Opportunity Information: Apply for SM 09 008

  • The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Cooperative Agreements for State/Community Partnerships to Integrate Services and Supports for Youth and Young Adults 16 25 with Serious Mental Health Conditions And Their Families" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243 Substance Abuse and Mental Health ServicesProjects of Regional and National Significance.
  • This funding opportunity was created on Mar 27, 2009 and posted on Mar 27, 2009.
  • Applicants must submit their applications by May 20, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $3,360,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $480,000.00 in funding.
  • The number of recipients for this funding is limited to 7 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants are State governments and federally recognized American Indian/Alaska Native (AI/AN) Tribes and Tribal organizations. Governments of the following Territories are also eligible to apply Palau, Micronesia, Northern Mariana Islands, Marshall Islands, Virgin Islands, Puerto Rico, Guam, and American Samoa. Tribal organization means the recognized body of any AI/AN Tribe any legally established organization of American Indians/Alaska Natives which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of American Indians/Alaska Natives in all phases of its activities. Consortia of Tribal organizations are eligible to apply, but each participating entity must indicate its approval. Eligibility is limited to States/Tribes/Territories because local systems of care must be linked and integrated at the State/Tribal/Territory level in order to effect policy change and replication Statewide.
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Opportunity Summary:

The FY 2009 Healthy Transitions Initiative is a SAMHSA Center for Mental Health Services funding opportunity that supports states, territories, and federally recognized American Indian/Alaska Native tribes and tribal organizations in building coordinated, youth-guided systems of care for young people ages 16 to 25 who are living with serious mental health conditions. The program is built around a practical problem: many youth with serious emotional disturbance (SED) or serious mental illness (SMI) experience a sharp drop-off in services as they age out of child-serving systems, then struggle to connect to adult systems that often have different eligibility rules, different service models, and fewer coordinated supports. SAMHSA is using these cooperative agreements to help applicants redesign that transition period so young people can move into adulthood with stronger clinical care continuity and better access to the real-world supports tied to stability and independence.

At the heart of the grant is the expectation that each awardee will choose a specific locality to implement a comprehensive, developmentally appropriate service delivery approach, while also linking that local work to broader state, tribal, or territorial policy and financing reforms. The intent is not only to improve services in one community, but to use what is built locally as a lever for statewide or systemwide change and replication. The initiative emphasizes youth-guided planning and decision-making, meaning young people, families, and adult consumer stakeholders are expected to be partners in designing, governing, and improving the system of care. This includes bringing together agencies and providers that often operate separately (for example, mental health, substance use services, education, vocational supports, housing, and justice-related partners) so that services are organized around the needs of the young person rather than around institutional boundaries.

The outcomes SAMHSA is aiming to improve reflect the common pressure points during the transition to adulthood: staying engaged in education and completing school, connecting to employment or career training, obtaining stable housing, and receiving effective mental health treatment including support for co-occurring substance use disorders. The program also aims to reduce involvement with juvenile and criminal justice systems. The opportunity description points to the consequences of poorly coordinated transition supports, including higher rates of dropout, underemployment and unemployment, justice system contact, early and unplanned pregnancy, and homelessness. It also highlights that transition-age youth have particularly high rates of co-occurring substance use disorders compared to other age groups with serious mental health challenges, which increases risk for poor outcomes if systems are not integrated and responsive.

A key feature is the balance between clinical services and the broader supports that help young adults function independently. While participants may need ongoing treatment, the grant stresses the importance of supports like housing assistance, educational navigation, employment services, basic living skills development, and social supports. It also recognizes that relationships with trusted child-service providers can be disrupted when youth “age out,” and that communities may already have many useful programs that are simply not coordinated. Systems of care funded through this initiative are meant to provide that coordination, preserve continuity where possible, and make it easier for young people to access the right mix of supports without falling through gaps.

Administratively, this is a discretionary health grant using the cooperative agreement funding instrument, meaning SAMHSA is likely to have substantial programmatic involvement compared to a typical grant. The funding opportunity number is SM-09-008, and it was posted March 27, 2009, with an application closing date of May 20, 2009 (archived June 19, 2009). SAMHSA anticipated making 7 awards, with an estimated total funding amount of $3,360,000 and an award ceiling of $480,000; there is no cost sharing or matching requirement. The CFDA listing provided is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance). Eligible applicants are state governments; certain U.S. territories (including Puerto Rico, Guam, American Samoa, the U.S. Virgin Islands, and several freely associated states/territories listed in the notice); and federally recognized tribes and tribal organizations, including consortia if each participating entity documents approval. Eligibility is limited to these governmental and tribal entities because the initiative requires state/tribal/territorial-level integration to drive policy change and support statewide replication and sustainability.

The authority cited for the program is Section 520A of the Public Health Service Act (42 U.S.C. 290bb-32), and the announcement aligns with Healthy People 2010 Focus Area 18 on mental health and mental disorders. SAMHSA also signals an expectation common to its services grant programs: the project should be delivering services and collecting baseline data by no later than the sixth month of the project, reinforcing that this opportunity is designed to move quickly from planning into real service delivery while building the infrastructure for longer-term system reform. For applicants who needed access help, the notice lists a SAMHSA grants management contact (Gwendolyn Simpson) and provides phone and email details.

Frequently Asked Questions (FAQs) - FY 2009 Healthy Transitions Initiative (SAMHSA/CMHS)

What is the FY 2009 Healthy Transitions Initiative?

The FY 2009 Healthy Transitions Initiative is a SAMHSA Center for Mental Health Services (CMHS) funding opportunity that supports the development of coordinated, youth-guided systems of care for young people ages 16 to 25 who are living with serious mental health conditions.

What problem is this grant trying to solve?

The initiative addresses the service drop-off that often happens when youth with serious emotional disturbance (SED) or serious mental illness (SMI) age out of child-serving systems and then struggle to connect to adult systems that may have different eligibility rules, different service models, and fewer coordinated supports.

Who is the target population for services under this initiative?

The target population is young people ages 16 to 25 who are living with serious mental health conditions, including youth with SED or SMI, with attention to those who may also have co-occurring substance use disorders.

What does "youth-guided" mean in this program?

Youth-guided means young people are expected to be partners in planning, decision-making, governance, and continuous improvement of the system of care. Families and adult consumer stakeholders are also expected to be engaged as partners.

What is a "system of care" in the context of this opportunity?

In this initiative, a system of care is a coordinated approach that organizes services and supports around the needs of the young person rather than around separate agency or provider boundaries, with an emphasis on continuity and easier access to the right mix of supports.

What kinds of partners or service sectors are expected to be involved?

The opportunity emphasizes bringing together sectors that often operate separately, such as mental health services, substance use services, education, vocational supports, housing, and justice-related partners, so supports are coordinated for transition-age youth.

Is the initiative focused only on clinical treatment?

No. While effective mental health treatment is a core focus (including support for co-occurring substance use disorders), the grant also stresses real-world supports tied to stability and independence, such as housing assistance, educational navigation, employment services, basic living skills development, and social supports.

What outcomes is SAMHSA aiming to improve through this initiative?

Key outcomes include improved engagement in education and school completion, improved connection to employment or career training, increased housing stability, improved access to effective mental health treatment (including for co-occurring substance use disorders), and reduced involvement with juvenile and criminal justice systems.

Why does the opportunity emphasize co-occurring substance use disorders?

The description notes that transition-age youth have particularly high rates of co-occurring substance use disorders compared to other age groups with serious mental health challenges, increasing risk for poor outcomes when systems are not integrated and responsive.

What is the expected service delivery approach for awardees?

Each awardee is expected to choose a specific locality to implement a comprehensive, developmentally appropriate service delivery approach, and link that local work to broader state, tribal, or territorial policy and financing reforms.

Is the intent limited to improving services in one community?

No. The intent is to improve services in a specific locality while using what is built locally as a lever for statewide or systemwide change, replication, and sustainability.

Why is eligibility limited to state, territorial, and tribal entities?

Eligibility is limited because the initiative requires state/tribal/territorial-level integration to drive policy change and support statewide replication and sustainability.

Who is eligible to apply?

Eligible applicants include state governments; certain U.S. territories (including Puerto Rico, Guam, American Samoa, and the U.S. Virgin Islands, plus several freely associated states/territories listed in the notice); and federally recognized American Indian/Alaska Native tribes and tribal organizations.

Are tribal consortia allowed to apply?

Yes. Consortia may apply if each participating entity documents approval.

What is the funding mechanism for this opportunity?

This opportunity uses the cooperative agreement funding instrument, which means SAMHSA is likely to have substantial programmatic involvement compared to a typical grant.

What type of grant is this?

It is a discretionary health grant.

What is the funding opportunity number?

The funding opportunity number is SM-09-008.

What is the CFDA number associated with this program?

The CFDA listing provided is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance).

How many awards did SAMHSA anticipate making?

SAMHSA anticipated making 7 awards.

What was the estimated total funding amount and the award ceiling?

The estimated total funding amount was $3,360,000, and the award ceiling was $480,000.

Is cost sharing or matching required?

No. The notice states there is no cost sharing or matching requirement.

When was the opportunity posted and when did it close?

It was posted on March 27, 2009, and the application closing date was May 20, 2009. The listing was archived on June 19, 2009.

How quickly are projects expected to move from planning to service delivery?

SAMHSA signals an expectation that projects should be delivering services and collecting baseline data by no later than the sixth month of the project.

What authority is cited for the program?

The authority cited is Section 520A of the Public Health Service Act (42 U.S.C. 290bb-32).

How does this opportunity align with national health goals?

The announcement aligns with Healthy People 2010 Focus Area 18 on mental health and mental disorders.

What kinds of negative outcomes does the opportunity associate with poorly coordinated transitions?

The description points to higher rates of dropout, underemployment and unemployment, justice system contact, early and unplanned pregnancy, and homelessness when transition supports are poorly coordinated.

Why does the initiative emphasize coordination and continuity?

The opportunity recognizes that relationships with trusted child-service providers can be disrupted when youth age out, and that communities may have useful programs that are not coordinated. The initiative funds systems intended to preserve continuity where possible and make it easier for young people to access the right mix of supports without falling through gaps.

Who was the listed SAMHSA grants management contact for access help?

The notice lists Gwendolyn Simpson as the SAMHSA grants management contact for applicants who needed access help.

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