Opportunity Information: Apply for SM 10 011
Apply for SM 10 011
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Training and Technical Assistance Center 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 May 14, 2010 and posted on May 14, 2010.
- Applicants must submit their applications by Jun 17, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,750,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,750,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are domestic public and private nonprofit entities. For example, State and local governments, federally recognized American Indian/Alaska Native Tribes and tribal organizations, urban Indian organizations, public or private universities and colleges and community and faith based organizations may apply. 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 tribal organizations are eligible to apply, but each participating entity must indicate its approval. Applications are encouraged from national entities with experience in the provision of training and technical assistance in the area of primary care and behavioral health integration for those with serious mental illness (SMI) and those with SMI and co occurring substance use disorders, particularly with regards to involvement at the community level across the 50 states. Joint applications from behavioral health and primary care training and technical assistance entities are strongly encouraged. Under this program, the grantee will receive two separate awards HRSA will fund training and technical assistance for their community health centers and SAMHSA will fund training and technical assistance for the PBHCI grantees and a national technical assistance resource for the general public. The grantee will be required to submit separate documentation to HRSA for their Grants Management System and adhere to their statutory authority requirements. The statutory authority for this program prohibits grants to for profit agencies.
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Opportunity Summary:
The Training and Technical Assistance Center for Primary and Behavioral Health Care Integration (TTA PBHCI) is a FY 2010 federal cooperative agreement led by SAMHSA's Center for Mental Health Services in collaboration with HRSA. It is designed to function as a national training and technical assistance hub focused on bidirectional integration, meaning it supports both the integration of behavioral health services into primary care and the integration of primary care services into behavioral health settings. In this opportunity, "behavioral health" is defined broadly to include mental health services, substance use disorder services, and treatment and recovery support for co-occurring disorders. The central idea is to strengthen the workforce, practices, and organizational capacity needed to make integrated care routine, effective, and sustainable across the U.S. health care delivery system.
A major focus of the center is to serve as a national resource for two primary audiences at the same time: (1) SAMHSA-funded Primary and Behavioral Health Care Integration (PBHCI) grantees, and (2) HRSA-funded entities that serve people with significant behavioral health needs, including Section 330-funded Health Centers. The center is expected to deliver a broad array of training and hands-on technical assistance that helps programs plan, implement, and sustain integrated models of care. This includes practical support for screening, assessment, brief intervention, treatment, referral pathways, and the organizational mechanics of making primary and behavioral health services work together in real-world settings.
The opportunity is strongly driven by outcomes and workforce development targets. Through its coordinated SAMHSA-HRSA approach, the TTA PBHCI is intended to increase the number of individuals trained in specific behavioral health-related practices, increase the number of organizations adopting integrated service delivery approaches, increase the number of consumers (peers) credentialed to provide behavioral health-related practices, expand the number of model curricula created for integrated practice, and increase the number of health providers trained in wellness and behavioral health recovery concepts. It also emphasizes peer support as an important component of service delivery, noting that the field has historically focused more on embedding behavioral health in primary care than on embedding primary care inside behavioral health systems or systematically incorporating peer roles.
Programmatically, the center supports a "no wrong door" approach. That framework reflects the reality that many people with mental health and/or substance use needs, including those with serious mental illness (SMI), first show up in primary care settings rather than specialty behavioral health clinics. Under a no wrong door approach, any entry point into the health system should be able to identify needs, provide appropriate initial interventions, and connect people to the right level of ongoing care through effective referral and follow-up arrangements. The overall goal is to expand integrated care planning and implementation for people with SMI, addiction disorders, and co-occurring SMI and substance use disorders in both specialty behavioral health settings and safety-net primary care environments.
A key justification for the program is addressing the well-documented early mortality and poor physical health outcomes experienced by people with serious mental illnesses. By helping behavioral health providers incorporate routine primary care into community mental health and other community-based behavioral health settings, the center is expected to help grantees reduce avoidable health complications and improve physical health status among people with serious mental disorders. At the same time, the integrated approach aims to ensure that individuals identified in primary care with behavioral health needs are screened appropriately, provided brief interventions when suitable, and referred to more intensive services when needed. The work aligns with SAMHSA's Wellness "10 by 10" effort, which seeks to promote wellness for people with mental illnesses and reduce early mortality by 10 years over a 10-year period.
The announcement also highlights health reform as a practical implementation issue. The center is expected to help the field understand how legislative and regulatory reforms affect the scope of services, financing, and operational requirements for integrated programs. This includes helping provider agencies build infrastructure for data collection and reporting that can demonstrate that integrated care is actually being delivered and that it produces high-quality, cost-effective outcomes. In other words, the center is not only a clinical practice resource but also an implementation and sustainability resource tied to payment, compliance, and performance measurement realities.
From a funding and administrative standpoint, this is a discretionary cooperative agreement (Funding Opportunity Number SM 10 011) with one expected award. The estimated total funding is $1,750,000, which is also listed as the award ceiling (with an award floor of $0), and there is no cost sharing or matching requirement. Applications were posted May 14, 2010, with a closing date of June 17, 2010, and an archive date of July 17, 2010. Because it is jointly supported, the grantee is expected to receive two separate awards and manage separate documentation and grants management processes, including submitting required materials to HRSA through its Grants Management System and complying with each agency's statutory requirements.
Eligible applicants are domestic public and private nonprofit entities, and the program explicitly excludes for-profit organizations. Examples of eligible applicants include state and local governments, federally recognized American Indian/Alaska Native Tribes and tribal organizations, urban Indian organizations, public or private universities and colleges, and community- and faith-based organizations. Tribal consortia may apply if each participating entity documents approval. The announcement encourages applications from national organizations with demonstrated experience providing training and technical assistance on primary care and behavioral health integration, especially at the community level across all 50 states, and it strongly encourages joint applications that pair behavioral health and primary care training and technical assistance expertise to reflect the bidirectional nature of the integration goal.
Frequently Asked Questions (FAQs): Training and Technical Assistance Center for Primary and Behavioral Health Care Integration (TTA PBHCI)
What is the TTA PBHCI grant opportunity?
The Training and Technical Assistance Center for Primary and Behavioral Health Care Integration (TTA PBHCI) is a FY 2010 federal cooperative agreement led by SAMHSA's Center for Mental Health Services in collaboration with HRSA. It is designed to operate as a national training and technical assistance hub to help make integrated primary care and behavioral health care routine, effective, and sustainable across the U.S. health care delivery system.
What does "bidirectional integration" mean in this opportunity?
Bidirectional integration means the center supports two directions of integration at the same time: (1) integrating behavioral health services into primary care settings, and (2) integrating primary care services into behavioral health settings.
How does this opportunity define "behavioral health"?
In this opportunity, "behavioral health" is defined broadly to include mental health services, substance use disorder services, and treatment and recovery support for co-occurring disorders.
Who is the center intended to serve?
The center is intended to function as a national resource for two primary audiences simultaneously: (1) SAMHSA-funded Primary and Behavioral Health Care Integration (PBHCI) grantees, and (2) HRSA-funded entities that serve people with significant behavioral health needs, including Section 330-funded Health Centers.
What kinds of support is the center expected to provide?
The center is expected to provide a broad range of training and hands-on technical assistance to help programs plan, implement, and sustain integrated models of care. This includes practical support related to screening, assessment, brief intervention, treatment, referral pathways, and the organizational mechanics required to make primary and behavioral health services work together in real-world settings.
What are the main goals or outcome areas emphasized by this opportunity?
The opportunity is driven by outcomes and workforce development targets, including increasing: the number of individuals trained in specific behavioral health-related practices; the number of organizations adopting integrated service delivery approaches; the number of consumers (peers) credentialed to provide behavioral health-related practices; the number of model curricula created for integrated practice; and the number of health providers trained in wellness and behavioral health recovery concepts.
Does the opportunity emphasize peer support?
Yes. The opportunity emphasizes peer support as an important component of service delivery and highlights that the field has historically placed more emphasis on integrating behavioral health into primary care than on integrating primary care into behavioral health systems or systematically incorporating peer roles.
What is the "no wrong door" approach referenced in the announcement?
"No wrong door" reflects the expectation that any entry point into the health system should be able to identify mental health and/or substance use needs, provide appropriate initial interventions, and connect people to the appropriate level of ongoing care through effective referral and follow-up arrangements. This is tied to the reality that many people, including people with serious mental illness (SMI), first present in primary care settings rather than specialty behavioral health clinics.
Which populations is integrated care planning and implementation meant to benefit?
The overall goal is to expand integrated care planning and implementation for people with serious mental illness (SMI), addiction disorders, and co-occurring SMI and substance use disorders in both specialty behavioral health settings and safety-net primary care environments.
Why is the program focused on people with serious mental illnesses?
A key justification is addressing well-documented early mortality and poor physical health outcomes experienced by people with serious mental illnesses. By helping behavioral health providers incorporate routine primary care into community mental health and other community-based behavioral health settings, the center is expected to help reduce avoidable health complications and improve physical health status among people with serious mental disorders.
How does the opportunity address the needs of individuals identified in primary care with behavioral health concerns?
The integrated approach aims to ensure that individuals identified in primary care with behavioral health needs are screened appropriately, provided brief interventions when suitable, and referred to more intensive services when needed.
How does this work align with SAMHSA's Wellness "10 by 10" effort?
The work aligns with SAMHSA's Wellness "10 by 10" effort, which seeks to promote wellness for people with mental illnesses and reduce early mortality by 10 years over a 10-year period.
Does the center have responsibilities related to health reform and implementation realities?
Yes. The center is expected to help the field understand how legislative and regulatory reforms affect the scope of services, financing, and operational requirements for integrated programs.
What does the announcement say about data collection and reporting?
The opportunity expects the center to help provider agencies build infrastructure for data collection and reporting to demonstrate that integrated care is being delivered and that it produces high-quality, cost-effective outcomes.
What type of funding mechanism is this?
This is a discretionary cooperative agreement (Funding Opportunity Number SM 10 011).
How many awards are expected?
The announcement indicates one expected award.
What is the estimated total funding amount?
The estimated total funding is $1,750,000, which is also listed as the award ceiling. The award floor is listed as $0.
Is there a cost sharing or matching requirement?
No. The opportunity states there is no cost sharing or matching requirement.
When were applications posted, and what were the key dates?
Applications were posted May 14, 2010. The closing date was June 17, 2010, and the archive date was July 17, 2010.
How is the award administered given SAMHSA and HRSA involvement?
Because the opportunity is jointly supported, the grantee is expected to receive two separate awards and manage separate documentation and grants management processes, including submitting required materials to HRSA through its Grants Management System and complying with each agency's statutory requirements.
Who is eligible to apply?
Eligible applicants are domestic public and private nonprofit entities. The program explicitly excludes for-profit organizations.
What types of organizations are listed as eligible applicants?
Examples of eligible applicants include state and local governments, federally recognized American Indian/Alaska Native Tribes and tribal organizations, urban Indian organizations, public or private universities and colleges, and community- and faith-based organizations.
Can tribal consortia apply?
Yes. Tribal consortia may apply if each participating entity documents approval.
What kind of applicant experience is encouraged?
The announcement encourages applications from national organizations with demonstrated experience providing training and technical assistance on primary care and behavioral health integration, especially at the community level across all 50 states.
Are joint applications encouraged?
Yes. The announcement strongly encourages joint applications that pair behavioral health and primary care training and technical assistance expertise to reflect the bidirectional nature of the integration goal.
Is this opportunity aimed at direct clinical service delivery or at capacity-building?
Based on the description, the center is positioned as a national training and technical assistance hub focused on strengthening workforce, practices, and organizational capacity, along with implementation and sustainability support related to financing, compliance, and performance measurement.
What is the relationship to SAMHSA PBHCI grantees and HRSA-funded entities?
The center is expected to support both groups at the same time by delivering training and technical assistance that helps with planning, implementing, and sustaining integrated models of care, including operational workflows such as screening, brief intervention, treatment, referrals, and follow-up.
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