Supports collaboration between justice agencies, behavioral health providers, and community organizations to improve crisis stabilization care for individuals with serious mental illness, substance use disorders (SUDs), and co-occurring disorders who are currently involved with the justice system or are reentering the community. Seeks to reduce the number of individuals experiencing crisis during the pretrial period, confinement, and upon release while ensuring continuity of care and supporting recovery during the transition to the community by providing clinical behavioral healthcare and other reentry services.

Strengthens the delivery of community-based recovery support services (RSS) for people in recovery from substance use disorder (SUD). Supports long term recovery through RSS delivered by people who have lived experienced with SUD and recovery, such as peer mentors, recovery coaches or recovery support specialists. Provides linkages to social supports, including medical, housing, educational, and employment services.

Funds telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and residents in rural areas. Emphasizes telecommunication projects that address substance use disorders (SUDs), including opioid misuse.

Provides funding to national organizations operating in 45 or more states to expand existing mentoring services and activities for youth ages 17 or younger at risk for juvenile delinquency, victimization, drug use, truancy, justice system involvement, and other problematic or high-risk behaviors. Supports various evidence-based mentoring approaches, such as one-on-one, group, or peer mentoring, to meet the needs of the target youth population. Works to provide young people with opportunities for personal growth and development, while strengthening community safety.

Funds nonprofit organizations and Native American tribal organizations to develop or expand comprehensive, evidence-based reentry services and programs to help individuals who have been incarcerated. Aims to decrease recidivism, enhance community safety, and improve reentry outcomes by offering case management and other services for individuals both prior to and after release from incarceration to help them successfully reintegrate into their communities.

Provides funding to support prevention, intervention, diversion, treatment, and recovery programs and services to benefit children, youth, and families impacted by opioids and other substance use disorders. Assists communities in developing a coordinated response to address opioids and substance misuse, overdose, and public safety through collaboration with law enforcement, courts, organizations that address substance use, child welfare agencies and other community stakeholders.

Enhances the functioning of the U.S. judicial system by improving the quality of justice in state courts. Provides funding to state courts, national organizations, and other eligible organizations to address common issues and challenges faced by state courts, with a focus on SJI priority investment areas, including court responses to opioids, other dangerous drugs, and behavioral health issues. Offers the following 5 types of funding to eligible applicants on a quarterly basis: project grants, technical assistance grants, curriculum adaptation and training grants, strategic initiative grants, and education support program grants.

Strengthens the ability of corrections systems and community-based service providers to support individuals with substance use disorders (SUD), including parents of minor children and pregnant/postpartum women, during the pre-release phase of incarceration and continued through reentry into the community. Works to establish, expand, or improve SUD treatment and recovery programs to increase access to evidence-based, culturally relevant services, reduce recidivism, promote long-term recovery, and decrease overdose among the target population.

Supports new and existing training programs for paraprofessionals in behavioral health fields in order to improve services for families whose parents are impacted by opioid use disorder (OUD) or other substance use disorders (SUD). Seeks to increase the number of paraprofessionals in behavioral health working in high-need and high-demand areas to reduce the risk of mental health disorders and SUD among children.

Seeks to create revolving loan funds to provide financing to local utility districts for the purpose of extending and improving water and wastewater disposal systems for households and businesses in rural areas. Loans received from the fund help to pay for pre-development costs of water and wastewater treatment projects and for small, short-term capital improvement projects.

Supports efforts to improve access to integrated and coordinated treatment and recovery services for substance use disorder (SUD), including opioid use disorder (OUD), in rural areas to address the SUD/OUD crisis in rural areas and promote long-term, sustained recovery.

Increases communities' access to locally and regionally produced food and agricultural products by developing, coordinating, and expanding direct producer-to-consumer operations and activities, such as domestic farmer's markets, roadside stands, community-supported agriculture (CSA) programs, agritourism activities, online sales, or other market opportunities. Builds organizational capacity and provides outreach, training, and technical assistance in order to help producers achieve a greater impact on local and regional food systems.

Develops, coordinates, and expands local and regional food business enterprises that function as intermediaries for indirect producer-to-consumer marketing with the goal of making local and regional agricultural products more available and accessible to communities. Supports both planning and implementation activities to establish, improve, or expand local or regional food businesses. Assists businesses through feasibility studies, market research, training, and technical assistance to strengthen food system infrastructure and increase sales of locally and regionally produced agricultural products.

Promotes partnerships able to connect and utilize public and private resources to strengthen regional food systems. Supports partnerships to improve viability and resilience of the local or regional food economy.

Expands existing mentoring services and activities for at-risk youth and youth currently misusing or dependent on opioids, stimulants, or other substances. Supports the development of innovative, high quality services, utilizing various mentoring approaches, such as one-on-one, group, or peer mentoring, designed to reduce substance use, delinquency, and other problem behaviors. Offers educational and support services to youth and their family members to address opioid or substance misuse issues.

Provides loans and grants to help expand broadband access to rural communities without sufficient high-speed internet connectivity. Aims to increase private sector investment to support the construction or improvement of critical broadband infrastructure to deliver internet access to a wide range of rural sites and facilities, including residential homes, community healthcare and public safety facilities, schools, libraries, business and industry, agricultural operations, and other sites.

Awards funds to implement and deliver mentoring services to youth involved in the juvenile justice system, with the goal of reducing substance use, delinquency, truancy, victimization, and other problem behaviors while promoting positive outcomes for youth. Supports multiple mentoring approaches, including one-on-one, group, peer, or a combination of mentoring services as well as nonmentoring direct services, such as mental health, substance use treatment, and other supportive services. Target population includes youth currently placed within a juvenile correctional facility and those recently released from a juvenile facility.

Supports efforts to reduce violent crime by developing and implementing comprehensive community-based violence intervention and prevention programs focused on youth and adults at highest risk for violence. Encourages community partnerships between residents, local government, victim service providers, law enforcement, hospitals, and other stakeholders to engage in strategies and activities to address risk factors related to violence, including substance use disorder (SUD), housing instability, and history victimization or perpetration.

Provides funding to implement suicide prevention and early intervention strategies for youth up to age 24 in schools, educational institutions, juvenile justice systems, substance use and mental health programs, and other child/youth-serving organizations.

Funds primary healthcare and support services for low-income, uninsured, and underserved populations living with HIV in an outpatient setting in existing geographic service areas. Aims to improve health outcomes for people living with HIV by funding HIV testing, counseling, and diagnostic services; referrals to healthcare and support services, such as mental health and substance use treatment; strategies to treat and prevent immune system deterioration; and more.

Supports workforce development activities and economic development plans in rural areas throughout the Appalachian, Lower Mississippi Delta (Delta), and Northern Border regions. Provides funds for career training, and support services to prepare dislocated workers, including workers affected by substance use disorder (SUD), for good jobs in high-demand occupations in these regions. Ensures that efforts align with existing economic growth strategies in order to increase employment opportunities and foster long-term regional economic prosperity.

Offers grants and zero-interest loans to local utility organizations who provide funding options for local businesses. Supports economic development in rural areas by funding projects designed to create or preserve job opportunities.

Provides microenterprise development organizations (MDOs) with loans and grants to help establish and expand microenterprises through a Rural Microloan Revolving Fund. Helps microloan borrowers and microentrepreneurs receive training and technical assistance.

Seeks to improve economic development, create employment opportunities, and reduce poverty in rural areas, especially disadvantaged and isolated communities. Offers 1% low-interest loans to local lenders known as intermediaries, that then re-lend funds to businesses in rural communities to foster community development.

Awards formula funding through a governor-appointed State or Territory Service Commission to organizations that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Focuses service projects on six areas: disaster services, economic opportunity, education, veterans and military families, environmental stewardship, and healthy futures. Includes service projects related to substance misuse. Supports evidence-based or evidence-informed interventions, practices, and program models.

Offers programs to guarantee loans to rural businesses to increase access to business capital and improve rural economies. Allows commercial lenders to offer affordable financing to rural businesses to support business operations and create or preserve employment opportunities.

Provides grants and direct loans to assist rural areas with the development of essential community facilities, including purchasing equipment, paying for related project costs, and purchasing, improving, or constructing essential community facilities. Examples of essential community facilities include healthcare facilities, public facilities, community support services, public safety services, educational services, utility services, and local food systems.

Provides loans to eligible lenders who re-lend the funds to economically distressed rural areas with high or persistent poverty for the construction or improvement of essential community infrastructure, such as hospitals, medical and dental clinics, childcare centers, street improvements, and public safety services. Offers technical assistance and financial expertise to help high or persistent poverty areas gain access to capital, improve community facilities and services, and enhance the quality of life for rural residents.

Offers discounts to help schools and libraries with costs towards eligible data transmission services, internet access, internal connections, managed internal broadband services, and basic maintenance of internal connections.

Supports the planning and implementation of economic development and revitalization projects in areas facing economic disruption and hardship, including rural and American Indian and Alaska Native tribal communities. Helps communities attract investment, create and retain new businesses and jobs, provide job training and education opportunities for dislocated workers, and enhance technology and infrastructure.

Provides economically distressed areas, including rural and tribal communities, with resources to address their individual economic needs with the goal of creating and retaining jobs, developing workforce, advancing innovation, and increasing private investments. Supports strategies that build regional assets and provide local and regional capacity building and economic development.

Provides funding to assist states and tribes with supporting, maintaining, and expanding upon current public transit services in rural communities to enhance access to healthcare, education, and employment opportunities. States may either carry out public transit projects directly or grant funds to subrecipients to meet local transportation needs.

Supports local self-help housing construction projects in rural areas. Funds organizations that will recruit, supervise, and provide technical assistance to groups of individuals and families with low-income to enable them to construct their own homes. Aims to make homeownership possible for people living in substandard housing or who otherwise would not qualify as homeowners.

Creates community learning centers to run after-school programs for students in high-poverty or low-performing schools. Provides academic programs to help students meet standards in core academic subjects, like math and reading, along with a variety of enrichment programs, such as drug and violence prevention programs. Funding is awarded to states, who distribute grants locally through state grant competitions.

Provides funds to establish and maintain Neighborhood Networks (NN), or community technology centers within public housing buildings or developments, that provide computer and internet access to public housing residents. Offers computer training, services, and programs to help residents become economically self-sufficient. Public housing authorities use their capital funds and operating funds to build and operate neighborhood network centers.

Supports regional economic development plans for rural areas by giving funding priority to multi-jurisdictional projects implemented through USDA Rural Development programs. Projects are intended to build community prosperity by using community assets, identifying resources, convening partners, and leveraging federal, state, local or private funding.

Aims to improve rural communications and economic development by providing loans and technical assistance to build, improve, and further develop telecommunication services in rural communities.

Supports the expansion and improvement of water and waste treatment facilities in financially distressed rural communities. Helps communities provide clean reliable drinking water systems, sanitary sewage disposal, sanitary solid waste disposal, and storm water drainage to rural households and businesses. Works to keep user costs for rural residents at a reasonable level.

Awards grants to reestablish or maintain strong multi-sector community coalitions that work to prevent and reduce substance use among youth age 18 or younger. Addresses local environmental factors related to youth substance use by implementing a wide-range of evidence-based and practice-based prevention strategies.

Supports local efforts to prevent and reduce substance use among youth age 18 or younger by establishing and maintaining new multi-sector community coalitions. Utilizes a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth and promote positive, sustainable, community-level change.

Funds infrastructure enhancements and capacity building efforts to address the changing healthcare landscape and increase access to high-quality HIV primary healthcare services for individuals with low-income and underserved populations, including those in rural areas.

Provides substance use disorder (SUD) education to health profession students early in their academic careers, with the goal of increasing the number of professionals trained to identify, assess, intervene, and treat addiction; support recovery; and address stigma. Supports health profession programs in integrating SUD content into academic curricula and promotes the integration of behavioral and physical healthcare systems using a multidisciplinary team approach. Gives preference to programs that place students in SUD programs serving rural and underserved areas.

Offers funding to states, local and tribal governments, and community-based organizations to implement and expand services to meet the needs of incarcerated individuals and their minor children to prevent violent crime and reduce recidivism. Focuses on programs to reduce recidivism and support responsible parenting hat lead to healthy child development, resiliency, and improved interactions among incarcerated parents and their minor children, family, and community members.

Provides funding to states, local and tribal governments, and community-based organizations to provide comprehensive reentry and transitional services for moderate to high-risk youth before, during, and after release from a juvenile residential facility. Supports pre- and post-release program services that provide screening and assessment of youth needs, such as mental health, substance misuse, and more. Aims to reduce recidivism and improve outcomes for youth through the successful reintegration of participants into their communities.

Supports the implementation of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) public health model in primary care, community health settings, and schools, with the goal of increasing screening for underage drinking, opioid use, and other substance use among children, adolescents, and adults. Assists with integrating SBIRT into routine healthcare and other encounters and enhancing system-level approaches to reduce alcohol and substance use and its negative health impacts among individuals with substance use disorder (SUD) and those at risk for SUD.

Enhances the work of medical examiners and coroners in the U.S. by providing funds to agencies accredited by the Accreditation Council for Graduated Medical Education (ACGME) to recruit qualified applicants for fellowship programs. Improves medical and legal death investigation services by assisting medical examiner and coroner agencies seeking to achieve or maintain accreditation through an independent accrediting organization.

Provides funding for local, regional, or state-level organizations to develop advanced nursing education programs to train eligible nurses as sexual assault nurse examiners (SANEs). Coordinates all aspects of the education process, from recruitment, didactic and clinical training, and monitoring experiential learning hours up to certification completion and the retention of SANEs in the workforce. Seeks to increase the number of practicing SANEs, especially among rural and underserved populations, with the goals of better physical and mental healthcare for survivors, including trauma-informed care, and better evidence collection.

Provides funds to expand substance use disorder (SUD) treatment and recovery support services in existing drug courts that use the problem solving court model, including adult treatment drug courts (ATDCs), family treatment drug courts (FTDCs), or adult tribal healing to wellness courts (ATHWCs). Seeks to break the cycle of criminal behavior, alcohol and drug use, and incarceration by providing effective and comprehensive SUD treatment services to individuals with SUD involved with the justice system.

Offers a discount on telecommunication expenses and network equipment for healthcare facilities to increase connectivity and access to broadband in rural areas to provide and improve healthcare.

Offers organizations the opportunity to engage and sponsor AmeriCorps VISTA service members to help develop or expand community anti-poverty projects. AmeriCorps VISTA members commit to 1-year of full-time, volunteer service, helping to build capacity and sustainability in programs to address poverty and other issues identified by the community. Requires sponsors to operate and direct the project, recruit and supervise AmeriCorps VISTA members, and complete the necessary administrative support activities to meet the project goals. VISTA's fiscal year 2024 focus areas include economic opportunity, education, Healthy Futures, veterans and military families, and environmental stewardship. VISTA FY 2024 priority population include rural communities, native nations and tribal communities, and those experiencing deep poverty, specifically in Puerto Rico and states in the Midwest, Southeast, South Central, or West AmeriCorps regions.

Provides funding to integrate behavioral health services in primary care settings using telehealth technology through telehealth networks. Supports evidence-based projects in telehealth networks using telehealth technologies in rural and underserved areas to increase access to integrated behavioral health services in primary care settings and to improve the quality of healthcare information available to providers by evaluating the effectiveness of integrating telebehavioral health services into primary care settings.

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Funds economic revitalization projects in the Appalachian region focused on building businesses, workforce ecosystems, infrastructure, culture and tourism, and leadership capacity to meet Appalachian Regional Commission's strategic investment goals. Gives priority to investments for building a competitive workforce, fostering entrepreneurial activities, developing industry clusters, and broadband initiatives.

Offers funding to support technical assistance and training for rural businesses that have fewer than 50 new workers and generate a gross revenue less than $1,000,000. Funds can also be used on projects to support and benefit rural businesses as specified in the grant application. Supports the expansion of rural businesses through economic development, planning, and other related activities.

Aims to reduce the development and progression of substance use disorder (SUD) by improving local capacity to deliver community-based SUD prevention and mental health services. Promotes building strategic partnerships among key stakeholders to expand prevention infrastructure and implement strategies to identify and address the primary prevention concerns in the community, including the use of opioids, methamphetamine, and heroin. Provides evidence-based services to prevent SUD and support the mental health and well-being of youth and adults, especially those from underserved communities.

Awards grants for the deployment of broadband in rural communities where private sector internet service providers are unable to develop the infrastructure to provide broadband service due to economic and cost challenges. Support internet services to foster economic development and employment, and improve educational and healthcare opportunities in eligible areas.

Supports projects to address the crisis of substance and opioid use in Appalachian counties through programs that help people in recovery obtain and maintain employment. Promotes the development of recovery ecosystems that support individuals as they transition from substance use disorder (SUD) treatment programs into recovery and seek to enter or re-enter the workforce. Brings together multiple sectors, including recovery communities, peer support, healthcare, human services, law enforcement, and others, to deliver job training, skill development, and comprehensive support services that enable individuals to find stable employment and sustain their recovery from SUD.

Works to prepare and encourage physicians to practice healthcare in rural communities. Provides start-up funding for the planning and development of sustainable programs to train residents in rural residency programs in family medicine, internal medicine, public health, preventive medicine, psychiatry, general surgery, and obstetrics and gynecology.

Grants funds to increase the participation of women and underrepresented minorities from rural areas in science, technology, engineering, and mathematics (STEM) fields. Implements research, education, and extension initiatives that prepare K-12 students, which includes students in 2-year post-secondary programs, to enter STEM fields in higher education institutions. Aims to develop a qualified workforce in the areas of food and agriculture to improve economic opportunity in rural communities.

Provides funds to organizations to engage and manage individuals aged 55 and older to serve as experienced tutors and mentors to children and youth with special or exceptional needs, or children who would benefit from the one-on-one attention. Volunteers serve in various settings, including schools, Head Start programs, hospitals, drug treatment centers, correctional institutions, and childcare centers.

Provides funds to organizations to engage and manage individuals aged 55 and older to provide companionship and support to other adults in need of extra assistance to remain at home or in the community for as long as possible. Volunteers service time usually takes place in the homes of their clients.

Supports planning activities to assist rural communities in developing integrated healthcare provider networks. Promotes the strengthening of rural healthcare systems by achieving efficiencies, expanding access to care, increasing care coordination, and improving basic healthcare services.

Assists schools and other eligible entities with developing, establishing, and maintaining farm to school programs. Supports a wide range of training, planning, implementation, and operational activities in order to increase student access to local food in schools. Facilitates collaboration between schools, local agricultural producers, and other community partners and promotes educational opportunities related to nutrition and local food systems.

Funds to support existing medical and dental residency training programs in community-based, ambulatory patient care settings. Helps address health professional shortages by supporting efforts to encourage and prepare residents to offer high-quality healthcare to rural and underserved communities.

Provides competitive funding to organizations that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Supports evidence-based or evidence-informed interventions, practices, and program models.

Provides funding to organizations to engage AmeriCorps members to build public health capacity in local communities by serving in state, local, tribal, and territorial public health departments. Aims to meet local public health needs and advance equitable outcomes for underserved communities. Activities may include mental health education and awareness, social service navigation, and crisis response for opioids, suicide, and mental health.

Provides funding to public and Indian housing authorities to hire service coordinators to promote self-sufficiency for public housing residents. Service coordinators identify needs and barriers at the community and individual level and connect residents to training and support services to help them gain economic and housing stability. Works with local partners to assist residents in achieving outcomes in the areas of education; professional development; financial empowerment; and health and wellness, including mental health and substance use issues. Offers supports to help elderly and disabled residents age in place and/or live independently for as long as possible.

Funds programs to address high rates of infant death by improving health outcomes before, during, and after pregnancy and reducing well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes. Supports the provision of direct and enabling services, including screening and referrals, case management, care coordination, health and parenting education, and linkages to clinical care, to enrolled program participants.

Offers a 1-year initiative for rural justice, public safety practitioners, and other community stakeholders seeking to engage in strategic planning to address issues related to substance use and misuse in their communities. Assists participants in developing cross-sector networks and creating solutions to better respond to and serve justice-involved individuals with substance use or co-occurring disorders. Reaching Rural is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Provides funding to enhance or expand existing farm to school initiatives and other food and agriculture experiential learning initiatives, especially in underserved and rural areas. Seeks to reduce food loss and waste, improve food quality and children's nutrition, and promote knowledge of agriculture by engaging schools directly with local and regional agricultural producers and other parts of the food system.

Supports research projects that implement innovative strategies to reduce opioid, stimulant, and/or poly-drug overdose in high-risk communities. Promotes the use of evidence-based practices in new or existing programs and emphasizes the evaluation of new and promising approaches. Establishes partnerships between public safety and public health agencies to address harms related to opioid, stimulant, and poly-substance use and overdose.

Funds new full-service community schools (FSCS) programs or further development to existing programs, which includes support for planning, implementation, operation, and coordination for programs in high poverty urban and rural areas. FSCS programs provide comprehensive academic, social, and health services for students, students' family members, and community members that are designed to improve education outcomes for children.

Funds technology-based economic development initiatives that promote job growth, innovation, economic opportunity, global competitiveness, and the development of future industry-leading companies in regions across the U.S. Aims to help startups and companies access investment capital, grow their companies, empower entrepreneurs, and commercialize new technology. Projects are intended to benefit underserved populations and communities, including rural areas.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for racial and ethnic medically underserved people experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including substance use disorder (SUD) treatment; mental healthcare; HIV and viral hepatitis testing and treatment; HIV prevention; and harm reduction services. Aims to reduce stigma and remove barriers to care through the direct delivery of services to the target population on the street or in encampments.

Provides funding to develop internships, field placements, and other experiential training opportunities for individuals training in behavioral health professions focused on serving children and youth ages 16-25 in rural and underserved communities. Aims to expand access to behavioral healthcare for rural and underserved children and youth with mental health and substance use disorders (SUD) by increasing the supply and distribution of behavioral health providers. Assists in recruiting and training behavioral health professionals by increasing the number of clinical supervisors, providing stipend support for trainees, and connecting graduates to employment opportunities.

Supports state, local, and tribal efforts to plan, implement, and enhance prescription drug monitoring programs (PDMPs) in order to prevent the misuse and abuse of prescription drugs, such as opioids. Strengthens the ability of law enforcement and public health agencies to collect and analyze controlled substance prescription data and to track prescribing across providers and states by integrating PDMPs with electronic health records (EHRs), pharmacy dispensing software (PDS) systems, health information exchanges (HIEs), and other healthcare facilities and systems. Promotes the development of innovative, evidence-based PDMP strategies, and multistate projects that can serve as models for other states.

Provides funding to intermediary organizations that offer financial and technical assistance to recipients to help meet the needs of their communities in eligible rural areas. Recipients use funds for projects related to housing, community facilities, or community and economic development projects in rural communities.

Provides technical assistance and training to community facilities programs to help rural areas meet their needs for community facilities, including schools, hospitals, public facilities, community support services, public safety services, and other essential facilities. Supports communities in identifying and planning for community facility needs, accessing sources of funding, and improving the operation and financial management of facilities.

Expands and enhances existing mentoring services and activities for youth ages 17 or younger at risk for juvenile delinquency, victimization, and justice system involvement. Seeks to support organizations that operate a mentoring program in multiple states and promote the use of various evidence-based mentoring approaches, such as one-on-one, group, or peer mentoring, to meet the needs of the target youth population. Utilizes mentoring to reduce risk factors and problem behaviors, such as poor school attendance/performance, substance use, or gang participation, and works to provide young people opportunities for personal growth and development.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Strengthens the relationship between recovery organizations, their statewide networks of recovery stakeholders, and healthcare systems to improve recovery services for individuals with substance use disorder (SUD). Aims to promote and integrate recovery organizations and peer recovery support services (PRSS) across coordinated state and local networks through increased collaboration, training, and participation in multilevel planning, policy, and program development activities.

Provides funding to support services, training, and collaboration with partners focused on helping individuals in treatment or recovery with substance use disorder (SUD) or co-occurring disorder (COD) live independently and participate in the workforce.

Provides funding to prevent substance misuse and address mental health issues by establishing and expanding behavioral healthcare services in rural communities for children and adolescents aged 5-17 who are at risk for, have, or are recovering from a behavioral health disorder.

Focuses on increasing access to and involvement with care and services for individuals from racial and ethnic minority populations with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) who are HIV positive or at risk for HIV. Helps connect these individuals to SUD/COD treatments, HIV care and treatment, HIV/AIDS and Hepatitis C (HCV) testing and vaccinations, as well as recovery and community support services to help retain clients in care with the overall goal of reducing health disparities among the target populations.

Provides comprehensive, coordinated, evidence-based services for individuals, youth, and families currently experiencing or at risk of homelessness who are diagnosed with serious mental illness (SMI), serious emotional disturbance (SED), and/or a co-occurring disorder (COD). Aims to engage and connect the target population to behavioral health treatment, case management, and recovery support services and help them secure sustainable permanent housing. Assists participants in identifying and obtaining resources for health insurance that help individuals maintain their treatment, recovery, and housing status.

Provides funding to eligible entities to establish, expand and/or enhance existing community-based nurse practitioner (NP) residency and fellowship training programs to increase the number of advanced practice registered nurses (APRNs) prepared to provide primary care in community-based settings for rural, urban, and tribal underserved populations. Supports efforts to integrate behavioral and maternal health into primary care through the training of qualified NPs in these fields.

Funding to support the training and graduation of advanced practice registered nursing (APRN) students and trainees in the areas of primary care, mental health, substance use, and maternal healthcare, with preference given to programs that train students to practice in underserved and rural communities.

Funds primary healthcare and support services in an outpatient setting for low-income, uninsured, and underserved populations living with HIV in new geographic service areas. Helps provide HIV testing, diagnostic services, referral to healthcare and support services, mental health and substance use disorder treatment, and other services to enable people with HIV to live healthy lives.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.

Funds the implementation and expansion of local efforts to enhance community infrastructure to address behavioral health treatment and other services for substance use disorder (SUD) and other co-occurring disorders (CODs) for individuals and families experiencing homelessness. Provides comprehensive, coordinated services such as behavioral health outreach, treatment, peer support, recovery support services (RSS), case management, and connections to sustainable permanent housing.

Assists rural communities working to reduce the incidence and impact of neonatal abstinence syndrome (NAS) among pregnant, postpartum, and persons of childbearing age who are diagnosed with or at risk for opioid use disorder (OUD) and/or other substance use disorders (SUDs). Supports the implementation of evidence-based OUD/SUD prevention, treatment, and recovery strategies designed to improve systems of care, family supports, and social determinants of health (SDOH) in rural areas.

Aims to increase access to medications for opioid use disorder (MOUD) along with comprehensive opioid use disorder (OUD) psychosocial and recovery support services (RSS) for individuals with OUD seeking MOUD. Provides funds to states, nonprofits, American Indian and Alaska Native tribes, and tribal organizations to support MOUD programs and related program activities.

Provides funds to expand access to treatment, recovery, and reentry services for sentenced adults in the criminal justice system with a substance use disorder (SUD) and possible co-occurring mental illness. Seeks to reduce substance use and involvement with the criminal justice system by helping individuals successfully reintegrate into the community upon release from prisons, jails, or detention centers.

Offers funding, based on a formula, to eligible institutions that then distribute funds to full-time nurse anesthetist trainees to help cover required education costs and living expenses. Seeks to increase the number of certified registered nurse anesthetists (CRNAs) practicing in rural, urban, and tribal underserved areas.

Provides funding to address immediate responses to the opioid crisis in rural areas by improving access to, capacity for, and sustainability of prevention, treatment, and recovery services for substance use disorder (SUD).

Helps local governments and their community partners respond to trauma and stress related to civil unrest, community violence, and/or collective trauma within the past 24 months. Provides violence prevention and youth engagement programs along with trauma-informed behavioral health services to at-risk youth and families impacted by community disruption and violence. Develops coalitions of local government agencies, community organizations, and residents to deliver resources and services and bring about positive community change and healing.

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or improved evidence-informed, evidence-based strategies, or innovative community-based projects and models of care. Includes substance use services for children and adolescents at risk for substance use disorders (SUD).

Offers grants to assist small, financially distressed rural communities with the development of essential community facilities, including purchasing, constructing, and improving eligible facilities. Aims to promote public safety, lower taxes, and increase economic and community development by helping manufacturers and other businesses build or grow their operations in rural communities.

Aims to increase the affordability, accessibility, acceptability, and availability of medication-assisted treatment (MAT) by establishing new MAT access points in rural communities. Enhances the capacity to provide MAT treatment services for people in rural areas with or at risk of opioid use disorder (OUD), with focus on underserved populations. Promotes the use of Food and Drug Administration (FDA)-approved medications for the treatment of OUD along with supportive services, including counseling and behavioral therapies. Supports the use MAT to treat alcohol use disorder, if the need exists.

Offers funding for predoctoral training programs in general, pediatric, or public health dentistry for dental, dental hygiene, and public health dentistry students. Aims to enhance trainees' ability to provide oral healthcare for populations and individuals with medically complex health conditions, special healthcare, and behavioral healthcare needs in vulnerable, underserved, or rural communities. Focuses on training that integrates oral health within primary care and promotes patient-centered approaches that address the impact of social determinants of health on oral health outcomes.

Provides funds to implement evidence-based or promising prevention, treatment, and recovery activities for substance use disorder (SUD), including opioid use disorder (OUD), in rural communities. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of OUD/SUD, their families, and others in the community.

Offers funding for education and job training services for young adults ages 18 to 24 who are involved in the criminal justice system or those who left high school before graduation. Establishes partnerships between community colleges, the criminal justice system, employers, and other stakeholders to improve workforce outcomes for the target population. Builds capacity in community colleges to provide occupational training and helps young adults reentering society from the criminal justice system gain skills and education to meet the needs of the local labor market and find stable employment in high-demand occupations.

Provides funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become peer support specialists and other behavioral health paraprofessionals. Promotes collaboration with community-based health partners to meet workforce demand in high need and high demand areas and expand access to quality behavioral health services, including services for the treatment of substance use disorder (SUD). Promotes interdisciplinary collaboration through team-based care and emphasizes training oriented toward the behavioral health needs of children, adolescents, and transitional-aged youth.

Provides funds to implement evidence-based prevention, treatment, and recovery activities in rural communities to address psychostimulant use disorders and the misuse of psychostimulants, including methamphetamine, cocaine, ecstasy, and prescription stimulants. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of psychostimulant use disorder, their families, and others in the community.

Provides funding to enhance established community-based coalitions working to address the use and misuse of opioids, methamphetamines, and prescription medications among youth ages 12-18. Strengthens cooperation between leaders, groups, organizations, and agencies across the community to implement strategies and services that help identify at-risk youth, reduce substance use, and create safer and healthier communities.

Serves adolescents, aged 12-18, and transitional youth, aged 16-25, with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) by expanding access to evidence-based early intervention, treatment, and recovery support services. Involves family members/primary caregivers in the treatment and recovery process, and focuses on reducing health disparities among underserved female and racial/ethnic minority populations.

Offers funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become behavioral health professionals. Works with community-based health partners to meet workforce demand in high need and high demand areas with the goal of expanding access to quality behavioral health services, including services for the treatment of substance use disorders (SUDs). Supports interdisciplinary collaboration through team-based care and emphasizes training oriented toward the behavioral health needs of children, adolescents, and transitional-aged youth.

Provides funding to implement community-based outreach programs to enhance the delivery of healthcare to underserved rural populations. Promotes community engagement and collaboration between local healthcare and social service providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas at the local or regional level. Offers two funding tracks, including the Healthy Rural Hometown Initiative (HRHI), which is designed to reduce rural health disparities related to the five leading causes of avoidable death by addressing the underlying factors and social determinants of health that can impact health and wellness.

Provides funding for the creation of employment and training programs in high demand rural healthcare occupations, including behavioral and mental healthcare. Seeks to address rural health workforce shortages by increasing the number of individuals training in occupations that directly impact the care of rural populations. Assists unemployed, underemployed, and incumbent workers to transition into sustainable health careers that qualify as middle or high-skilled occupations under the H-1B visa program. Focuses on training for veterans, military spouses, transitioning service members, women, people of color, ex-offenders, people with disabilities, and other underrepresented rural populations.

Provides funds to develop a set of clinical guidelines and protocols for the medical management of substance withdrawal in jails. Guides jail administrators, correctional officers, and jail-based clinicians in enacting policies and procedures to safely address issues related to substance withdrawal among the adult detainee population. Focuses on challenges such as rapid withdrawal from opioids, benzodiazepines, methamphetamines, and other substances; risk screening for opioid withdrawal-related suicide; medication maintenance for entering detainees; transitioning to buprenorphine treatment or detoxification; standards for dosage and administration of agonist medication, and other aspects of jail-based withdrawal management. Creates withdrawal guidelines and protocols informed by the best evidence-based clinical practices that are also responsive to the unique needs and challenges of providing care in a jail-based setting.

Provides funds to organizations to engage and manage individuals aged 55 and older for service projects implementing evidence-based programs and models to strengthen communities. Focuses on capacity building in 6 focus areas: disaster services, economic opportunity, education, environmental stewardship, healthy futures, and veterans and military families. Prioritizes funding for 9 topics, including access to care for opioid abuse. Seeks to prevent or reduce prescription drug and opioid abuse through health education and increasing healthcare access. Offers seniors a variety of service activities and flexible work commitments, ranging from a few hours to a maximum of forty hours per week.

Strengthens rural communities' ability to conduct planning to engage high risk populations and expand capacity for effective prevention, treatment, and recovery responses to substance use disorder (SUD) and opioid use disorder (OUD) in rural counties.

Offers grant funding to assist rural healthcare providers in the planning and development of integrated health networks to provide quality HIV care and treatment in rural communities. Helps providers meet unaddressed community health needs related to HIV in areas such as early diagnosis, comprehensive care, support services, and innovative service delivery models. Focuses planning efforts in seven states identified by the federal Ending the HIV Epidemic initiative as having disproportionate rural rates of HIV diagnosis. Seeks to improve health outcomes for people with HIV and reduce new HIV infections by expanding access to HIV testing, prevention, treatment, and support services; increasing the use of health information technology and telemedicine; and promoting service coordination and quality across the continuum of HIV care.

Provides funding to establish 4 regional networks that connect individuals in farming, ranching, and other agricultural occupations to stress assistance programs. Strengthens coping skills and helps improve the quality of life for farmers, ranchers, and their families through programs that provide professional behavioral health counseling, outreach, information, resources, and referrals.

Offers funds to community coalitions to continue grant activities under a previously awarded Drug-Free Communities Support Program grant. Coalitions utilize a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth age 18 or younger and seek to promote positive, sustainable, community-level change.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Provides funding, technical assistance, and training to support direct services for children and youth who are crime victims and have been impacted the current crisis of addiction and substance use, including the use of opioids, methamphetamines, other substance misuse, and polysubstance use. Supports services for children and youth ages 0-18 and includes direct service activities such as information about and referral to trauma-informed victim services, personal advocacy, medical services, on-scene emotional support at drug/crime related incidents, and follow-up care, including counseling, support groups, and other types of mental health treatment.

Supports the planning, development, operation, and participation in accredited postdoctoral training programs for general dentistry, pediatric dentistry, and dental public health. Seeks to improve health outcomes by providing low-income, underserved, uninsured, underrepresented minority, rural, and other disadvantaged populations with increased access to oral health services.

Aims to increase the number of primary care physicians capable and willing to provide care to rural and/or underserved communities by funding accredited residency training program improvements in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics. Works to reduce healthcare expenses, improve care quality, and increase access to healthcare by preparing and encouraging residency graduates to serve in rural and/or underserved areas.

Provides loans and loan guarantees to build, improve, or acquire the facilities and equipment necessary to deliver services at the broadband lending speed to eligible rural areas. Supports projects that improve rural economies and the quality of life in rural communities. Seeks to fund projects related to technological innovation, e-connectivity, and the rural workforce.

Provides funding for employment training, career services, and supportive services to women directly or indirectly impacted by the opioid crisis. Addresses barriers to work facing women and helps them gain the skills and support to become employed. Seeks to develop multi-disciplinary partnerships among service providers and other key stakeholders with experience serving women workers in order to meet the unique needs of women in communities most affected by opioid use.

Funds for rural communities to prevent and reduce opioid overdose deaths among individuals who come into contact with law enforcement or are involved with the criminal justice system in high-risk rural communities and regions. Strengthens activities related to strategic planning, cross-sector collaboration, data collection, opioid prescribing, overdose prevention, linkage to opioid use disorder (OUD) treatment, and peer recovery support services.

Provides funding to strengthen experiential training for behavioral health paraprofessional students focused on prevention, treatment, and recovery services for substance use disorder (SUD), including opioid use disorder (OUD). Emphasizes training that addresses the specific challenges of children, adolescents, and transitional-age youth at risk for behavioral health disorders. Seeks to expand access to quality SUD/OUD treatment and services in high need, high demand areas by increasing the number of qualified behavioral health paraprofessionals working in community-based settings.

Funds to expand community-based training for the treatment of opioid use disorder (OUD) and substance use disorder (SUD), especially among affected rural youth, for students pursuing advanced degrees in behavioral health.

Provides funding to establish new health centers that offer comprehensive primary healthcare services to underserved communities, including rural, migrant, and homeless populations and public housing residents. Aims to increase the number of individuals who receive primary healthcare services, improve patients' overall health status, and reduce health disparities in vulnerable communities. Supports health centers operating on a permanent, full-time basis that address issues of healthcare accessibility and affordability in areas with shortages of health services.

Funds to establish 3 demonstration projects to implement evidence-based 2-generational strategies addressing issues facing rural at-risk children, prenatal to age 3, and their parents, such as adverse childhood experiences (ACEs), maternal depression, mental health disorders, substance use disorder (SUD), opioid use, and related neonatal abstinence syndrome (NAS). Offers technical assistance, training, and support to demonstration sites to coordinate programs and services that support healthy childhood development and increase family economic opportunity.

Supports recovery community organizations (RCOs) in expanding peer recovery support services (PRSS) to people with substance use disorder (SUD) and their family members. PRSS utilizes peer leaders, individuals who have experienced addiction and recovery, to help people with SUD stay in recovery by offering support in the areas of housing, employment, education, social connection, and abstinence from substance use. Peer leaders are involved at all levels of designing, developing, and implementing programs.