Opportunity Information: Apply for SM 09 011
Apply for SM 09 011
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Grants for Primary and Behavioral Health Care Integration" 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 27, 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 $5,500,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 11 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Applicants will be limited to publicly funded community mental health and other community based behavioral health agencies. Community based behavioral health agencies are in a unique position to carry out the activities of this grant. People with serious mental illness frequently seek and obtain services from community based behavioral health agencies, thereby forming long lasting relationships. Many individuals served by the behavioral health treatment system are unable to access primary care settings due to coverage issues, stigma, and the difficulties fitting into the fast paced model of primary care. Without appropriate outpatient primary care services, people with serious mental illness commonly seek primary healthcare services in emergency rooms, often resulting in overcrowding, high costs, inappropriate care, and poor health outcomes. Because those with serious mental illness are more likely to visit their community based behavioral health agencies, these agencies are well primed to formulate partnerships with primary care organizations in order to facilitate improved health outcomes for clients. For the purposes of this announcement, community mental health and other behavioral health agencies are defined as the following 1) an entity that meets applicable licensing or certification requirements in the State in which it is located and 2) provides outpatient mental health and/or other behavioral health services for individuals with serious mental illness. SAMHSA will use the Assurance Statement (see Appendix C) to determine eligibility. See also Section III 3.2, Evidence of Experience and Credential, below. Existing Federally Qualified Health Centers may participate as a partner organization but only community mental health and other behavioral health agencies are eligible to be the applicant organization.
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Opportunity Summary:
The FY 2009 Grants for Primary and Behavioral Health Care Integration (PBHCI) opportunity is a SAMHSA Center for Mental Health Services program designed to improve the physical health and overall wellness of people living with serious mental illness (SMI) who are served in the public mental health system. The central idea is to help communities coordinate and integrate primary care services directly within publicly funded community mental health and other community-based behavioral health settings, since these are often the places where people with SMI already receive ongoing services and have established relationships. By supporting the partnerships, workflows, and basic infrastructure needed to bring primary care and behavioral health together, SAMHSA expects grantees to develop or expand access to primary healthcare for people with SMI and, in turn, produce measurable improvements in physical health status.
The grant is grounded in the well-documented reality that people with serious mental illness experience markedly worse physical health outcomes and die significantly earlier than the general population. The announcement references the 2006 NASMHPD technical report Morbidity and Mortality in People with Serious Mental Illness, which found that people with SMI die, on average, about 25 years earlier. While many factors play a role, the opportunity highlights lack of access to routine primary care as a major driver of early mortality. People with SMI have higher rates of chronic and preventable conditions such as hypertension, diabetes, obesity, and cardiovascular disease, and these risks are often compounded by smoking, poor nutrition, low physical activity, substance use, and medication side effects like weight gain. PBHCI positions integrated care as a practical way to close these gaps by embedding screening, monitoring, prevention, treatment, and care coordination where clients already seek help, and by offering wellness education and support services alongside behavioral health treatment.
From an implementation standpoint, PBHCI is a SAMHSA services grant program offered as a cooperative agreement, meaning recipients should expect substantial federal involvement or guidance compared with a standard grant. SAMHSA emphasizes rapid start-up: funded sites are expected to begin delivering services as soon as possible and no later than the fourth month of the project. The program aligns with broader federal public health priorities, including Healthy People 2010 focus areas on mental health and substance abuse, and it explicitly supports SAMHSA's Wellness 10 by 10 campaign goal of reducing early mortality among people with mental illness by 10 years over the next decade. The outcomes SAMHSA anticipates from better integration include improved access to primary care, stronger prevention and earlier identification of health conditions (particularly chronic disease), increased ability of provider organizations to serve clients holistically across mental health, substance use, and physical health needs, and improved overall client health status.
Key funding details in the notice include Funding Opportunity Number SM-09-011 (CFDA 93.243). It is a discretionary opportunity in the health category with an estimated total funding amount of $5.5 million and an expected 11 awards. The maximum award amount (ceiling) is $500,000, there is no stated minimum award (floor listed as $0), and there is no cost sharing or matching requirement. The opportunity was posted March 27, 2009, with an application closing date of May 27, 2009 (archived June 26, 2009).
Eligibility is intentionally narrow. Only publicly funded community mental health agencies and other community-based behavioral health agencies may apply as the lead applicant organization. These agencies must meet applicable state licensing or certification requirements and provide outpatient mental health and/or other behavioral health services for individuals with SMI. The rationale is that many individuals with SMI face barriers to traditional primary care settings (coverage limitations, stigma, and difficulty navigating fast-paced primary care models), which leads to overreliance on emergency rooms for basic health needs and contributes to higher costs and poorer outcomes. Community behavioral health agencies, by contrast, are seen as the most consistent point of contact and therefore well positioned to build formal partnerships with primary care providers to deliver integrated services. Federally Qualified Health Centers (FQHCs) are allowed to participate, but only as partner organizations; they cannot be the applicant under this specific announcement. SAMHSA indicates it will use an Assurance Statement to confirm eligibility.
For applicant support and administrative questions, the notice lists a grants management contact: Gwendolyn Simpson, Office of Program Services, Division of Grants Management, SAMHSA, 1 Choke Cherry Road, Room 7-1085, Rockville, MD 20857; phone (240) 276-1408; email gwendolyn.simpson@samhsa.hhs.gov.
FY 2009 PBHCI (Primary and Behavioral Health Care Integration) Grant FAQs
1) What is the FY 2009 PBHCI grant opportunity?
The FY 2009 Grants for Primary and Behavioral Health Care Integration (PBHCI) opportunity is a SAMHSA Center for Mental Health Services program intended to improve the physical health and overall wellness of people living with serious mental illness (SMI) who are served in the public mental health system.
2) What problem is PBHCI trying to solve?
The opportunity is grounded in the well-documented reality that people with SMI experience significantly worse physical health outcomes and die much earlier than the general population. The notice references the 2006 NASMHPD technical report indicating that people with SMI die, on average, about 25 years earlier. A major driver highlighted is lack of access to routine primary care.
3) Who is the program designed to help?
PBHCI is designed to help people living with serious mental illness (SMI) who are served in the public mental health system, particularly those receiving services through publicly funded community mental health and other community-based behavioral health settings.
4) What is the central approach of PBHCI?
The central idea is to coordinate and integrate primary care services directly within publicly funded community mental health and other community-based behavioral health settings. These are often the places where people with SMI already receive ongoing services and have established relationships.
5) What kinds of services or activities does PBHCI emphasize?
PBHCI emphasizes embedding primary care-related functions where clients already seek help, including screening, monitoring, prevention, treatment, and care coordination. It also highlights providing wellness education and support services alongside behavioral health treatment.
6) What physical health conditions and risk factors are mentioned in the notice?
The notice points to higher rates of chronic and preventable conditions among people with SMI, including hypertension, diabetes, obesity, and cardiovascular disease. It also mentions compounding risks such as smoking, poor nutrition, low physical activity, substance use, and medication side effects like weight gain.
7) What outcomes does SAMHSA expect from improved integration?
SAMHSA anticipates outcomes such as improved access to primary care; stronger prevention and earlier identification of health conditions (particularly chronic disease); increased ability of provider organizations to serve clients holistically across mental health, substance use, and physical health needs; and measurable improvements in overall client physical health status.
8) What type of federal award is PBHCI?
PBHCI is offered as a cooperative agreement. This means recipients should expect substantial federal involvement or guidance compared with a standard grant.
9) How quickly are funded sites expected to start providing services?
SAMHSA emphasizes rapid start-up. Funded sites are expected to begin delivering services as soon as possible and no later than the fourth month of the project.
10) How does PBHCI align with broader federal priorities?
The program aligns with Healthy People 2010 focus areas on mental health and substance abuse, and it explicitly supports SAMHSA's Wellness 10 by 10 campaign goal of reducing early mortality among people with mental illness by 10 years over the next decade.
11) What is the Funding Opportunity Number and CFDA number?
The Funding Opportunity Number is SM-09-011 and the CFDA number is 93.243.
12) What is the estimated total funding amount and expected number of awards?
The notice estimates a total funding amount of $5.5 million and anticipates 11 awards.
13) What is the maximum award amount?
The maximum award amount (ceiling) listed is $500,000.
14) Is there a minimum award amount?
No minimum award amount is stated. The floor is listed as $0.
15) Is cost sharing or matching required?
No. The notice states there is no cost sharing or matching requirement.
16) What category and type of opportunity is this?
The opportunity is described as a discretionary opportunity in the health category.
17) Who is eligible to apply as the lead applicant?
Eligibility is intentionally narrow. Only publicly funded community mental health agencies and other community-based behavioral health agencies may apply as the lead applicant organization.
18) What service and licensing/certification requirements apply to eligible applicants?
Eligible agencies must meet applicable state licensing or certification requirements and provide outpatient mental health and/or other behavioral health services for individuals with SMI.
19) Why is eligibility limited to community mental health and behavioral health agencies?
The notice explains that many individuals with SMI face barriers to traditional primary care settings (such as coverage limitations, stigma, and difficulty navigating fast-paced primary care models). This can lead to overreliance on emergency rooms for basic health needs and contributes to higher costs and poorer outcomes. Community behavioral health agencies are presented as the most consistent point of contact and therefore well positioned to build formal partnerships with primary care providers to deliver integrated services.
20) Can a Federally Qualified Health Center (FQHC) apply as the lead applicant?
No. FQHCs are allowed to participate only as partner organizations; they cannot be the applicant under this specific announcement.
21) How does SAMHSA confirm eligibility?
SAMHSA indicates it will use an Assurance Statement to confirm eligibility.
22) When was the opportunity posted and when did it close?
The opportunity was posted on March 27, 2009. The application closing date was May 27, 2009. The notice indicates it was archived on June 26, 2009.
23) Who can applicants contact for grants management or administrative questions?
The notice lists a grants management contact: Gwendolyn Simpson, Office of Program Services, Division of Grants Management, SAMHSA, 1 Choke Cherry Road, Room 7-1085, Rockville, MD 20857; phone (240) 276-1408; email gwendolyn.simpson@samhsa.hhs.gov.
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Applicants also applied for:
Applicants who have applied for this opportunity (SM 09 011) also looked into and applied for these:
| Funding Opportunity |
|---|
| Partnerships for Success State and Community Prevention Performance Grant Apply for SP 09 005 Funding Number: SP 09 005 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $2,300,000 |
| Health Promotion and Disease Prevention Apply for HHS 2009 IHS HPDP 0001 Funding Number: HHS 2009 IHS HPDP 0001 Agency: Indian Health Service Category: Health Funding Amount: $100,000 |
| Offender Reentry Program Apply for TI 10 006 Funding Number: TI 10 006 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $400,000 |
| Grants to Expand Substance Abuse Treatment Capacity for Juvenile Treatment Drug Courts Apply for TI 10 004 Funding Number: TI 10 004 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $325,000 |
| Grants to Expand Substance Abuse Treatment Capacity for Adult Drug Courts Apply for TI 10 011 Funding Number: TI 10 011 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $325,000 |
| Mental Health Transformation Grants Apply for SM 10 010 Funding Number: SM 10 010 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $750,000 |
| Grants to Expand Services to Children Affected by Methamphetamine in Families Participating in Family Treatment Drug Court Apply for TI 10 009 Funding Number: TI 10 009 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $370,000 |
| Capacity Building Initiative for Substance Abuse (SA) and HIV Prevention Services for At Risk Racial/Ethnic Minority Young Adults Apply for SP 10 004 Funding Number: SP 10 004 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $300,000 |
| Regional Collaborative for the Pacific Basin Apply for HRSA 10 120 Funding Number: HRSA 10 120 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Community Resilience and Recovery Initiative Apply for SM 10 015 Funding Number: SM 10 015 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $1,400,000 |
| Cooperative Agreements for Linking Actions for Unmet Needs in Children s Health Apply for SM 10 012 Funding Number: SM 10 012 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $650,000 |
| Implementing Evidence Based Prevention Practices in Schools Apply for SM 10 017 Funding Number: SM 10 017 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $100,000 |
| Emergency System for Advance Registration of Volunteer Health Professionals Grant Program Apply for EP ESR 10 001 Funding Number: EP ESR 10 001 Agency: Assistant Secretary for Preparedness and Response Category: Health Funding Amount: $200,000 |
| Training and Technical Assistance Center for Primary and Behavioral Health Care Integration Apply for SM 10 011 Funding Number: SM 10 011 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $1,750,000 |
| Cooperative Agreement for a Prescriber s Clinical Support System for the Appropriate Use of Opioids in the Treatment of Pain and Opioid related Addiction Apply for TI 11 007 Funding Number: TI 11 007 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $500,000 |
| Circles of Care V Infrastructure Development for Children s Mental Health Systems in American Indian/Alaska Native (AI/AN) Communities Apply for SM 11 007 Funding Number: SM 11 007 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $311,140 |
| Strategic Prevention Framework State Prevention Enhancement Grants Apply for SP 11 004 Funding Number: SP 11 004 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $600,000 |
| Cooperative Agreements to Benefit Homeless Individuals (Short Title CABHI) Apply for TI 11 008 Funding Number: TI 11 008 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $500,000 |
| Grants to Develop and Expand Behavioral Health Treatment Court Collaboratives (Short Title Adult Treatment Court Collaboratives) Apply for TI 11 010 Funding Number: TI 11 010 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $400,000 |
| National Child Traumatic Stress Initiative Combined RFA Treatment and Service Adaptation Centers Category II and the Community Treatment and Services Centers Category III Apply for SM 11 011 Funding Number: SM 11 011 Agency: Substance Abuse Mental Health Services Adminis. Category: Health Funding Amount: $600,000 |
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