Funding for Medication-Assisted Treatment (MAT)

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.

Provides funds to support the planning, implementation, and enhancement of adult substance use treatment courts for local, state, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism.

Provides funds to support planning, implementation, and enhancement of veteran treatment courts by offering grants and technical assistance to states, state and local courts, local governments, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism for veterans in the criminal justice system with substance use, mental health, and/or co-occurring disorders .

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 flexible funding to provide family-based services for pregnant and postpartum women diagnosed with substance use disorder (SUD), with a particular emphasis on treatment for opioid use disorder (OUD). Assists states in establishing a continuum of care for pregnant and postpartum women in community-based settings. Supports new approaches and service delivery models designed to enhance coordination and efficiency in state systems managed by a state substance use agency. Aims to improve maternal and child health outcomes, decrease infant mortality, and reduce the negative impact of substance use on women, children, and family members.

Awards funding to establish clinical rotations for physician assistant (PA) students in rural areas. Supports the development of rotations of at least 3 months that integrate primary care and behavioral health services, with the goal of increasing the number of PAs who choose to practice in rural areas after graduation and are trained to prevent, identify, diagnose, treat, and refer services for behavioral health conditions, including the provision of medications for opioid use disorder (MOUD). Offers financial assistance to trainees during rotations in a rural primary care setting.

Supports efforts to address the opioid crisis in American Indian and Alaska Native (AI/AN) communities through locally designed prevention, treatment, recovery, and aftercare services for mental health and substance use disorder (SUD). Aims to raise awareness and education of opioid interventions that are family-centered and culturally appropriate, create comprehensive community opioid support teams, and increase the use of medication-assisted treatment (MAT)/medications for opioid use disorder (MOUD) to meet treatment needs and reduce opioid overdose in AI/AN communities. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

Offers flexible block grant funding to states, territories and freely associated states, and one tribe to design and implement activities and services to address the complex needs of individuals, families, and communities affected by substance use disorder (SUD). Funds can be used to establish statewide programs and services or to make sub-awards to local organizations to provide SUD services in their region. All activities and services must address core SUBG program purposes. Supports SUD treatment, programs, and services for the following populations and services areas: pregnant women, women with dependent children, IV drug users, tuberculosis services, HIV/AIDS early intervention services, and primary prevention services.

Offers funding to develop and implement residential and jail-based programs to provide treatment and recovery supports for individuals with substance use disorder (SUD) and co-occurring disorders (COD) in state, local, and tribal correctional and detention centers. Aims to reduce substance use and overdose deaths in prisons and jails. Supports aftercare services to ensure continuity of care and help program participants successfully reenter the community upon release from incarceration.

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 for loan repayment for substance use disorder (SUD) professionals in exchange for 6-year service obligations at STAR LRP-approved facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with high rates of drug overdose deaths. Helps recruit and retain qualified clinicians and paraprofessionals to provide direct SUD treatment or recovery support services in underserved areas and rural communities significantly impacted by substance use.

Assists communities with the recruitment and retention of qualified substance use disorder (SUD) professionals who provide direct treatment or recovery support at facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with a drug overdose death rate that is higher than the national average. New and current clinical staff working in eligible disciplines at a STAR LRP-approved facility are eligible to receive loan repayment assistance through the STAR Loan Repayment Program, which is open to a wider range of SUD clinicians and paraprofessionals compared to other HRSA loan repayment programs.

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.

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 funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasized activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

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.

Expands access at the community level to naloxone and other medications approved by the Food and Drug Administration (FDA) for emergency treatment of opioid overdose by establishing best practices for prescribing overdose reversal drugs. Provides training and resources to prescribers and providers and ensures protocols are in place to connect people who have experienced overdose to appropriate follow-up care and substance use treatment, including medications for opioid use disorder (MOUD) and behavioral therapies. Focuses on specific urban and rural populations to address the needs and expand workforce capacity in communities highly impacted by overdose and reduce overdose deaths.

Supports efforts to decrease opioid, stimulant, and other substance misuse and overdose deaths by offering financial and technical assistance to state, local, and tribal government entities. Helps provide treatment and recovery services for individuals involved with the criminal justice system resulting from substance misuse and their families. Seeks to enhance public safety and support underserved and rural populations through prevention and harm reduction activities and diversion programs.

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.

Funding to plan, develop, and operate a 12 month full-time, or 24 month half-time, training program for nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and/or social workers focused on training practitioners to provide mental health and substance use disorder (SUD), including opioid use disorder (OUD), services. Seeks to expand the workforce trained to provide care for individuals in need of mental health and SUD/OUD prevention, treatment, and recovery services in an integrated primary care underserved community-based setting.

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.

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 formula grants to states to help develop and expand prevention, harm reduction, treatment, and recovery activities for opioid use disorder (OUD) and stimulant use. Seeks to improve the accessibility and effectiveness of treatment and services for individuals with OUD, and address the unmet treatment needs and gaps related to overdose related deaths.

Helps American Indian and Alaska Native (AI/AN) tribal communities build and strengthen a comprehensive response to the opioid epidemic by providing prevention, harm reduction, treatment, and community-based recovery support services to AI/AN individuals with, or at risk for, opioid use disorder (OUD), stimulant misuse and use disorders. Identifies and addresses gaps in services and systems of care for OUD in tribal communities, and coordinates with other federally supported opioid response efforts to increase access to innovative and culturally responsive services for people with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD).

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.

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.

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.

Provides funding to expand clinical training at accredited addiction medicine fellowship (AMF) and addiction psychiatry fellowship (APF) programs. Seeks to increase the number of physicians and psychiatrists working in underserved, community-based settings that integrate primary care with mental health and substance use disorder (SUD) prevention and treatment services. Seeks to improve access to addiction prevention, treatment, and recovery services at various points of care and across healthcare sectors.

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.

Funds health centers' efforts to address local behavioral health needs, specifically those related to mental health, substance use disorder (SUD), and opioid use disorder (OUD) in rural and other medically underserved communities. Aims to increase behavioral health and primary care services offered in communities with high need and high demand by expanding the trained professional and paraprofessional workforce to establish interprofessional healthcare teams in federally funded healthcare facilities.

Ensures adolescents aged 12-18 and youth aged 16-25 with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) state-wide access to evidence-based assessments, treatment models, and recovery services. Brings together stakeholders across systems to enhance and expand services, develop policies, expand workforce, disseminate evidence-based practices, and implement financial mechanisms and other reforms to improve the coordination and efficiency of SUD treatment and recovery support systems for adolescent and youth populations in the state.