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.

Provides formula grant funding to local governments to enhance the functioning of the criminal justice system, with a focus on efforts to address violent crime and serious offenders. Funds may be used for additional personnel, equipment, supplies, contractual support, training, technical assistance, and information systems to support activities that will help prevent, control, or reduce crime; enforce the criminal law; and strengthen the courts, corrections, probation, and parole authorities. Supports drug treatment, enforcement, prevention, and education programs.

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.

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 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.

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.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering drugs or devices approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment and recovery support services, and for safety around fentanyl, carfentanil, and synthetic opioids.

Provides funding to enhance the ability of state health departments to track and prevent nonfatal and fatal overdoses and identify emerging drug threats by supporting surveillance and prevention strategies designed to reduce overdose morbidity and mortality. Emphasizes activities focused on opioid, stimulants, and polysubstance use and works to address health inequities and increase access to care and services for populations at high-risk for overdose, including rural communities and tribal 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.

Provides funding for loan repayment for substance use disorder (SUD) primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Mental Health and/or Primary Care Health Professional Shortage Areas (HPSAs) in rural and underserved areas.

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 with substance use disorders in the criminal justice system.

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 to support strategic planning and development to improve tribal justice systems, public safety, and community wellness. Supports strategies to address violent crime, murder of indigenous people, domestic violence, substance misuse, substance use disorder (SUD), overdose, drug-related crime, and human trafficking. Offers training, technical assistance, and other supports to assist communities and law enforcement with planning and processes to proactively address conditions and issues that lead to crime, social disorder, and fear of crime. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

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.

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 just 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.

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) to meet treatment needs and reduce opioid overdose in AI/AN communities. Emphasizes approaches that promote cross-system collaboration and innovation, with a special focus on services for pregnant women and infants pre-exposed to opioids. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

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.

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 for demonstration projects to support statewide adoption of the Overdose Detection Mapping Application Program (ODMAP) mobile tool. ODMAP helps states quickly track and analyze fatal and nonfatal opioid overdoses and the administration of naloxone by first responders. Works to establish coalitions in local communities to use ODMAP data to inform public health and safety interventions for specific geographic areas or populations at high risk for overdose.