Funding for Prevention

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 loan repayment for primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Primary Care and Mental Health Professional Shortage Areas (HPSAs) in rural communities. Seeks to increase the number of primary care and behavioral/mental health professionals providing opioid use disorder (OUD) and substance use disorder (SUD) treatment and services to patients in rural areas.

Makes federal funding available through 2 initiatives to rural school districts that may have difficulty receiving awards through competitive grants due to a lack of resources. Each initiative supports student achievement and provides not only basic school programs, such as enhancing curriculum or instruction in schools, but also a range of student support and enrichment activities and services, which may include substance use education and prevention programs.

Grants to states to support the integration of behavioral and primary physical healthcare, with the goal of improving health outcomes for individuals with behavioral health conditions. Requires state collaboration with Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and other qualified community programs to adopt and improve integrated care models across systems.

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.

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.

Provides individuals with one-year service opportunities focused on helping local community organizations, nonprofits, and government agencies build capacity and sustainability and decrease poverty through community programs, activities, and services. Strengthens community responses to substance misuse by supporting evidence-based education, prevention, treatment, and recovery efforts.

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 students with improved access to a well-rounded education, better school conditions for student learning, and increased use of technology to raise academic achievement and digital literacy. Includes alcohol and drug education and prevention efforts as well as professional development and training for school personnel and community members to identify and address substance abuse.

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.

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.

Awards fellowships to ethnic/racial minority students in master's or doctoral psychiatric, mental health, or substance use nursing programs. Aims to increase the number of nurses and nurse practitioners providing mental health and substance use prevention and treatment services to ethnic and racial minority populations. Provides stipends and educational supports to help students complete their degrees, conduct research, build leadership and cultural competency skills, and meet the needs of the communities they serve. Fellowships are administered by the American Nurses Association (ANA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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.

Helps land-grant colleges and universities create community-based outreach and extension services to improve health and wellness in rural areas by offering reliable information on health, wellness, and safety to individuals and families.

Aims to prevent and reduce suicidal behavior and substance misuse, reduce the impact of trauma, and promote mental health among American Indian and Alaska Native youth through age 24. Supports tribal communities in building and sustaining infrastructure for behavioral health systems that will positively impact AI/AN youth by successfully integrating culture, resources, and readiness to address suicide and substance misuse among the target population.

Funds to tribes to develop, support, and improve adult tribal justice systems. Seeks to support tribal and law enforcement efforts to prevent and reduce crime, including crime related to opioid, alcohol, stimulant, and other substance use disorders (SUD). Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds tribal efforts to reduce and prevent juvenile delinquency through prevention, intervention, and treatment services to children under the age of 21. Aims to promote public safety and positive outcomes by helping the juvenile justice system respond more fairly to American Indian and Alaska Native youth. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

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.

Provides funding to enhance states' ability to develop, implement, and promote substance use prevention and mental health promotion services for individuals and families in their state. Supports states in building the capacity of local providers to identify prevention priorities in their communities, including the use of opioids, methamphetamine, and heroin, and to implement evidence-based strategies to address their prevention needs. Focuses on delivering prevention services to rural, tribal, and other underserved communities.

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).

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 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 states to support efforts to prevent or reduce crime and violence, and to improve the fair administration of the justice system. 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.

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 pediatric medical subspecialty care, pediatric surgical specialty care, and child and adolescent behavioral healthcare providers in exchange for 3-year service obligations at approved sites in Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), and Medically Underserved Population (MUPs). Aims to increase pediatric workforce in underserved areas and expand access to care, including child and adolescent mental health and substance use disorder (SUD) prevention and treatment services.

Assists with the recruitment and retention of pediatric medical subspecialty care, pediatric surgical specialty care, and behavioral healthcare professionals serving Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUAs/Ps). New and current clinical staff working in eligible disciplines at an approved facility are eligible to receive loan repayment assistance through the Pediatric Specialty Loan Repayment Program. Helps communities meet pediatric workforce needs and increases access to child and adolescent behavioral healthcare, including mental health and substance use disorder (SUD) prevention and treatment services.

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 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 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.

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.

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.

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.

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.

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).

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).

Supports community-driven efforts to deliver evidence-based, culturally appropriate substance use prevention, treatment, and aftercare services for American Indian and Alaska Native (AI/AN) communities. Works to expand access to behavioral health services; improve care coordination and cross-system collaboration; and engage family, youth, and community resources to reduce substance use disorder (SUD) and overall substance misuse in tribal communities. SASP is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds for states to develop and implement programs to address the oral health workforce needs in Dental Health Professional Shortage Areas (HPSAs), including those in rural communities. Supports new ideas, methods, and/or approaches to increase access to oral health services. Allows states to design programs to address opioid use disorder (OUD) by improving pain management practices, treatments, and recovery support services. Helps states become better prepared for future public health emergencies by evaluating and responding to the impact of COVID-19 on oral health workforce.

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 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.

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 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.

Provides funding to existing USDA Cooperative Extension grantees to develop and offer training and technical assistance for rural communities to help combat the effects of the opioid crisis and/or stimulant issues. Supports education and training on prevention, treatment, and recovery activities related to opioid use disorder (OUD) and stimulant use disorder and works to share successful model programs.

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.

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.

Enhances school climate, creating safer, healthier, more engaging and supportive environments for students. Supports the development and implementation of programs using evidence-based multi-tiered frameworks to improve learning conditions and behavioral outcomes and provides training and technical assistance to schools. Prioritizes local educational agencies (LEAs) in rural and tribal areas and gives competitive preference to projects that address the prevention and the impacts of opioid abuse.

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.