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Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance or Co-Occurring Disorders Experiencing Homelessness (Treatment for Individuals Experiencing Homelessness)


Additional Links

Notice of Funding Opportunity (


Application Deadline: May 5, 2023


Substance Abuse and Mental Health Services Administration (SAMHSA)


Provides funding to states, tribes, local governments, and other organizations to deliver comprehensive, coordinated, evidence-based services for individuals, youth, and families with serious mental illness (SMI), serious emotional disturbance (SED), and/or a co-occurring disorder (COD) who are experiencing or are at imminent risk of homelessness.

Primary program areas include:

  1. Integrating behavioral health treatment and other recovery support services
  2. Engaging and connecting clients to enrollment resources for health insurance, Medicaid, and other benefits such as Supplemental Security Income (SSI)/Social Security Disability Insurance (SSDI), Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), and SSI/SSDI Outreach Access and Recovery (SOAR) Program
  3. Coordinating housing and related services to support sustainable, permanent housing

Required grant activities include:

  • Providing outreach and engagement to identify and enroll participants in the program
  • Develop and implement a service delivery plan to address:
    • Screening for mental health, substance use, or COD
    • Program enrollment and referral to mental health and SUD treatment
    • Delivering trauma-informed, culturally competent, integrated mental health and substance use services in outpatient, intensive outpatient, short-term residential, or recovery housing settings, and in coordination and consultation with medical care providers
    • Case management, care coordination, and supports to connect participants to housing and other necessary services
    • Use of telehealth and/or telemedicine services
    • Peer-related supports and services
    • Referrals for individuals and families not eligible for enrollment and follow-up to ensure connection to services and housing
  • Employ staff representative of the populations and communities being served by the program
  • Translate all tools and resources the program recipients receive
  • Provide, enhance, or increase access to services for people of all racial, ethnic, and marginalized groups in the community
  • Develop a conflict and grievance resolution process that is culturally and linguistically appropriate
  • Assist with identifying sustainable permanent housing by collaborating with homeless services organizations and housing providers, including public housing agencies
  • Provide recovery support services or ensure linkage to and participant engagement with these services
  • Enroll eligible individuals in health insurance, Medicaid, and other benefits
  • Coordinate with crisis and 988 for those in crisis experiencing homelessness or at risk of imminent homelessness to receive services and housing
  • Utilize or establish a culturally and linguistically diverse steering committee that meets quarterly, at a minimum, to monitor the goals outlined in the program; the steering committee membership must be comprised of local or regional representatives from substance abuse and mental health authorities, Medicaid, health department, public housing authorities; service providers; community members, employees, individuals including youth and/or families who are currently experiencing homelessness or have experienced homelessness and are recovering from SUDs or CODs, and the SAMHSA Government Project Officer (GPO)

A complete list of required and allowable activities can be found in the program guidance.

Amount of Funding

Award ceiling:

  • $1,000,000 per year for states and territories
  • $500,000 per year for other eligible applicants

Project period: Up to 5 years
Estimated number of awards: 21
Estimated total program funding: $15,842,993

Who Can Apply

Eligible applicants are domestic public or private nonprofit entities, including:

  • States and territories
  • Political subdivisions of states
  • Indian tribes
  • Tribal organizations
  • Health facilities
  • Programs operated by or in accordance with a contract or award with the Indian Health Service (IHS)
  • Other public or private non-profit entities

Additional provision of service requirements include:

  • A provider organization for direct client mental health services appropriate to the award must be involved in the proposed project. The provider may be the applicant or another organization committed to the project. More than one provider organization may be involved.
  • Each mental health/SUD treatment provider organization must have at least 2 years experience providing relevant services.
  • Each mental health/SUD treatment provider organization must comply with all applicable local, city, county, and state licensing, accreditation, and certification requirements, as of the due date of the application.

Grantees that received a Grants for the Benefit for Homelessness Initiative (GBHI) award under announcement numbers TI-17-009 in fiscal year (FY) 2019 and TI-20-001 in FY 2020 and 2022 and a Treatment for Individuals Experiencing Homelessness (TIEH) award under announcement number SM-18-014 in FY 2019 with a start date of September 30, 2019 or those funded in FY 2020 with a start date of January 15, 2020 are not eligible to apply for this funding opportunity.

Geographic Coverage


What This Program Funds

Capacity Building • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicant webinar recording and slides


For programmatic or technical questions:
LCDR Katie Hager

For grants management or budget questions:

For grant review and application status questions:
Toni Davidson

Rural Awards

Past awards communities received in fiscal year 2023 can be found on the program website.

Rural communities who have received funding include:

  • Seneca Health Services, Inc. in Summersville, West Virginia was awarded funds to provide behavioral health treatment, case management, housing, and recovery support services to 544 individuals in rural, central West Virginia with serious mental illness, serious emotional disturbance, and/or a co-occurring disorder who are experiencing or are at imminent risk of homelessness.
  • Mountain Comprehensive Care Center in Prestonsburg, Kentucky received funding for the Pathways Home Project to provide coordinated services to individuals, youth, and families with serious mental illness, serious emotional disturbance, and/or a co-occurring disorder who are experiencing or are at risk of homelessness in 8 rural counties in eastern Kentucky. The program will conduct outreach to engage participants and work with community partners to connect clients with housing and treatment and recovery services.

Topics This Program Addresses

Community Planning and Coalition Building • Housing and Homelessness • Mental Health • Parents, Families, and Children • Recovery • Reimbursement and Payment Models • Social Services • Substance Use Disorder • Teleservices and Technology • Treatment • Violence, Trauma, and Abuse • Youth