Opportunity Information: Apply for SM 26 001

  • The Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Assisted Outpatient Treatment Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.997.
  • This funding opportunity was created on 2026-03-06.
  • Applicants must submit their applications by 2026-04-20. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $750,000.00 in funding.
  • The number of recipients for this funding is limited to 16 candidate(s).
  • Eligible applicants include: Others.
Apply for SM 26 001

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Opportunity Summary:

The Assisted Outpatient Treatment (AOT) Program (Funding Opportunity Number SM 26 001) is a discretionary federal grant run by the Substance Abuse and Mental Health Services Administration (SAMHSA) to help communities put assisted outpatient treatment into practice for adults living with serious mental illness (SMI). The overall aim is to strengthen structured, community-based treatment pathways for people who meet a states legal criteria for AOT, with a strong emphasis on practical implementation rather than planning alone. Because AOT operates at the intersection of behavioral health care, civil courts, and community services, the program expects funded recipients to build and manage active partnerships across those systems so court-involved outpatient treatment can be carried out consistently, monitored appropriately, and supported with real services in the community.

The award mechanism is a cooperative agreement, which typically means SAMHSA will have substantial involvement during the project period compared with a standard grant. In practice, applicants should be prepared for active federal engagement around implementation, performance reporting, and adherence to program goals. The funding activity category is Health, and the assistance listing is under CFDA (Assistance Listing) 93.997. While the notice summary does not list a floor amount, it does specify an award ceiling of $750,000 per award, and SAMHSA anticipates making about 16 awards under this opportunity.

Eligibility is narrow and set by statute. Only entities that have legal authority under their states laws to implement, monitor, and oversee assisted outpatient treatment programs can apply. The opportunity explicitly lists counties, cities, mental health systems (including mental health authorities), and mental health courts as eligible examples, along with other entities that can demonstrate they hold the necessary authority in their jurisdiction. This is an important point for prospective applicants: it is not enough to be a service provider or community organization that supports people with SMI. The applicant organization must be able to carry the formal responsibility for operating the AOT program within the legal framework of the state, including coordination with civil courts and any required oversight functions.

Programmatically, recipients are expected to stand up or expand AOT operations by working directly with civil courts, community providers, and other key partners to support outpatient treatment for adults with SMI who meet AOT criteria. That generally implies building a functioning referral and assessment process, creating the court and treatment coordination workflow, ensuring access to appropriate community-based services, and putting in place the capacity to track, monitor, and report on participation and outcomes. Because AOT is designed to support treatment in the community, a central theme is making sure court-ordered or court-supervised outpatient care is matched with the on-the-ground services needed to make it workable, such as clinical treatment and ongoing coordination among agencies.

Key administrative details include an original application closing date of 2026-04-20, and the opportunity record shows a creation date of 2026-03-06. In short, this funding is geared toward local and system-level governmental or quasi-governmental entities with AOT authority that are ready to run an AOT program in close collaboration with the civil court system and community mental health partners, using up to $750,000 per award under a SAMHSA cooperative agreement.

Frequently Asked Questions (FAQs)

What is the Assisted Outpatient Treatment (AOT) Program grant?

The Assisted Outpatient Treatment (AOT) Program is a discretionary federal funding opportunity run by the Substance Abuse and Mental Health Services Administration (SAMHSA). It is designed to help communities put assisted outpatient treatment into practice for adults living with serious mental illness (SMI), with an emphasis on real-world implementation in community settings.

What is the Funding Opportunity Number (FON) for this program?

The Funding Opportunity Number is SM 26 001.

Who is the federal agency administering this opportunity?

The program is administered by SAMHSA (Substance Abuse and Mental Health Services Administration).

What is the main goal of this funding opportunity?

The overall aim is to strengthen structured, community-based treatment pathways for adults with SMI who meet a state's legal criteria for AOT. The notice emphasizes practical implementation rather than planning alone.

What type of grant mechanism is being used?

The award mechanism is a cooperative agreement.

What does it mean that this award is a cooperative agreement?

A cooperative agreement typically means SAMHSA will have substantial involvement during the project period compared with a standard grant. Applicants should be prepared for active federal engagement related to implementation, performance reporting, and adherence to program goals.

What is the funding activity category for this opportunity?

The funding activity category is Health.

What is the Assistance Listing (CFDA) number?

The Assistance Listing (CFDA) number is 93.997.

How much funding is available per award?

The notice specifies an award ceiling of $750,000 per award.

Is there a minimum (floor) award amount listed?

No floor amount is listed in the notice summary provided. Only the award ceiling of $750,000 is specified.

How many awards does SAMHSA expect to make?

SAMHSA anticipates making about 16 awards under this opportunity.

Who is eligible to apply?

Eligibility is narrow and set by statute. Only entities that have legal authority under their state's laws to implement, monitor, and oversee assisted outpatient treatment programs can apply.

What kinds of organizations are listed as eligible examples?

The opportunity explicitly lists counties, cities, mental health systems (including mental health authorities), and mental health courts as eligible examples, along with other entities that can demonstrate they hold the necessary authority in their jurisdiction.

Can a service provider or community nonprofit apply if they support people with serious mental illness?

Not based on the information provided. The notice stresses that it is not enough to be a service provider or community organization that supports people with SMI. The applicant organization must have the legal authority to operate the AOT program within the state's legal framework, including coordination with civil courts and oversight functions.

What does the applicant need to be able to do from a legal authority standpoint?

The applicant must be able to carry the formal responsibility for operating the AOT program within the legal framework of the state. This includes authority to implement, monitor, and oversee AOT, along with the ability to coordinate with civil courts and perform any required oversight functions.

What population is this program intended to serve?

The program is intended to support adults living with serious mental illness (SMI) who meet a state's legal criteria for AOT.

Is this funding focused more on planning or on implementation?

The emphasis is on practical implementation rather than planning alone.

Why does the program emphasize partnerships with courts and other systems?

AOT operates at the intersection of behavioral health care, civil courts, and community services. The program expects recipients to build and manage active partnerships across those systems so court-involved outpatient treatment can be carried out consistently, monitored appropriately, and supported with real services in the community.

What partnerships are expected for a successful AOT project?

Recipients are expected to work directly with civil courts, community providers, and other key partners involved in implementing and supporting outpatient treatment and related coordination and oversight.

What kinds of activities are recipients expected to carry out with the grant?

Recipients are expected to stand up or expand AOT operations. The description indicates this generally involves building a functioning referral and assessment process, creating the court and treatment coordination workflow, ensuring access to appropriate community-based services, and putting in place the capacity to track, monitor, and report on participation and outcomes.

What does "community-based treatment pathways" mean in this context?

In this opportunity, it refers to structured outpatient treatment processes supported by community services and coordinated across systems (courts, behavioral health care, and community partners) for adults who meet AOT criteria.

What kinds of community services are implied as part of making AOT workable?

The description emphasizes that court-ordered or court-supervised outpatient care should be matched with on-the-ground services needed to make it workable, such as clinical treatment and ongoing coordination among agencies.

What is the application deadline?

The original application closing date listed is 2026-04-20.

When was the opportunity record created?

The opportunity record shows a creation date of 2026-03-06.

What is the overall expected approach for grant-funded AOT operations?

The expected approach is system-level implementation of AOT that is tightly coordinated with civil courts and supported by real community-based behavioral health services, with monitoring and reporting capacity built into operations.

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