Opportunity Information: Apply for SM 12 008
Apply for SM 12 008
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Primary and Behavioral Health Care Integration (PPHF 2012)" 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 26, 2012 and posted on Apr 26, 2012.
- Applicants must submit their applications by Jun 8, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $35,775,795.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- The number of recipients for this funding is limited to 32 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- The statutory authority for this program limits the eligiblity to qualified community mental health programs, as defined under section 1913(b)(1) of the Public Health Services Act, as amended. The statutory authority for this program prohibits grants to for profit agencies.
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Opportunity Summary:
The Primary and Behavioral Health Care Integration (PBHCI) (PPHF 2012) grant opportunity (Funding Opportunity Number SM-12-008) was offered by the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services, as a discretionary cooperative agreement focused on bringing primary care and behavioral health care together in the same place. The central idea is to fund community-based mental and behavioral health settings so they can co-locate and coordinate primary and specialty medical services for adults living with serious mental illness (SMI). The program is built around the reality that many people with SMI experience significantly worse physical health outcomes and earlier mortality, often tied to preventable or manageable chronic conditions.
The purpose of PBHCI is to improve the physical health status of adults with SMI who already have, or are at elevated risk for, co-occurring primary care conditions and chronic diseases. SAMHSA frames this work around the health system "triple aim": improving health outcomes for the population served, improving the individual experience of care (including quality, access, and reliability), and reducing or controlling per-person costs. In practice, PBHCI supports projects that can deliver routine screening and ongoing monitoring, treatment, and care management while also strengthening prevention and wellness supports that reduce downstream medical complications and avoidable emergency or inpatient use.
SAMHSA highlights why this integration matters by pointing to the higher rates among adults with SMI of obesity, diabetes, hypertension, and dyslipidemia, all of which raise the risk of coronary heart disease. The opportunity description connects these disparities to several common contributors, including low physical activity, poor nutrition, smoking, metabolic side effects associated with certain atypical antipsychotic medications, and longstanding barriers to accessing timely and consistent health care. The grant emphasizes that many of these risks can be reduced through basic, consistent primary care and health promotion: screening, early identification, follow-up, coordinated treatment plans, and outreach that meets people where they are, including in homes or community settings when needed.
A major FY 2012 emphasis is moving beyond simple co-location toward a more robust "health home" approach. Grantees are expected to function as a hub that actively facilitates access to an interdisciplinary set of services, combining medical care, behavioral health care, and community-based social services for people with chronic conditions. The expectation is "whole person" care, meaning attention not only to mental health treatment but also to primary care services (and, when appropriate, eye, ear, and dental services), along with structured connections to wellness and prevention supports. The description also explicitly calls out longer-term community supports such as housing and vocational services, peer supports, and social and family services, reflecting SAMHSA's recovery-oriented view that health outcomes improve when clinical care is paired with stable living conditions and practical supports.
The PBHCI program is also positioned as aligned with broader national prevention efforts, especially the Million Hearts Initiative. SAMHSA notes that people with behavioral health disorders are disproportionately affected by cardiovascular risk factors and related chronic conditions, so strengthening prevention and management in behavioral health settings directly supports national goals to reduce heart attacks and strokes. The opportunity references Million Hearts' focus on proven strategies, including empowering healthier choices (like tobacco prevention and dietary improvements) and improving clinical management through the "ABCS": aspirin use for people at risk, blood pressure control, cholesterol management, and smoking cessation. By integrating primary care into mental health settings, PBHCI aims to make these strategies easier to deliver consistently to a population that often falls through gaps between systems.
In terms of program expectations and fit within SAMHSA's broader agenda, PBHCI is described as one of SAMHSA's service grant programs, meaning funded sites are expected to move quickly from planning to direct service delivery. The announcement states that services should begin as soon as possible after award and no later than the fourth month of the project, underscoring that this funding is meant to produce on-the-ground care improvements rather than extended start-up periods. The program is authorized under Section 520K of the Public Health Service Act, as amended, and is linked to Healthy People 2020 topic areas focused on mental health and substance abuse.
The funding details indicate SAMHSA anticipated making 32 awards, with an estimated total funding amount of $35,775,795 and an award ceiling of $400,000. There was no cost sharing or matching requirement. The opportunity was posted April 26, 2012, with an application closing date of June 8, 2012, and it was later archived July 8, 2012. The CFDA number listed is 93.243 (Substance Abuse and Mental Health Services - Projects of Regional and National Significance).
Eligibility is tightly defined by statute. Applicants had to be qualified community mental health programs as defined under Section 1913(b)(1) of the Public Health Service Act, as amended, and the authorizing statute explicitly prohibited awards to for-profit agencies. The overall intent was to fund established community mental health organizations that could realistically deliver integrated care, coordinate among disciplines, and serve as a reliable point of connection for both health care and supportive services.
Finally, the cooperative agreement structure signals that SAMHSA expected an active federal role beyond simple pass-through funding, typically involving oversight, collaboration, and performance expectations consistent with SAMHSA service initiatives. The program also ties into SAMHSA strategic priorities, specifically calling out Prevention of Substance Abuse and Mental Illness, Recovery Support, and Health Reform and Health Information Technology, reflecting an intent to modernize care delivery, improve coordination, and strengthen outcomes for people with serious mental illness through integrated, person-centered systems.
Primary and Behavioral Health Care Integration (PBHCI) (PPHF 2012) - FAQs
What is the PBHCI (PPHF 2012) grant opportunity?
The Primary and Behavioral Health Care Integration (PBHCI) (PPHF 2012) opportunity (Funding Opportunity Number SM-12-008) was a SAMHSA Center for Mental Health Services discretionary cooperative agreement designed to bring primary care and behavioral health care together in the same place. The focus is on funding community-based mental and behavioral health settings so they can co-locate and coordinate primary and specialty medical services for adults living with serious mental illness (SMI).
Which federal agency offered this funding?
The opportunity was offered by the Substance Abuse and Mental Health Services Administration (SAMHSA), specifically through SAMHSA's Center for Mental Health Services.
What problem is PBHCI trying to address?
PBHCI targets the well-documented gap in physical health outcomes for adults with serious mental illness. Many people with SMI experience significantly worse physical health and earlier mortality, often linked to preventable or manageable chronic conditions that can be improved through consistent access to primary care, screening, coordinated follow-up, and wellness supports.
Who is the intended population served by PBHCI?
The intended population is adults with serious mental illness (SMI) who already have, or are at elevated risk for, co-occurring primary care conditions and chronic diseases.
What is the overall purpose of PBHCI?
The purpose is to improve the physical health status of adults with SMI by supporting integrated care approaches that include routine screening, ongoing monitoring, treatment, and care management, alongside prevention and wellness supports aimed at reducing medical complications and avoidable emergency or inpatient use.
How does SAMHSA frame the goals of PBHCI?
SAMHSA frames PBHCI around the health system "triple aim": (1) improving health outcomes for the population served, (2) improving the individual experience of care (including quality, access, and reliability), and (3) reducing or controlling per-person costs.
What does "integration" mean in this program?
Integration in PBHCI means organizing primary care and behavioral health care so they can be delivered together in a coordinated way within community-based mental/behavioral health settings. The program emphasizes co-location and coordination of services, with an FY 2012 push toward a stronger "health home" approach rather than simple co-location alone.
What is the FY 2012 emphasis mentioned in the announcement?
A major FY 2012 emphasis is moving beyond simple co-location toward a more robust "health home" approach, where grantees function as a hub facilitating access to interdisciplinary services that combine medical care, behavioral health care, and community-based social services for people with chronic conditions.
What is meant by a "health home" approach in PBHCI?
In this context, a "health home" approach means the grantee acts as a central hub that actively facilitates access to an interdisciplinary set of services. It is focused on "whole person" care by combining primary medical care with behavioral health treatment and structured connections to community-based supports.
What kinds of physical health conditions and risk factors are highlighted for adults with SMI?
SAMHSA highlights higher rates of obesity, diabetes, hypertension, and dyslipidemia among adults with SMI. These factors increase the risk of coronary heart disease and are tied to contributors such as low physical activity, poor nutrition, smoking, metabolic side effects associated with certain atypical antipsychotic medications, and barriers to timely and consistent health care.
What types of services and activities does PBHCI support?
PBHCI supports projects that can deliver routine screening and ongoing monitoring, treatment, and care management, while strengthening prevention and wellness supports. The description also emphasizes outreach that meets people where they are, including in homes or community settings when needed, and coordinated care plans that improve follow-up and continuity.
Does PBHCI focus only on medical care, or also on social and recovery supports?
The opportunity description explicitly reflects "whole person" and recovery-oriented care. It calls for connections not only to primary care (and when appropriate eye, ear, and dental services), but also to longer-term community supports such as housing and vocational services, peer supports, and social and family services.
How does PBHCI relate to national prevention efforts like Million Hearts?
PBHCI is described as aligned with broader prevention efforts, particularly the Million Hearts Initiative. SAMHSA notes that people with behavioral health disorders are disproportionately affected by cardiovascular risk factors. Integrating primary care into behavioral health settings is intended to make prevention and chronic disease management more consistent for a population that often experiences gaps between systems.
What are the "ABCS" referenced in connection with Million Hearts?
The opportunity references Million Hearts clinical strategies known as the "ABCS": aspirin use for people at risk, blood pressure control, cholesterol management, and smoking cessation. PBHCI aims to make these strategies easier to deliver consistently within community mental health settings.
What type of award mechanism is PBHCI?
PBHCI was offered as a discretionary cooperative agreement. This structure indicates an active federal role beyond pass-through funding, typically including oversight, collaboration, and performance expectations consistent with SAMHSA service initiatives.
Is PBHCI considered a planning grant or a service delivery grant?
PBHCI is described as one of SAMHSA's service grant programs. Funded sites are expected to move quickly from planning to direct service delivery rather than spending an extended period in start-up.
How quickly were grantees expected to begin providing services?
The announcement states that services should begin as soon as possible after award and no later than the fourth month of the project.
What is the statutory authority for the PBHCI program?
The program is authorized under Section 520K of the Public Health Service Act, as amended.
How is PBHCI connected to Healthy People 2020?
The opportunity is linked to Healthy People 2020 topic areas focused on mental health and substance abuse.
What was the Funding Opportunity Number (FOA number)?
The Funding Opportunity Number listed is SM-12-008.
What is the CFDA number for this opportunity?
The CFDA number listed 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 32 awards under this opportunity.
What was the estimated total funding amount for PBHCI (PPHF 2012)?
The estimated total funding amount was $35,775,795.
What was the maximum award amount (award ceiling)?
The award ceiling listed in the opportunity was $400,000.
Was cost sharing or matching required?
No. The opportunity states there was no cost sharing or matching requirement.
When was the opportunity posted and when did it close?
The opportunity was posted on April 26, 2012. The application closing date was June 8, 2012.
Is this opportunity still open?
No. The opportunity was later archived on July 8, 2012.
Who was eligible to apply?
Eligibility was defined by statute. Applicants had to be qualified community mental health programs as defined under Section 1913(b)(1) of the Public Health Service Act, as amended.
Were for-profit organizations allowed to apply?
No. The authorizing statute explicitly prohibited awards to for-profit agencies.
What kinds of organizations was SAMHSA trying to fund through PBHCI?
The overall intent was to fund established community mental health organizations that could realistically deliver integrated care, coordinate across disciplines, and serve as a reliable connection point for both health care and supportive services.
What SAMHSA strategic priorities are tied to PBHCI?
The program ties into SAMHSA strategic priorities that include Prevention of Substance Abuse and Mental Illness, Recovery Support, and Health Reform and Health Information Technology, reflecting an intent to modernize care delivery, improve coordination, and strengthen outcomes through integrated, person-centered systems.
Why does PBHCI emphasize consistent primary care in behavioral health settings?
The opportunity description argues that many elevated risks for adults with SMI can be reduced through basic, consistent primary care and health promotion: screening, early identification, follow-up, coordinated treatment plans, and proactive outreach. Integrating services in behavioral health settings aims to reduce gaps in access and improve continuity for people who face longstanding barriers to timely and consistent care.
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