Opportunity Information: Apply for SM 14 017
Apply for SM 14 017
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Now is the Time Healthy Transitions (HT) Improving Life Trajectories for Youth and Young Adults with, or at Risk for, Serious Mental Health Conditions (Short Title NITT HT)" 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 Apr 11, 2014 and posted on Apr 11, 2014.
- Applicants must submit their applications by Jun 13, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $15,840,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 16 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are State governments, Indian or tribal organizations (as defined in Section 4b and Section 4c of the Indian Self Determination Act) District of Columbia government and the Commonwealth of Puerto Rico, Northern Mariana Islands, Virgin Islands, Guam, American Samoa and Trust Territory of the Pacific Islands (now Palau, Micronesia and the Marshall Islands). 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 tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval. Eligibility is limited to states/tribes/territories because the goal is to have services and supports linked and integrated at the state/tribal/territory level in order to effect broad policy change and replication.
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Opportunity Summary:
The Now is the Time Healthy Transitions (NITT HT) grant opportunity is a SAMHSA cooperative agreement created to support the Presidents Now is the Time (NITT) plan by improving how communities find, engage, and serve youth and young adults ages 16 to 25 who have, or are at risk of developing, serious mental health conditions, including co-occurring mental health and substance use disorders. The core idea is that this age range is a high-risk developmental window for the onset of mental illness and substance use disorders and also a period of elevated suicide risk, yet many young people are among the least likely to seek help. Because of that, they can easily lose contact with supports after high school and "fall through the cracks" right when stable clinical care, supportive services, and practical life supports matter most for long-term functioning.
The program is designed around the reality that many affected youth are not well connected to school, work, health care, or community supports. Some may be homeless or have involvement with juvenile or criminal justice systems, which raises the likelihood of emergency department use, hospitalization, and placement in mental health or correctional facilities. NITT HT emphasizes that early identification is only the starting point; once young people are located and engaged, the system must be able to deliver effective, developmentally appropriate, evidence-informed treatment and supports that improve emotional and behavioral functioning and help them move into adult roles and responsibilities. SAMHSA frames this as part of a broader continuum within NITT: Project AWARE focuses upstream on prevention and promotion in educational settings, while Healthy Transitions extends the continuum by building intervention and treatment capacity for older, often disconnected youth and young adults as they transition into adulthood.
Healthy Transitions targets three connected audiences. First are 16 to 25 year olds who are at risk and may be unidentified, where the emphasis is on outreach, engagement, screening, early detection, and connecting individuals to resources before problems escalate. Second are 16 to 25 year olds who are already identified as having serious mental health conditions (including early signs of serious mental illness), where the emphasis shifts toward improving access to appropriate child- or adult-serving systems and delivering effective services and supports to improve outcomes and long-term life trajectories. Third is the community at large, where the program supports broader public awareness so families, peers, providers, and community members can recognize early warning signs and know practical action steps to take when concerns arise.
The approach SAMHSA describes is intentionally cross-system and community-facing rather than limited to specialty mental health clinics. Outreach and engagement strategies are expected to use peer-to-peer and family supports, social media, and existing natural networks such as YMCAs, health fairs, primary care settings, faith organizations, and teen centers. The program highlights the need for coordinated pathways that include connections to vocational training and higher education, recognizing that employment and education are central protective factors during transition-age years. Youth and family organizations are anticipated to play a major role in engagement strategies and peer support, helping to reach young people who distrust formal systems or who have already disengaged from traditional services.
NITT HT also places strong emphasis on continuity of care and seamless transitions between child- and adult-serving systems. A recurring problem for this age group is aging out of youth systems without a warm handoff to adult services, causing gaps in treatment, medication management, and supportive services. The grant encourages service models that are culturally competent and youth-guided, explicitly involving families and broader community partners, including business leaders and faith-based organizations when appropriate. It also prioritizes reducing behavioral health disparities among racial and ethnic minority youth by encouraging strategies that decrease differences in access, service use, and outcomes across subpopulations.
Operationally, the grant is meant to drive both direct service expansion and larger infrastructure change at the state, tribal, or territorial level. SAMHSA outlines three main thrusts: (1) creating, implementing, or expanding culturally competent, youth-guided services and supports with family and community involvement and continuity across age groups; (2) making infrastructure and organizational changes to improve cross-system collaboration, service capacity, and workforce expertise for transition-age youth with serious mental health or substance use disorders; and (3) building public awareness and delivering cross-system training for providers and institutions that touch this population, such as community colleges and higher education, behavioral health, law enforcement, primary care, vocational services, and child welfare. Importantly, SAMHSA signals that this is a services-oriented program where funding should translate into service delivery quickly, with services expected to begin no later than the sixth month of the project.
From the funding and eligibility standpoint, this opportunity (Funding Opportunity Number SM-14-017; CFDA 93.243) was posted April 11, 2014 with an application deadline of June 13, 2014. SAMHSA anticipated 16 awards with an estimated total funding amount of $15,840,000 and an award ceiling of $1,000,000, with no cost-sharing or matching requirement. Eligibility is limited to states, tribes/tribal organizations (including consortia with documented approvals), and U.S. territories and associated jurisdictions (including the District of Columbia and the Commonwealth of Puerto Rico, among others). SAMHSA explains that this limitation is intentional because the program aims to link and integrate services and supports at the state, tribal, or territorial level to enable broader policy change and replication. The program is authorized under Section 520A of the Public Health Service Act, as amended, and aligns with Healthy People 2020 priorities in mental health and substance abuse.
Frequently Asked Questions (FAQs): Now is the Time Healthy Transitions (NITT HT)
1) What is the Now is the Time Healthy Transitions (NITT HT) grant?
NITT HT is a SAMHSA cooperative agreement designed to support the President's Now is the Time (NITT) plan. Its purpose is to improve how communities find, engage, and serve youth and young adults ages 16 to 25 who have, or are at risk of developing, serious mental health conditions, including co-occurring mental health and substance use disorders.
2) Who is the primary population served by Healthy Transitions?
The primary population is youth and young adults ages 16 to 25, especially those who are disconnected from typical supports such as school, work, health care, and community services, and those who may be at increased risk for crisis events like emergency department use, hospitalization, or involvement with juvenile or criminal justice systems.
3) Why does the program focus specifically on ages 16 to 25?
SAMHSA frames ages 16 to 25 as a high-risk developmental window for the onset of mental illness and substance use disorders and as a period of elevated suicide risk. Many young people in this age range are also among the least likely to seek help, making proactive outreach and engagement especially important.
4) What kinds of conditions does NITT HT address?
The opportunity targets serious mental health conditions, including early signs of serious mental illness, and it explicitly includes co-occurring mental health and substance use disorders.
5) What are the main goals of the Healthy Transitions program?
Based on the description provided, the goals include: locating and engaging transition-age youth and young adults; providing developmentally appropriate, evidence-informed treatment and supports; improving emotional and behavioral functioning; strengthening continuity of care across child- and adult-serving systems; and helping young people move into adult roles and responsibilities.
6) Does the program focus only on clinical services in mental health clinics?
No. SAMHSA describes the approach as cross-system and community-facing rather than limited to specialty mental health clinics. The program expects outreach and engagement to occur through community settings and natural networks.
7) Who are the three connected audiences Healthy Transitions targets?
The program targets (1) 16 to 25 year olds who are at risk and may be unidentified, (2) 16 to 25 year olds already identified as having serious mental health conditions (including early signs of serious mental illness), and (3) the broader community, to increase awareness and practical action steps.
8) What does the program emphasize for youth who are at risk but not yet identified?
For youth who may be unidentified, the emphasis is on outreach, engagement, screening, early detection, and connecting individuals to resources before problems escalate.
9) What does the program emphasize for youth already identified as having serious mental health conditions?
For youth and young adults already identified, the emphasis shifts to improving access to appropriate child- or adult-serving systems and delivering effective services and supports to improve outcomes and long-term life trajectories.
10) What does the program mean by engaging "the community at large"?
The community component focuses on public awareness so families, peers, providers, and community members can recognize early warning signs and understand practical steps to take when concerns arise.
11) What outreach and engagement strategies are expected under NITT HT?
The opportunity describes using peer-to-peer and family supports, social media, and existing natural networks. Examples listed include YMCAs, health fairs, primary care settings, faith organizations, and teen centers.
12) Are youth and family organizations expected to be involved?
Yes. Youth and family organizations are anticipated to play a major role in engagement strategies and peer support, particularly to reach young people who distrust formal systems or have disengaged from traditional services.
13) How does Healthy Transitions address education and employment?
The program highlights coordinated pathways that include connections to vocational training and higher education. It treats employment and education as central protective factors during the transition-age years.
14) What is meant by "continuity of care" in this program?
Continuity of care refers to maintaining seamless support as young people move between child- and adult-serving systems. SAMHSA notes that many youth "age out" of youth systems without a warm handoff to adult services, leading to gaps in treatment, medication management, and supportive services.
15) What does SAMHSA mean by culturally competent and youth-guided services?
The grant encourages service models that are culturally competent and youth-guided, with explicit involvement of families and broader community partners. The description also emphasizes reducing behavioral health disparities among racial and ethnic minority youth.
16) How does the program address behavioral health disparities?
SAMHSA prioritizes reducing disparities by encouraging strategies that decrease differences in access, service use, and outcomes across subpopulations, particularly among racial and ethnic minority youth.
17) What types of partners and systems are expected to be involved?
The opportunity describes cross-system training and collaboration that can include community colleges and higher education, behavioral health, law enforcement, primary care, vocational services, and child welfare. It also notes involvement of community partners such as business leaders and faith-based organizations when appropriate.
18) What are the three main thrusts (core components) described for NITT HT?
SAMHSA outlines three main thrusts: (1) create, implement, or expand culturally competent, youth-guided services and supports with family and community involvement and continuity across age groups; (2) make infrastructure and organizational changes to improve cross-system collaboration, service capacity, and workforce expertise for transition-age youth with serious mental health or substance use disorders; and (3) build public awareness and deliver cross-system training for providers and institutions that touch this population.
19) Is this more of a planning grant or a services grant?
The description characterizes this as a services-oriented program. SAMHSA indicates funding should translate into service delivery quickly.
20) When are services expected to begin after an award?
Services are expected to begin no later than the sixth month of the project.
21) What is the funding opportunity number (FON) and CFDA number for this grant?
Funding Opportunity Number: SM-14-017. CFDA: 93.243.
22) When was the opportunity posted and what was the application deadline?
The opportunity was posted on April 11, 2014, and the application deadline was June 13, 2014.
23) How many awards did SAMHSA anticipate making and what was the total estimated funding?
SAMHSA anticipated 16 awards, with an estimated total funding amount of $15,840,000.
24) What was the maximum award amount (award ceiling)?
The award ceiling was $1,000,000.
25) Is cost-sharing or matching required?
No. The opportunity states there is no cost-sharing or matching requirement.
26) Who was eligible to apply?
Eligibility was limited to states, tribes/tribal organizations (including consortia with documented approvals), and U.S. territories and associated jurisdictions (including the District of Columbia and the Commonwealth of Puerto Rico, among others).
27) Why is eligibility limited to states, tribes, and territories?
SAMHSA explains the limitation is intentional because the program aims to link and integrate services and supports at the state, tribal, or territorial level to enable broader policy change and replication.
28) What law authorizes this program?
The program is authorized under Section 520A of the Public Health Service Act, as amended.
29) How does Healthy Transitions relate to Project AWARE?
SAMHSA frames Healthy Transitions as part of a broader NITT continuum. Project AWARE focuses upstream on prevention and promotion in educational settings, while Healthy Transitions builds intervention and treatment capacity for older, often disconnected youth and young adults as they transition into adulthood.
30) What kinds of young people is the program especially trying to reach?
The description emphasizes youth and young adults who may be least likely to seek help, who can lose contact with supports after high school, and who may be disconnected from school, work, health care, or community supports. It also notes some may be homeless or involved with juvenile or criminal justice systems.
31) What outcomes is the program ultimately trying to improve?
As described, the program aims to improve emotional and behavioral functioning, reduce the likelihood of crisis-driven care and institutional placements, strengthen continuity of care, and support long-term functioning as youth move into adult roles and responsibilities.
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