Minority AIDS Initiative: Integrated Behavioral Health and HIV Care for Unsheltered Populations Pilot Project



Additional Links

Notice of Funding Opportunity (Grants.gov)


Application Deadline: Jul 8, 2024


Substance Abuse and Mental Health Services Administration (SAMHSA)


Offers funding for pilot projects that deliver portable clinical care, outside of the clinic setting, for underserved populations experiencing unsheltered homelessness. Focuses on providing integrated behavioral health and HIV treatment and prevention services, using a syndemic approach to healthcare delivery that includes low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services to meet the individual needs of the target population.

Required activities include:

  • Basic primary healthcare services and supplies, including wound care; diabetes, acute infection, and blood pressure screenings with appropriate follow-up care and/or referral
  • Low barrier SUD treatment, including screening for SUD and co-occurring mental health disorders; Food and Drug Administration (FDA)-approved medications for SUD treatment, including opioid user disorder (OUD), stimulant use disorder, alcohol use disorder (AUD), and makes minimal requirements of patients to help with removing or reducing barriers to treatment and expanding access to care
  • Use syndemic approaches to address infectious diseases and conditions, including HIV/AIDS, sexually transmitted infections (STIs), viral hepatitis, monkeypox (Mpox), and tuberculosis, including screening, testing, case management, and referral/connection to treatment/follow-up care
  • Harm reduction services such as distribution of FDA-approved overdose reversal medication and drug supply testing kits, along with evidence-based harm reduction education, supplies, and services on-site
  • Mental healthcare, treatment, and referral, to include screening and assessment, and delivery/coordination of integrated, client-centered, on-site mental health treatment services
  • Outreach and case management services to address social determinants of health, including engagement with sustainable permanent housing options, coordination of all aspects of care, and enrollment in supportive services and benefit programs
  • Document best practices and lessons learned while implementing integrated care using a portable clinical care approach

Amount of Funding

Award ceiling: $650,000 per year
Project period: Up to 3 years
Estimated number of awards: 4
Estimated total program funding: $2,600,000

One award will be made to an applicant providing services in a rural area pending sufficient application volume.

Who Can Apply

Eligible applicants include:

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

Additional provision of service requirements include:

  • A provider organization for direct services to people experiencing homelessness as well as experience providing some or all of the following services - SUD treatment, SUD prevention, mental health, and behavioral health - appropriate to the grant must be involved in the proposed project. The provider may be the applicant or another organization committed to the project as demonstrated by a letter of commitment. More than 1 provider organization may be involved
  • Each service provider organization must have at least 2-years experience providing relevant services to people experiencing unsheltered homelessness
  • Each mental health/SUD prevention, treatment, or recovery support provider organization must be in compliance with all applicable local and state licensing, accreditation, and certification requirements, as of the due date of the application

Geographic Coverage


What This Program Funds

Equipment • New Program • Training Providers

Application Process

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

Applicant webinar
May 21, 2023
2:00 - 3:00 p.m. Eastern


For programmatic or technical questions:
Kirk E. James, MD

Kristin Roha, MS, MPH

For grants management or budget questions:

For grant review process and application status questions:
Samantha Dock Herbster

Topics This Program Addresses

Community Planning and Coalition Building • Harm Reduction • Housing and Homelessness • Infectious Diseases • Medication-Assisted Treatment (MAT) • Mental Health • Opioids • Overdose Prevention • Prevention • Social Services • Substance Use Disorder • Treatment