-based care that integrates mental health and SUD prevention, treatment, and recovery services with primary care in community-based settings. At least 40% of AMF or APF program graduates must have been trained in interprofessional teams comprised of at least two additional disciplines for at least one training rotation in the past two academic years, 2017-2018 and 2018-2019.
- Priority 2: Health information
technology by demonstrating the applicant's
experience in training providers in the use of health
information technology and/or telehealth. At least 25% of
the existing AMF/APF program curriculum or rotations must
integrate the use of telehealth or health information
technology to support:
- The delivery of mental health and SUDs services
- Community health centers in integrating primary care and mental and SUD/OUD treatment
- Priority 3: Rural, tribal, or underserved
communities by demonstrating the applicant's
ability to expand access to mental health and SUD
services in areas with demonstrated need. Programs must
train AMF/APF fellows in a rural, tribal, or other
underserved areas defined by one of the following
- Training site(s) is/are located in Mental Health Health Professional Shortage Areas (HPSAs) with a score of 16 or above as found in the HPSA Find tool.
- Training site(s) is/are located in a county with a drug overdose rate higher than the national average of 21.7 per 100,000 population. Applicants must indicate the source of their data and county overdose rates must be in terms of population per 100,000.
In addition to the funding priorities listed above, applicants may also request a funding preference under one of three qualifications for placing program graduates in medically underserved communities (MUCs):
- Qualification 1: High rate must demonstrate that at least 50% of program graduates in practice settings serving MUCs in academic years 2017-2018 and 2018-2019.
- Qualification 2: Significant increase must demonstrate a 25% increase placing program graduates in MUCs from academic year 2017-2018 to academic year 2018-2019.
- Qualification 3: New program must meet at least four of the criteria related to MUCs specified in Part V of the program guidance. New programs are defined as any program that has graduated/completed less than three classes.
Medically underserved communities are defined as Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), Medically Underserved Populations (MUPs), or a Governor Certified Shortage Areas for Rural Health Clinic (RHC) purposes HPSA. Applicants can document these designations using the HRSA Shortage Area Dashboard.
What This Program Funds
Operating Costs and Staffing • Training Providers
Application instructions, requirements, and other information can be found in the funding announcement.
Letter of intent (LOI) requested but not required. Applicants should email their LOI to HRSADSO@hrsa.gov by January 13, 2020.
For programmatic or technical
Miryam C. Gerdine, MPH
For grants management or budget
Topics This Program Addresses
Healthcare Workforce • Medication-Assisted Treatment (MAT) • Mental Health • Opioids • Prevention • Recovery • Substance Use Disorder • Teleservices and Technology • Treatment