Opportunity Information: Apply for SM 15 005
Apply for SM 15 005
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Primary and Behavioral Health Care Integration (Short Title PBHCI)" 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 Dec 22, 2014 and posted on Dec 22, 2014.
- Applicants must submit their applications by Feb 27, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $40,897,330.00 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 102 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility for this program is statutorily limited to qualified community mental health programs, as defined under section 1913(b)(1) of the Public Health Service Act, as amended. The statutory authority for this program prohibits grants to for profit agencies.
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Opportunity Summary:
The FY 2015 Primary and Behavioral Health Care Integration (PBHCI) grant opportunity, offered by the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services, funds projects that bring primary care and behavioral health care together in the places where many people with serious mental illness already receive services. The central idea is co-location and true coordination: embedding or closely integrating primary and specialty medical services within community-based behavioral health settings so that adults with serious mental illness (SMI), including those with co-occurring substance use disorders, can more easily get routine screening, preventive care, chronic disease management, and follow-up without being lost between disconnected systems. The overall goal is to improve physical health outcomes for a population that often has, or is at high risk for, chronic medical conditions such as obesity, diabetes, hypertension, and dyslipidemia.
PBHCI is framed around the health care system "triple aim." Applicants are expected to design programs that (1) improve individual health outcomes for people with SMI, (2) improve the consumer experience of care by raising quality, access, and reliability, and (3) reduce or control per-capita costs by preventing complications and avoiding inefficient, fragmented care. SAMHSA highlights that adults with SMI face elevated morbidity and mortality largely tied to preventable and manageable medical issues, and it points to contributing factors such as limited access to health care, smoking, poor nutrition, inadequate physical activity, and medication side effects (including metabolic effects associated with atypical antipsychotics). The announcement also emphasizes trauma as a major underlying driver of long-term health risk, citing emerging research linking traumatic exposure to neurodevelopmental and immune impacts as well as health risk behaviors that can lead to chronic physical and behavioral health disorders. In practical terms, the grant is meant to help organizations build person-centered systems that treat "whole health" rather than separating mental health, substance use, and medical care into separate silos.
The program aligns with broader national prevention priorities, including the Million Hearts Initiative, because people with behavioral health disorders are disproportionately affected by cardiovascular risk factors and related chronic diseases. The opportunity explicitly connects integrated care efforts with Million Hearts strategies, including the ABCS focus areas: aspirin for people at risk (when clinically appropriate), blood pressure control, cholesterol management, and smoking cessation. By supporting wellness interventions, screening, monitoring, and coordinated treatment planning, PBHCI projects are intended to contribute to cardiovascular disease prevention and improved chronic disease outcomes alongside behavioral health recovery goals.
For FY 2015, SAMHSA notes that PBHCI builds on earlier PBHCI rounds (launched in FY 2009) and expects applicants to use lessons learned from prior grantees and the broader field. The emphasis is on strengthening integrated treatment teams, implementing evidence-based and promising wellness interventions, improving program structures that enable real integration (such as reliable primary care access, information sharing, and joint treatment planning), using performance monitoring and continuous quality improvement, and planning for sustainability beyond the grant period. PBHCI is categorized as a services grant program, and SAMHSA makes clear it wants services stood up quickly, with service delivery beginning no later than the fourth month of the project.
The opportunity also reflects SAMHSA-wide priorities. It supports SAMHSA's Strategic Initiative on Health Care and Health Systems Integration and connects with related priorities including prevention, recovery support, and health information technology. Another explicit theme is reducing behavioral health disparities: applicants are encouraged to use strategies that decrease differences in access, utilization, and outcomes among racial and ethnic minority populations served, integrating disparity-reduction considerations into program design and implementation.
Administratively, this FY 2015 PBHCI opportunity was offered as a discretionary cooperative agreement (meaning SAMHSA expects substantial involvement beyond typical grant administration). The funding opportunity number is SM-15-005, posted December 22, 2014, with an application closing date of February 27, 2015, and an estimated total funding amount of $40,897,330. SAMHSA anticipated up to 102 awards, with an award ceiling of $400,000 and no cost-sharing or matching requirement. Eligibility is statutorily limited to qualified community mental health programs as defined under section 1913(b)(1) of the Public Health Service Act, and the authorizing statute prohibits awards to for-profit agencies. The program is authorized under section 520K of the Public Health Service Act, as amended, and is aligned with Healthy People 2020 topic areas related to mental health/mental disorders and substance abuse.
FY 2015 Primary and Behavioral Health Care Integration (PBHCI) Grant (SM-15-005) - FAQs
What is the FY 2015 PBHCI grant opportunity?
The FY 2015 Primary and Behavioral Health Care Integration (PBHCI) opportunity is a SAMHSA Center for Mental Health Services grant program that funds projects to integrate primary care and behavioral health care in community-based behavioral health settings where many adults with serious mental illness already receive services.
Which federal agency is offering this grant?
The grant is offered by the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services.
What is the funding opportunity number?
The funding opportunity number is SM-15-005.
When was the opportunity posted and when was the application due?
It was posted on December 22, 2014, and the application closing date was February 27, 2015.
What is the purpose of PBHCI?
PBHCI supports co-location and true coordination of care by embedding or closely integrating primary and specialty medical services within community-based behavioral health settings. The aim is to improve access to routine screening, preventive care, chronic disease management, and follow-up for adults with serious mental illness, including those with co-occurring substance use disorders.
Who is the primary population served by PBHCI projects?
The primary population is adults with serious mental illness (SMI), including adults with co-occurring substance use disorders.
What does "integration" mean in this program?
Integration is framed as co-location and coordinated, person-centered care. Practically, it means primary and specialty medical services are embedded in, or closely connected to, behavioral health settings with reliable primary care access, information sharing, and joint treatment planning to avoid fragmented care.
What health outcomes is PBHCI trying to improve?
The overall goal is to improve physical health outcomes for adults with SMI, a population often experiencing or at high risk for chronic conditions such as obesity, diabetes, hypertension, and dyslipidemia.
What is the "triple aim" and how does PBHCI relate to it?
PBHCI is framed around the health care system "triple aim." Applicants are expected to design programs that (1) improve individual health outcomes for people with SMI, (2) improve the consumer experience of care by improving quality, access, and reliability, and (3) reduce or control per-capita costs by preventing complications and avoiding inefficient, fragmented care.
Why does SAMHSA emphasize physical health for people with serious mental illness?
SAMHSA highlights elevated morbidity and mortality among adults with SMI that is largely tied to preventable and manageable medical issues. Contributing factors noted include limited access to health care, smoking, poor nutrition, inadequate physical activity, and medication side effects, including metabolic effects associated with atypical antipsychotics.
How does trauma factor into the PBHCI approach?
The announcement emphasizes trauma as a major underlying driver of long-term health risk, citing emerging research linking traumatic exposure to neurodevelopmental and immune impacts and to health risk behaviors that can lead to chronic physical and behavioral health disorders.
How does PBHCI connect to national prevention priorities like Million Hearts?
PBHCI aligns with broader prevention priorities, including the Million Hearts Initiative, because people with behavioral health disorders are disproportionately affected by cardiovascular risk factors and related chronic diseases.
What are the Million Hearts ABCS strategies referenced in the opportunity?
The opportunity references the ABCS focus areas: aspirin for people at risk (when clinically appropriate), blood pressure control, cholesterol management, and smoking cessation.
What kinds of activities are PBHCI projects expected to support?
Based on the announcement, PBHCI projects are intended to support wellness interventions, screening, monitoring, and coordinated treatment planning, alongside efforts to strengthen integrated treatment teams and improve structures that enable real integration.
Does PBHCI require evidence-based interventions?
The opportunity emphasizes implementing evidence-based and promising wellness interventions, along with performance monitoring and continuous quality improvement.
How quickly must services begin under this grant?
PBHCI is categorized as a services grant program, and SAMHSA indicates it wants services stood up quickly, with service delivery beginning no later than the fourth month of the project.
Is this grant a standard grant or a cooperative agreement?
This opportunity was offered as a discretionary cooperative agreement, meaning SAMHSA expects substantial involvement beyond typical grant administration.
What is the estimated total funding amount for FY 2015?
The estimated total funding amount is $40,897,330.
How many awards did SAMHSA anticipate making?
SAMHSA anticipated up to 102 awards.
What is the maximum award amount per grant?
The award ceiling is $400,000.
Is there a cost-sharing or matching requirement?
No. The opportunity states there is no cost-sharing or matching requirement.
Who is eligible to apply?
Eligibility is statutorily limited to qualified community mental health programs as defined under section 1913(b)(1) of the Public Health Service Act.
Are for-profit agencies allowed to apply?
No. The authorizing statute prohibits awards to for-profit agencies.
What law authorizes the PBHCI program?
The program is authorized under section 520K of the Public Health Service Act, as amended.
How does PBHCI relate to Healthy People 2020?
The opportunity is aligned with Healthy People 2020 topic areas related to mental health/mental disorders and substance abuse.
Does PBHCI include a focus on reducing disparities?
Yes. Reducing behavioral health disparities is an explicit theme. Applicants are encouraged to use strategies that decrease differences in access, utilization, and outcomes among racial and ethnic minority populations served and to integrate disparity-reduction considerations into program design and implementation.
What SAMHSA-wide priorities does PBHCI support?
The opportunity supports SAMHSA's Strategic Initiative on Health Care and Health Systems Integration and connects with related priorities including prevention, recovery support, and health information technology.
Does the opportunity build on earlier PBHCI rounds?
Yes. SAMHSA notes PBHCI builds on earlier PBHCI rounds launched in FY 2009 and expects applicants to use lessons learned from prior grantees and the broader field.
What does SAMHSA emphasize about sustainability?
The announcement emphasizes planning for sustainability beyond the grant period, alongside performance monitoring and continuous quality improvement.
What are examples of integration structures mentioned in the opportunity?
The opportunity points to program structures that enable real integration, such as reliable primary care access, information sharing, and joint treatment planning.
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