Funding: Treatment

Provides local jails with the opportunity to participate in a 9-month planning initiative to develop a comprehensive continuum of care that will increase access to opioid use disorder (OUD) treatment for individuals while in custody and in the community post-release. Seeks to reduce recidivism and the risk of overdose for the target population by increasing their engagement in evidence-based OUD treatment services. Offers a range of options for expanding access to OUD treatment to meet the needs of local jurisdictions, especially those in rural and tribal communities. This opportunity is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Provides state Medicaid agencies with the opportunity to participate in a value-based payment model that will promote integrated behavioral healthcare delivery in outpatient settings for Medicaid, Medicare, and dually eligible beneficiaries with mental health and/or substance use disorders (SUDs). Seeks to align payment between Medicare and Medicaid for integrated services, with the goal of improving behavioral health access, quality, and outcomes for the target population. Tribal and rural providers may be selected to join the model as practice participants.

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 6 topics, including behavioral health initiatives such as peer support, harm reduction, and opioid and substance misuse education. Offers seniors a variety of service activities and flexible work commitments, ranging from a few hours to a maximum of 40 hours per week.

Awards fellowships to master's level addictions counseling students. Offers financial support and professional development training to develop cultural competency skills in substance use disorder (SUD) counseling services for minority populations. Seeks to increase the number of SUD professional counselors serving minorities, including ethnic, racial, cultural, religious, gender, sexual orientation, rural, or veteran and military groups. Fellowships are administered by the National Board of Certified Counselors (NBCC) and the Association for Addiction Professionals (NAADAC) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Awards formula funding through a governor-appointed State or Territory Service Commission to single state programs 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 grants and technical assistance to state, local, and tribal governments for demonstration projects that develop, implement, and test affordable, safe, and secure housing options for individuals reentering the community after incarceration. Supports proposals for a range of evidence-based or innovative reentry housing models designed to improve reentry and reduce recidivism by increasing access to housing for adults in reentry. Provides program participants with access to wraparound services, such as case management, substance use disorder (SUD) and/or mental health treatment, and other services to support successful reentry.

Offers grants to support substance use prevention, substance use disorder (SUD) treatment, HIV and viral hepatitis prevention and treatment services for racial and ethnic medically underserved individuals with or at risk for SUD, mental health conditions, HIV, viral hepatitis, and other infectious diseases. Seeks to increase engagement in services and promote a syndemic approach to care for the target population, including tribal populations and those living in rural areas.

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.

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.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for underserved populations experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services.

Supports collaborative 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.

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, including access to Food and Drug Administration (FDA)-approved medications for the treatment of OUD.

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), including stimulant use disorder. 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 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.

Supports efforts by state, local, and tribal governments to establish and enhance community courts designed to enhance public safety and build trust between communities and law enforcement. Promotes the community court model, which utilizes partnerships between communities and the justice system to address local issues that lead to crime, including substance use and mental health conditions, and connect individuals committing lower-level offenses to substance use disorder (SUD) treatment, alternative sanctions, and community-based support services. Rural and tribal applicants are a priority.

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 .

Offers funding to states, territories, local governments, and federally recognized Indian tribal governments to increase public safety by supporting cross-system collaboration to improve responses and outcomes for youth under age 18 with mental health disorders (MHD) or co-occurring mental health and substance use disorders (MHSUDs) who come into contact with the juvenile justice system.

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.

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.

Offers grant funding to assist health centers with establishing or expanding mental health and substance use disorder (SUD) services at their facilities. Aims to increase access to mental health and SUD treatment, including medications for opioid use disorder (MOUD), with a focus on rural and underserved populations that experience unique barriers to care.

Awards fellowships to master's and doctoral students in social work programs. Offers monetary stipends, professional development, training, mentoring, and other supports to develop cultural competency skills in social work services for ethnic and racial minority populations at risk for mental health and substance use disorders (SUDs). Seeks to increase the number of social workers providing mental health and substance use services to underserved populations. Fellowships are administered by the Council on Social Work Education (CSWE) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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.

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.

Grants funds to assist jurisdictions with starting a juvenile drug treatment court (JDTC) or enhancing and expanding the operations of an existing JDTC. Seeks to reduce recidivism and substance misuse through court supervision and increased access to treatment, recovery, and other trauma-informed services for youth with substance use disorder (SUD) or co-occurring mental health disorders (CODs), including youth with a history of trauma.

Offers funds and technical assistance to states, local governments, and federally recognized Indian tribes to plan, implement, or expand comprehensive collaboration programs to improve outcomes for people with mental health disorders or co-occurring mental illness and substance use disorders who are involved with the justice system. Aims to develop collaborations across the criminal justice system that will provide healthcare, treatment, social services, and other supports to enhance public safety and public health, and reduce recidivism among the target population.

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.

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.

Grants funds to help jurisdictions establish new family treatment courts, strengthen existing family treatment courts, and expand family treatment courts at the larger state and county levels. Offers substance use treatment and recovery services to parents with substance use disorder (SUD) or co-occurring mental health disorders (COD). Aims to reunify families and protect children by providing support services to meet the needs of families involved with the child welfare system due to abuse and neglect and issues related to opioid, stimulant, and other substance misuse.

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 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.

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 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.

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.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to remain in their community while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

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 funding to state, local, and tribal governments to contract with organizations to provide clinical services, permanent supportive housing, and other reentry supports for individuals leaving incarceration, with a specific focus on the needs of individuals with mental health, substance use, or co-occurring disorders. Aims to increase public safety and lower recidivism rates by helping formerly incarcerated individuals successfully rejoin society. Services funded through this opportunity must be performance-based or outcome-based, making payment dependent upon reaching agreed upon goals.

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 naloxone and other Food and Drug Administration approved drugs or devices for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment recovery, harm reduction, and other psychosocial support services, and provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

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.

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.

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 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.

Awards fellowships to psychiatry residents to conduct innovative research projects addressing mental health and substance use issues for underserved ethnic and racial minority populations. Offers financial support, professional opportunities, and resources to develop cultural competency skills. Focuses on enhancing treatment and reducing disparities for minority populations with mental health conditions and substance use issues. Fellowships are administered by the American Psychiatry Association (APA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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).

Funds to develop new or expand existing youth healing to wellness courts to enhance the capacity of tribal courts to respond to the alcohol and substance use related issues of youth. Helps tribal youth involved with the justice system to access substance use disorder (SUD) treatment, maintain recovery, and reduce the risk of re-offending. Funds may support planning activities, court operations, workforce development, training, data collection, and the implementation of new programs and services. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Awards fellowships to master's and doctoral students in marriage and family therapy (MFT) programs. Offers financial support, training, and professional development opportunities designed to build cultural competency in mental health treatment for ethnic and racial minorities. Seeks to increase the number of marriage and family therapists providing mental health and substance use services to underserved populations. Fellowships are administered by the American Association for Marriage and Family Therapy (AAMFT) Research and Education Foundation through the Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

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.

Funds to develop, improve, and/or enhance statewide or regional networks to expand the capacity of healthcare providers' to screen, assess, treat, and refer pregnant and postpartum people for maternal mental health and substance use disorder (SUD), especially for rural and medically underserved areas.

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 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 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.

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.

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.

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.

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.

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).

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.

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).

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.

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.

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 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, 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.

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.

Provides funding to state workforce agencies and tribal organizations to make subgrants to local workforce development boards to address the economic, workforce, and health impacts of the opioid crisis in communities with high rates of substance use disorder (SUD). Supports collaboration between key community stakeholders to provide career, job training, and employment services to help individuals find and retain employment. Funds comprehensive screening services, outpatient recovery care, and other services for individuals with SUD that can also support their efforts to obtain and/or maintain employment.

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.

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.