Opportunity Information: Apply for PA 07 076

  • The National Institutes of Health in the health sector is offering a public funding opportunity titled "Research On Adherence To Interventions For Mental Disorders (R01)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.242 Mental Health Research Grants.
  • This funding opportunity was created on Dec 5, 2008 and posted on Nov 21, 2006.
  • Applicants must submit their applications by Multiple Receipt Dates See Link to Full Announcement for details.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Eligible applicants include: Native American tribal governments (Federally recognized) Public housing authorities/Indian housing authorities State governments Native American tribal organizations (other than Federally recognized tribal governments) Public and State controlled institutions of higher education Independent school districts For profit organizations other than small businesses County governments Special district governments Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education Small businesses Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification) City or township governments.
  • Foreign institutions are eligible to apply. Eligible agencies of the Federal Government can apply. Faith based or community based organizations can apply.
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Opportunity Summary:

The National Institute of Mental Health (NIMH), part of the National Institutes of Health (NIH), offered this funding opportunity to support research focused on treatment adherence for mental disorders. The core problem the announcement targets is that even when mental health interventions are proven to work under ideal conditions, their real-world impact can drop sharply when people do not start treatment, do not follow it as intended, or discontinue early. The opportunity emphasizes that adherence challenges exist across medicine in general, but are often more severe in mental health because many psychiatric conditions involve cognitive difficulties, low motivation, impaired insight, and other symptoms that can directly interfere with keeping appointments, taking medications consistently, practicing therapy skills, or maintaining engagement with care. The overall intent is to push the field toward a better understanding of why adherence breaks down and to build practical, evidence-based strategies that improve consistent participation in effective mental health treatments.

In terms of what NIMH wanted researchers to do, the opportunity highlights two major directions. First, it encourages studies that identify and clarify the strongest and most modifiable factors linked to adherence among people with mental disorders. "Modifiable" is an important qualifier here, because the goal is not only to describe predictors of nonadherence, but to find levers that can realistically be changed through clinical practice, service delivery, technology supports, family or peer involvement, or policy and systems approaches. Second, it invites applicants to develop and rigorously test interventions, strategies, or service models designed specifically to increase adherence to treatments that already have demonstrated efficacy. This can include adherence to medications, psychotherapy protocols, combined or stepped-care approaches, and other evidence-based interventions, with the unifying theme being that improving adherence should meaningfully improve outcomes by allowing treatments to work as intended.

The primary funding mechanism for this announcement is the NIH Research Project Grant (R01), which is typically used for mature, well-developed projects with clear aims, a strong design, and sufficient preliminary foundation to support a full-scale research plan. At the same time, the announcement also notes interest in smaller or earlier-stage applications through other NIH mechanisms, specifically the R03 (small research grant) and R21 (exploratory/developmental grant). Those applicants were directed to separate related announcements (PA 06-180 for R03 and PA 06-181 for R21), signaling that NIMH was open to a pipeline of work ranging from pilot testing and method development through larger definitive studies, as long as the focus remained on adherence to mental health interventions.

Funding decisions under this opportunity were contingent on the availability of NIH funds and the receipt of enough high-quality, competitive applications. The announcement does not promise a set number of awards; instead, it makes clear that awards depend on both budget conditions and scientific merit, which is standard for NIH discretionary grant programs.

Administratively, the opportunity is listed as PA 07-076, categorized as a discretionary grant in the health area, and associated with CFDA number 93.242 (Mental Health Research Grants). It did not require cost sharing or matching, meaning applicants were not expected to contribute non-federal funds as a condition of the award. The posting date was November 21, 2006, and it used multiple receipt dates (rather than a single deadline), which typically means applications could be submitted according to recurring NIH submission cycles during the active period of the announcement. The archive date indicates the announcement was later closed (archived June 1, 2009), but the summary remains useful as a description of NIMH priorities and the kinds of adherence research the institute sought to stimulate.

Eligibility was broad and included a wide range of domestic organizations such as state and local governments, federally recognized tribal governments, tribal organizations, public and private institutions of higher education, independent school districts, special district governments, public housing authorities/Indian housing authorities, nonprofit organizations (including both 501(c)(3) and certain non-501(c)(3) nonprofits), and for-profit entities (including small businesses and other for-profits). The announcement also explicitly states that foreign institutions were eligible to apply, that eligible federal agencies could apply, and that faith-based and community-based organizations could apply. In practice, this wide eligibility aligns with the real-world nature of adherence research, which often benefits from partnerships across universities, healthcare systems, community providers, social service settings, and other organizations that deliver or support mental health care.

Overall, this opportunity is best understood as NIMH support for research that closes the gap between "treatments that can work" and "treatments that do work in everyday life" by tackling one of the most persistent barriers in mental health care: helping people initiate, participate in, and sustain effective interventions long enough and consistently enough to benefit.

Funding Opportunity FAQs: NIMH Research on Treatment Adherence for Mental Disorders (PA 07-076)

What is the purpose of this NIMH funding opportunity?

The purpose is to support research that improves treatment adherence for mental disorders. The announcement focuses on the gap between interventions that work under ideal conditions and what happens in everyday settings when people do not start treatment, do not follow it as intended, or stop early.

What problem is the announcement trying to solve?

The announcement targets the drop in real-world effectiveness of mental health treatments caused by nonadherence. It highlights that adherence issues can be especially severe in mental health because symptoms such as cognitive difficulties, low motivation, and impaired insight can directly interfere with attending appointments, taking medications consistently, practicing therapy skills, and staying engaged in care.

What kinds of research does NIMH want to support under this opportunity?

The opportunity highlights two major directions: (1) studies that identify and clarify the strongest and most modifiable factors linked to adherence among people with mental disorders, and (2) development and rigorous testing of interventions, strategies, or service models designed to increase adherence to treatments that already have demonstrated efficacy.

What does "modifiable factors" mean in the context of adherence research?

"Modifiable" refers to factors that can realistically be changed through practical approaches such as clinical practice changes, service delivery improvements, technology supports, family or peer involvement, or policy and systems approaches. The emphasis is not only on describing predictors of nonadherence, but on finding levers that can be acted upon.

Does the opportunity focus on making new treatments, or improving use of existing effective treatments?

The unifying theme is improving adherence to treatments that already have demonstrated efficacy, so that outcomes improve because those treatments are delivered and followed as intended.

What types of adherence are included (medication, therapy, etc.)?

The announcement includes adherence to medications, psychotherapy protocols, combined approaches, stepped-care approaches, and other evidence-based interventions. The common requirement is that the work is centered on increasing consistent participation in effective mental health treatments.

Which NIH grant mechanism is the primary fit for this opportunity?

The primary mechanism is the NIH Research Project Grant (R01), typically used for mature, well-developed projects with clear aims, strong design, and sufficient foundation to support a full-scale research plan.

Are smaller or earlier-stage projects encouraged?

Yes. The announcement notes interest in smaller or earlier-stage applications through other NIH mechanisms, specifically the R03 (small research grant) and R21 (exploratory/developmental grant), with applicants directed to separate related announcements (PA 06-180 for R03 and PA 06-181 for R21).

How are award decisions made under this announcement?

Funding decisions are contingent on the availability of NIH funds and the receipt of enough high-quality, competitive applications. The announcement does not promise a set number of awards and indicates that awards depend on both budget conditions and scientific merit.

Is cost sharing or matching required?

No. The opportunity did not require cost sharing or matching, meaning applicants were not expected to contribute non-federal funds as a condition of the award.

What is the program announcement number and CFDA number?

The opportunity is listed as PA 07-076 and is associated with CFDA number 93.242 (Mental Health Research Grants).

When was this opportunity posted, and is it still active?

The posting date was November 21, 2006. The announcement was later closed and archived, with an archive date of June 1, 2009.

Did the opportunity have a single deadline or multiple receipt dates?

It used multiple receipt dates rather than a single deadline, which typically means applications could be submitted according to recurring NIH submission cycles during the active period of the announcement.

Who was eligible to apply?

Eligibility was broad and included many domestic organization types such as state and local governments, federally recognized tribal governments, tribal organizations, public and private institutions of higher education, independent school districts, special district governments, public housing authorities/Indian housing authorities, nonprofit organizations (including 501(c)(3) and certain non-501(c)(3) nonprofits), and for-profit entities (including small businesses and other for-profits).

Were foreign institutions eligible?

Yes. The announcement explicitly states that foreign institutions were eligible to apply.

Could federal agencies apply?

Yes. The announcement states that eligible federal agencies could apply.

Are faith-based and community-based organizations included in eligibility?

Yes. The announcement explicitly states that faith-based and community-based organizations could apply.

Why does NIMH emphasize adherence as especially challenging in mental health?

The opportunity notes that while adherence challenges exist across medicine, they can be more severe in mental health because psychiatric symptoms can directly interfere with the behaviors needed to sustain care, such as attending appointments, taking medications consistently, and maintaining engagement over time.

What is the overarching goal of the research supported by this announcement?

The overarching goal is to close the gap between "treatments that can work" and "treatments that do work in everyday life" by improving initiation, participation, and sustained engagement in effective mental health interventions.

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