Funding: Substance Use Disorder

Provides formula grant funding to local governments to enhance the functioning of the criminal justice system, with a focus on efforts to address violent crime and serious offenders. Funds may be used for additional personnel, equipment, supplies, contractual support, training, technical assistance, and information systems to support activities that will help prevent, control, or reduce crime; enforce the criminal law; and strengthen the courts, corrections, probation, and parole authorities. Supports drug treatment, enforcement, prevention, and education programs.

Funds primary healthcare and support services for low-income, uninsured, and underserved populations living with HIV in an outpatient setting in existing geographic service areas. Aims to improve health outcomes for people living with HIV by funding HIV testing, counseling, and diagnostic services; referrals to healthcare and support services, such as mental health and substance use treatment; strategies to treat and prevent immune system deterioration; and more.

Offers a 1-year initiative for rural justice, public safety practitioners, and other community stakeholders seeking to engage in strategic planning to address issues related to substance use and misuse in their communities. Assists participants in developing cross-sector networks and creating solutions to better respond to and serve justice-involved individuals with substance use or co-occurring disorders. Reaching Rural is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Offers funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become behavioral health professionals. Works with community-based health partners to meet workforce demand in high need and high demand areas with the goal of expanding access to quality behavioral health services, including services for the treatment of substance use disorders (SUDs). Supports interprofessional team-based care, integration of behavioral with primary care, and recruitment of diverse workforce. Special emphasis is placed on training focused on the behavioral health needs of children, adolescents, and young adults.

Provides funding to expand the number of didactic and experiential training opportunities for individuals working to become health service psychologists. Works with community-based health partners to meet workforce demand in primary care settings in high need and high demand areas with the goal of expanding access to behavioral health services. Supports integrated, interprofessional training with significant emphasis placed on trauma-informed care and substance use disorder (SUD) prevention and treatment services.

Enhances the functioning of the U.S. judicial system by improving the quality of justice in state courts. Provides funding to state courts, national organizations, and other eligible organizations to address common issues and challenges faced by state courts, with a focus on SJI priority investment areas, including court responses to opioids, other dangerous drugs, and behavioral health issues. Offers the following 5 types of funding to eligible applicants on a quarterly basis: project grants, technical assistance grants, curriculum adaptation and training grants, strategic initiative grants, and education support program grants.

Provides fellowships and experiential learning programs to recruit and prepare individuals at all academic levels for careers in behavioral health addressing the needs of marginalized and minoritized populations. Seeks to increase the number of culturally competent mental and substance use disorder (SUD) psychiatrists who teach, administer services, conduct research, and provide direct mental or SUD services to minority communities. Offers 5 programs targeting students from diverse backgrounds at the high school level through medical residency. Programs are administered by the American Psychiatry Association (APA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Awards fellowships to ethnic/racial minority students in master's or doctoral psychiatric, mental health, or substance use nursing programs. Aims to increase the number of nurses and nurse practitioners providing mental health and substance use prevention and treatment services to ethnic and racial minority populations. Provides stipends and educational supports to help students complete their degrees, conduct research, build leadership and cultural competency skills, and meet the needs of the communities they serve. Fellowships are administered by the American Nurses Association (ANA) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Awards formula funding through a governor-appointed State or Territory Service Commission to single state programs that engage AmeriCorps members to build capacity, expand services, and help communities address their needs through service and volunteer activities. Focuses service projects on six areas: disaster services, economic opportunity, education, veterans and military families, environmental stewardship, and healthy futures. Includes service projects related to substance misuse. Supports evidence-based or evidence-informed interventions, practices, and program models.

Provides individuals with 1-year service opportunities focused on helping local community organizations, nonprofits, and government agencies build capacity and sustainability and decrease poverty through community programs, activities, and services. Strengthens community responses to substance misuse by supporting evidence-based education, prevention, treatment, and recovery efforts.

Provides students with improved access to a well-rounded education, better school conditions for student learning, and increased use of technology to raise academic achievement and digital literacy. Includes alcohol and drug education and prevention efforts as well as professional development and training for school personnel and community members to identify and address substance misuse.

Provides formula grant funding to states to support efforts to prevent or reduce crime and violence, and to improve the fair administration of the justice system. Funds may be used for additional personnel, equipment, supplies, contractual support, training, technical assistance, and information systems to support activities that will help prevent, control, or reduce crime; enforce the criminal law; and strengthen the courts, corrections, probation, and parole authorities. Supports drug treatment, enforcement, prevention, and education programs.

Awards fellowships to master's level addictions counseling students. Offers financial support and professional development training to develop cultural competency skills in substance use disorder (SUD) counseling services for minority populations. Seeks to increase the number of SUD professional counselors serving minorities, including ethnic, racial, cultural, religious, gender, sexual orientation, rural, or veteran and military groups. Fellowships are administered by the National Board of Certified Counselors (NBCC) and the Association for Addiction Professionals (NAADAC) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Provides funding to public and Indian housing authorities to hire service coordinators to promote self-sufficiency for public housing residents. Service coordinators identify needs and barriers at the community and individual level and connect residents to training and support services to help them gain economic and housing stability. Works with local partners to assist residents in achieving outcomes in the areas of education; professional development; financial empowerment; and health and wellness, including mental health and substance use issues. Offers supports to help elderly and disabled residents age in place and/or live independently for as long as possible.

Provides funds to organizations to engage and manage individuals aged 55 and older for service projects implementing evidence-based programs and models to strengthen communities. Focuses on capacity building in 6 focus areas: disaster services, economic opportunity, education, environmental stewardship, healthy futures, and veterans and military families. Prioritizes funding for 6 topics, including behavioral health initiatives such as peer support, harm reduction, and opioid and substance misuse education. Offers seniors a variety of service activities and flexible work commitments, ranging from a few hours to a maximum of 40 hours per week.

Provides state Medicaid agencies with the opportunity to participate in a value-based payment model that will promote integrated behavioral healthcare delivery in outpatient settings for Medicaid, Medicare, and dually eligible beneficiaries with mental health and/or substance use disorders (SUDs). Seeks to align payment between Medicare and Medicaid for integrated services, with the goal of improving behavioral health access, quality, and outcomes for the target population. Tribal and rural providers may be selected to join the model as practice participants.

Provides funding to establish new health centers that offer comprehensive primary healthcare services to underserved communities, including rural, migrant, and homeless populations and public housing residents. Aims to increase the number of individuals who receive primary healthcare services, including dental care and mental health and substance use disorder (SUD) services. Supports health centers operating on a permanent, full-time basis that address issues of healthcare accessibility and affordability in areas with shortages of health services and for underserved populations.

Provides local jails with the opportunity to participate in a 9-month planning initiative to develop a comprehensive continuum of care that will increase access to opioid use disorder (OUD) treatment for individuals while in custody and in the community post-release. Seeks to reduce recidivism and the risk of overdose for the target population by increasing their engagement in evidence-based OUD treatment services. Offers a range of options for expanding access to OUD treatment to meet the needs of local jurisdictions, especially those in rural and tribal communities. This opportunity is an initiative of the Comprehensive Opioid, Stimulant, and Substance Use Program (COSSUP) funded by the Bureau of Justice Assistance.

Provides funding to improve access to evidence-based, timely, and culturally relevant maternal mental health and substance use intervention and treatments services by strengthening community referral pathways and providing transitions in care for pregnant people who are at risk for or currently have a behavioral health condition in the perinatal and postpartum periods.

Supports state, local, and tribal efforts to plan, implement, and enhance prescription drug monitoring programs (PDMPs) in order to prevent the misuse of prescription drugs, such as opioids. Strengthens the ability of law enforcement and public health agencies to collect and analyze controlled substance prescription data and to track prescribing across providers and states by integrating PDMPs with electronic health records (EHRs), pharmacy dispensing software (PDS) systems, health information exchanges (HIEs), and other healthcare facilities and systems. Promotes the development of innovative, evidence-based PDMP strategies that can serve as models for other states.

Offers grant funding to 4-H programs to expand mentoring services for justice-involved youth, youth at-risk of juvenile justice involvement, and rural youth. Utilizes 4-H programming to promote healthy development and positive outcomes for the target population by reducing risk factors such as poor school attendance/performance and alcohol and substance use. Supports a range of mentoring approaches, including one-on-one, group, peer, or a combination of approaches, and helps connect youth to mental health, tutoring, career guidance, coaching, and other services and supports.

Offers grants to rural or rural-serving organizations to evaluate, develop, and expand technology-enabled collaborative learning and capacity building models, with the goal of improving workforce retention and increasing access to healthcare, especially specialty care, in rural, frontier, and tribal areas and other underserved communities. Aims to support healthcare providers through distance health education models focused on chronic diseases, infectious diseases, mental health, substance use disorders (SUDs), prenatal and maternal health, pediatric care, pain management, palliative care, and other specialty care.

Offers grants and technical assistance to state, local, and tribal governments for demonstration projects that develop, implement, and test affordable, safe, and secure housing options for individuals reentering the community after incarceration. Supports proposals for a range of evidence-based or innovative reentry housing models designed to improve reentry and reduce recidivism by increasing access to housing for adults in reentry. Provides program participants with access to wraparound services, such as case management, substance use disorder (SUD) and/or mental health treatment, and other services to support successful reentry.

Offers grants to support substance use prevention, substance use disorder (SUD) treatment, HIV and viral hepatitis prevention and treatment services for racial and ethnic medically underserved individuals with or at risk for SUD, mental health conditions, HIV, viral hepatitis, and other infectious diseases. Seeks to increase engagement in services and promote a syndemic approach to care for the target population, including tribal populations and those living in rural areas.

Offers funding to develop and implement residential and jail-based programs to provide treatment and recovery supports for individuals with substance use disorder (SUD) and co-occurring disorders (COD) in state, local, and tribal correctional and detention centers. Aims to reduce substance use and overdose deaths in prisons and jails. Supports aftercare services to ensure continuity of care and help program participants successfully reenter the community upon release from incarceration.

Provides funding for loan repayment for pediatric medical subspecialty care, pediatric surgical specialty care, and child and adolescent behavioral healthcare providers in exchange for 3-year service obligations at approved sites in Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), and Medically Underserved Population (MUPs). Aims to increase pediatric workforce in underserved areas and expand access to care, including child and adolescent mental health and substance use disorder (SUD) prevention and treatment services.

Assists with the recruitment and retention of pediatric medical subspecialty care, pediatric surgical specialty care, and behavioral healthcare professionals serving Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas/Populations (MUAs/Ps). New and current clinical staff working in eligible disciplines at an approved facility are eligible to receive loan repayment assistance through the Pediatric Specialty Loan Repayment Program. Helps communities meet pediatric workforce needs and increases access to child and adolescent behavioral healthcare, including mental health and substance use disorder (SUD) prevention and treatment services.

Awards funding for pilot projects to establish portable clinical care teams that provide healthcare outside for underserved populations experiencing unsheltered homelessness. Promotes syndemic approaches that successfully integrate behavioral health and HIV treatment and prevention, including low barrier substance use disorder (SUD) treatment; HIV and viral hepatitis testing and treatment; HIV prevention including condom, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) distribution; mental healthcare; and harm reduction services.

Supports collaborative efforts to decrease opioid, stimulant, and other substance misuse and overdose deaths by offering financial and technical assistance to state, local, and tribal government entities. Helps provide treatment and recovery services for individuals involved with the criminal justice system resulting from substance misuse and their families. Seeks to enhance public safety and support underserved and rural populations through prevention and harm reduction activities and diversion programs.

Offers formula grants to states to help develop and expand prevention, harm reduction, treatment, and recovery activities for opioid use disorder (OUD) and stimulant use. Seeks to improve the accessibility and effectiveness of treatment and services for individuals with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of OUD.

Helps American Indian and Alaska Native (AI/AN) tribal communities build and strengthen a comprehensive response to the opioid epidemic by providing prevention, harm reduction, treatment, and community-based recovery support services to AI/AN individuals with, or at risk for, opioid use disorder (OUD), including stimulant use disorder. Identifies and addresses gaps in services and systems of care for OUD in tribal communities, and coordinates with other federally supported opioid response efforts to increase access to innovative and culturally responsive services for people with OUD, including access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD).

Provides funding for loan repayment for substance use disorder (SUD) professionals in exchange for 6-year service obligations at STAR LRP-approved facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with high rates of drug overdose deaths. Helps recruit and retain qualified clinicians and paraprofessionals to provide direct SUD treatment or recovery support services in underserved areas and rural communities significantly impacted by substance use.

Assists communities with the recruitment and retention of qualified substance use disorder (SUD) professionals who provide direct treatment or recovery support at facilities located in Mental Health Professional Shortage Areas (HPSAs) or in counties with a drug overdose death rate that is higher than the national average. New and current clinical staff working in eligible disciplines at a STAR LRP-approved facility are eligible to receive loan repayment assistance through the STAR Loan Repayment Program, which is open to a wider range of SUD clinicians and paraprofessionals compared to other HRSA loan repayment programs.

Expands and enhances existing mentoring services and activities for youth ages 17 or younger at risk for juvenile delinquency, victimization, and justice system involvement. Seeks to support organizations that operate a mentoring program in multiple states and promote the use of various evidence-based mentoring approaches, such as one-on-one, group, or peer mentoring, to meet the needs of the target youth population. Utilizes mentoring to reduce risk factors and problem behaviors, such as poor school attendance/performance, substance use, or gang participation, and works to provide young people opportunities for personal growth and development.

Supports efforts by state, local, and tribal governments to establish and enhance community courts designed to enhance public safety and build trust between communities and law enforcement. Promotes the community court model, which utilizes partnerships between communities and the justice system to address local issues that lead to crime, including substance use and mental health conditions, and connect individuals committing lower-level offenses to substance use disorder (SUD) treatment, alternative sanctions, and community-based support services. Rural and tribal applicants are a priority.

Provides funds to support planning, implementation, and enhancement of veteran treatment courts by offering grants and technical assistance to states, state and local courts, local governments, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism for veterans in the criminal justice system with substance use, mental health, and/or co-occurring disorders .

Supports workforce development activities and economic development plans in rural areas throughout the Appalachian, Lower Mississippi Delta (Delta), and Northern Border regions. Provides funds for career training, and support services to prepare dislocated workers, including workers affected by substance use disorder (SUD), for good jobs in high-demand occupations in these regions. Ensures that efforts align with existing economic growth strategies in order to increase employment opportunities and foster long-term regional economic prosperity.

Offers funding to states, territories, local governments, and federally recognized Indian tribal governments to increase public safety by supporting cross-system collaboration to improve responses and outcomes for youth under age 18 with mental health disorders (MHD) or co-occurring mental health and substance use disorders (MHSUDs) who come into contact with the juvenile justice system.

Provides funding to implement suicide prevention and early intervention strategies for youth up to age 24 in schools, educational institutions, juvenile justice systems, substance use and mental health programs, and other child/youth-serving organizations.

Supports efforts to reduce violent crime by developing and implementing comprehensive community-based violence intervention and prevention programs focused on youth and adults at highest risk for violence. Encourages community partnerships between residents, local government, victim service providers, law enforcement, hospitals, and other stakeholders to engage in strategies and activities to address risk factors related to violence, including substance use disorder (SUD), housing instability, and history victimization or perpetration.

Awards funds to implement and deliver mentoring services to youth involved in the juvenile justice system, with the goal of reducing substance use, delinquency, truancy, victimization, and other problem behaviors while promoting positive outcomes for youth. Supports multiple mentoring approaches, including one-on-one, group, peer, or a combination of mentoring services as well as nonmentoring direct services, such as mental health, substance use treatment, and other supportive services. Target population includes youth currently placed within a juvenile correctional facility and those recently released from a juvenile facility.

Offers grant funding to assist health centers with establishing or expanding mental health and substance use disorder (SUD) services at their facilities. Aims to increase access to mental health and SUD treatment, including medications for opioid use disorder (MOUD), with a focus on rural and underserved populations that experience unique barriers to care.

Awards fellowships to master's and doctoral students in social work programs. Offers monetary stipends, professional development, training, mentoring, and other supports to develop cultural competency skills in social work services for ethnic and racial minority populations at risk for mental health and substance use disorders (SUDs). Seeks to increase the number of social workers providing mental health and substance use services to underserved populations. Fellowships are administered by the Council on Social Work Education (CSWE) through a Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Expands existing mentoring services and activities for at-risk youth and youth currently misusing or dependent on opioids, stimulants, or other substances. Supports the development of innovative, high quality services, utilizing various mentoring approaches, such as one-on-one, group, or peer mentoring, designed to reduce substance use, delinquency, and other problem behaviors. Offers educational and support services to youth and their family members to address opioid or substance misuse issues.

Grants to states to support the integration of behavioral and primary physical healthcare, with the goal of improving health outcomes for individuals with behavioral health conditions. Requires state collaboration with Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and other qualified community programs to adopt and improve integrated care models across systems.

Provides funds to help and support law enforcement, correctional officers, probation and parole, and sheriff's departments partnering with mental health, substance use, and community service professionals and agencies to promote public safety and ensure appropriate responses are provided to individuals in crisis with behavioral health, conditions, intellectual disabilities, developmental disabilities, physical disabilities, and/or traumatic brain injuries. Funds activities focused on planning, developing, enhancing, and evaluating a Collaborative Crisis Response and Intervention Training (CRIT) program.

Grants funds to assist jurisdictions with starting a juvenile drug treatment court (JDTC) or enhancing and expanding the operations of an existing JDTC. Seeks to reduce recidivism and substance misuse through court supervision and increased access to treatment, recovery, and other trauma-informed services for youth with substance use disorder (SUD) or co-occurring mental health disorders (CODs), including youth with a history of trauma.

Makes federal funding available through 2 initiatives to rural school districts that may have difficulty receiving awards through competitive grants due to a lack of resources. Each initiative supports student achievement and provides not only basic school programs, such as enhancing curriculum or instruction in schools, but also a range of student support and enrichment activities and services, which may include substance use education and prevention programs.

Offers funds and technical assistance to states, local governments, and federally recognized Indian tribes to plan, implement, or expand comprehensive collaboration programs to improve outcomes for people with mental health disorders or co-occurring mental illness and substance use disorders who are involved with the justice system. Aims to develop collaborations across the criminal justice system that will provide healthcare, treatment, social services, and other supports to enhance public safety and public health, and reduce recidivism among the target population.

Provides funding for loan repayment for primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Primary Care and Mental Health Professional Shortage Areas (HPSAs) in rural communities. Seeks to increase the number of primary care and behavioral/mental health professionals providing opioid use disorder (OUD) and substance use disorder (SUD) treatment and services to patients in rural areas.

Provides funding for loan repayment for substance use disorder (SUD) primary care and behavioral/mental health professionals in exchange for 3-year service obligations at National Health Service Corps (NHSC)-approved sites in Mental Health and/or Primary Care Health Professional Shortage Areas (HPSAs) in rural and underserved areas.

Offers funding to organizations with the capacity to develop, expand, and enhance housing and support services to victims of human trafficking. Supports collaboration with federal, state, and local partners to implement coordinated, comprehensive housing models, including emergency shelters, transitional and short-term housing assistance, to provide safe, stable housing for the target population. Includes the provision of trauma-informed, victim-centered support services, such as case management, education, employment, and mental health and substance use disorder services.

Grants funds to help jurisdictions establish new family treatment courts, strengthen existing family treatment courts, and expand family treatment courts at the larger state and county levels. Offers substance use treatment and recovery services to parents with substance use disorder (SUD) or co-occurring mental health disorders (COD). Aims to reunify families and protect children by providing support services to meet the needs of families involved with the child welfare system due to abuse and neglect and issues related to opioid, stimulant, and other substance misuse.

Strengthens the ability of corrections systems and community-based service providers to support individuals with substance use disorders (SUD), including parents of minor children and pregnant/postpartum women, during the pre-release phase of incarceration and continued through reentry into the community. Works to establish, expand, or improve SUD treatment and recovery programs to increase access to evidence-based, culturally relevant services, reduce recidivism, promote long-term recovery, and decrease overdose among the target population.

Supports new and existing training programs for paraprofessionals in behavioral health fields in order to improve services for families whose parents are impacted by opioid use disorder (OUD) or other substance use disorders (SUD). Seeks to increase the number of paraprofessionals in behavioral health working in high-need and high-demand areas to reduce the risk of mental health disorders and SUD among children.

Supports efforts to improve access to integrated and coordinated treatment and recovery services for substance use disorder (SUD), including opioid use disorder (OUD), in rural areas to address the SUD/OUD crisis in rural areas and promote long-term, sustained recovery.

Provides funds to support the planning, implementation, and enhancement of adult substance use treatment courts for local, state, and federally recognized tribal governments. Funds activities centered on preventing overdoses, increasing access to treatment and recovery services, and decreasing recidivism.

Supports cross-system collaboration initiatives between law enforcement and behavioral health providers to improve responses to and outcomes for individuals with mental health disorders (MHDs) or co-occurring mental health and substance use disorders (MHSUDs). Promotes public health and public safety by helping entities develop and implement collaborative projects to enhance crisis response programs focused on individuals with MHDs or MHSUDs who come into contact with law enforcement.

Provides funding to support prevention, intervention, diversion, treatment, and recovery programs and services to benefit children, youth, and families impacted by opioids and other substance use disorders. Assists communities in developing a coordinated response to address opioids and substance misuse, overdose, and public safety through collaboration with law enforcement, courts, organizations that address substance use, child welfare agencies and other community stakeholders.

Strengthens the delivery of community-based recovery support services (RSS) for people in recovery from substance use disorder (SUD). Supports long term recovery through RSS delivered by people who have lived experienced with SUD and recovery, such as peer mentors, recovery coaches or recovery support specialists. Provides linkages to social supports, including medical, housing, educational, and employment services.

Offers funding, training, and technical assistance to help build capacity in community supervision agencies, with the goal of reducing recidivism and improving outcomes for individuals under supervision, such as adult probation, parole, or pretrial supervision or their equivalents. Engages agencies and other stakeholders in a collaborative problem-solving process using data and research-informed strategies to improve outcomes for individuals, ensure fairness in supervision, and enhance public safety.

Funds telecommunication projects that support distance learning and telemedicine services to increase access to education, training, and healthcare resources for students, teachers, medical professionals, and residents in rural areas. Emphasizes telecommunication projects that address substance use disorders (SUDs), including opioid misuse.

Provides funding to national organizations operating in 45 or more states to expand existing mentoring services and activities for youth ages 17 or younger at risk for juvenile delinquency, victimization, drug use, truancy, justice system involvement, and other problematic or high-risk behaviors. Supports various evidence-based mentoring approaches, such as one-on-one, group, or peer mentoring, to meet the needs of the target youth population. Works to provide young people with opportunities for personal growth and development, while strengthening community safety.

Funds nonprofit organizations and Native American tribal organizations to develop or expand comprehensive, evidence-based reentry services and programs to help individuals who have been incarcerated. Aims to decrease recidivism, enhance community safety, and improve reentry outcomes by offering case management and other services for individuals both prior to and after release from incarceration to help them successfully reintegrate into their communities.

Funds community-based efforts to implement and assess new assisted outpatient treatment (AOT) programs that permit individuals to remain in their community while receiving treatment, leading to better life outcomes. Identifies evidence-based practices to decrease the frequency and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for individuals with a serious mental illness (SMI). Works to address substance use issues for individuals with SMI to improve their overall physical and social health.

Supports collaboration between justice agencies, behavioral health providers, and community organizations to improve crisis stabilization care for individuals with serious mental illness, substance use disorders (SUDs), and co-occurring disorders who are currently involved with the justice system or are reentering the community. Seeks to reduce the number of individuals experiencing crisis during the pretrial period, confinement, and upon release while ensuring continuity of care and supporting recovery during the transition to the community by providing clinical behavioral healthcare and other reentry services.

Provides funding to state, local, and tribal governments to contract with organizations to provide clinical services, permanent supportive housing, and other reentry supports for individuals leaving incarceration, with a specific focus on the needs of individuals with mental health, substance use, or co-occurring disorders. Aims to increase public safety and lower recidivism rates by helping formerly incarcerated individuals successfully rejoin society. Services funded through this opportunity must be performance-based or outcome-based, making payment dependent upon reaching agreed upon goals.

Awards grants to reestablish or maintain strong multi-sector community coalitions that work to prevent and reduce substance use among youth age 18 or younger. Addresses local environmental factors related to youth substance use by implementing a wide-range of evidence-based and practice-based prevention strategies.

Supports local efforts to prevent and reduce substance use among youth age 18 or younger by establishing and maintaining new multi-sector community coalitions. Utilizes a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth and promote positive, sustainable, community-level change.

Funds infrastructure enhancements and capacity building efforts to address the changing healthcare landscape and increase access to high-quality HIV primary healthcare services for individuals with low-income and underserved populations, including those in rural areas.

Provides funding for training and resources to first responders and members of other key community sectors at the state, tribal, and local levels on carrying and administering naloxone and other Food and Drug Administration approved drugs or devices for emergency reversal of known or suspected opioid overdose. Works to establish processes and protocols for referral to appropriate treatment recovery, harm reduction, and other psychosocial support services, and provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

Provides substance use disorder (SUD) education to health profession students early in their academic careers, with the goal of increasing the number of professionals trained to identify, assess, intervene, and treat addiction; support recovery; and address stigma. Supports health profession programs in integrating SUD content into academic curricula and promotes the integration of behavioral and physical healthcare systems using a multidisciplinary team approach. Gives preference to programs that place students in SUD programs serving rural and underserved areas.

Provides funding to states, local and tribal governments, and community-based organizations to provide comprehensive reentry and transitional services for moderate to high-risk youth before, during, and after release from a juvenile residential facility. Supports pre- and post-release program services that provide screening and assessment of youth needs, such as mental health, substance misuse, and more. Aims to reduce recidivism and improve outcomes for youth through the successful reintegration of participants into their communities.

Supports the implementation of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) public health model in primary care, community health settings, and schools, with the goal of increasing screening for underage drinking, opioid use, and other substance use among children, adolescents, and adults. Assists with integrating SBIRT into routine healthcare and other encounters and enhancing system-level approaches to reduce alcohol and substance use and its negative health impacts among individuals with substance use disorder (SUD) and those at risk for SUD.

Awards grant funds to develop, expand, or strengthen victim service programs for adult or a combination of adult and youth victims of human trafficking. Promotes victim-centered and trauma-informed programs, policies, and resources to enhance justice, access, and empowerment for victims. Includes the direct delivery of behavioral and physical healthcare services for the target population under Purpose Area 5.

Provides funds to expand substance use disorder (SUD) treatment and recovery support services in existing drug courts that use the problem solving court model, including adult treatment drug courts (ATDCs), family treatment drug courts (FTDCs), or adult tribal healing to wellness courts (ATHWCs). Seeks to break the cycle of criminal behavior, alcohol and drug use, and incarceration by providing effective and comprehensive SUD treatment services to individuals with SUD involved with the justice system.

Offers flexible funding to provide family-based services for pregnant and postpartum women diagnosed with substance use disorder (SUD), with a particular emphasis on treatment for opioid use disorder (OUD). Assists states in establishing a continuum of care for pregnant and postpartum women in community-based settings. Supports new approaches and service delivery models designed to enhance coordination and efficiency in state systems managed by a state substance use agency. Aims to improve maternal and child health outcomes, decrease infant mortality, and reduce the negative impact of substance use on women, children, and family members.

Provides funding to integrate behavioral health services in primary care settings using telehealth technology through telehealth networks. Supports evidence-based projects in telehealth networks using telehealth technologies in rural and underserved areas to increase access to integrated behavioral health services in primary care settings and to improve the quality of healthcare information available to providers by evaluating the effectiveness of integrating telebehavioral health services into primary care settings.

Offers funding to recruit and train emergency medical services (EMS) personnel in rural areas with a primary focus on addressing substance use disorders (SUDs) and co-occurring mental health conditions (COD). Supports training on trauma-informed, recovery-based SUD/COD emergency care for rural residents, including the use of naloxone for the reversal of opioid overdose, and helps EMS staff meet federal or state licensing or certification requirements.

Awards funding to establish clinical rotations for physician assistant (PA) students in rural areas. Supports the development of rotations of at least 3 months that integrate primary care and behavioral health services, with the goal of increasing the number of PAs who choose to practice in rural areas after graduation and are trained to prevent, identify, diagnose, treat, and refer services for behavioral health conditions, including the provision of medications for opioid use disorder (MOUD). Offers financial assistance to trainees during rotations in a rural primary care setting.

Helps land-grant colleges and universities create community-based outreach and extension services to improve health and wellness in rural areas by offering reliable information on health, wellness, and safety to individuals and families.

Aims to prevent and reduce suicidal behavior and substance misuse, reduce the impact of trauma, and promote mental health among American Indian and Alaska Native youth through age 24. Supports tribal communities in building and sustaining infrastructure for behavioral health systems that will positively impact AI/AN youth by successfully integrating culture, resources, and readiness to address suicide and substance misuse among the target population.

Funds to support tribal law enforcement agencies in developing and/or enhancing the skills and abilities needed to address unmet public safety needs in tribal communities. Includes implementing or enhancing prevention strategies, improving criminal investigations, crime control activities, community policing strategies, and efforts to reduce illicit drug use, including methamphetamine and opioid use. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds to tribes to develop, support, and improve adult tribal justice systems. Seeks to support tribal and law enforcement efforts to prevent and reduce crime, including crime related to opioid, alcohol, stimulant, and other substance use disorders (SUD). Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds to support strategic planning and development to improve tribal justice systems, public safety, and community wellness. Supports strategies to address violent crime, murder of Indigenous people, domestic violence, substance misuse, substance use disorder (SUD), overdose, drug-related crime, and human trafficking. Offers training, technical assistance, and other supports to assist communities and law enforcement with planning and processes to proactively address conditions and issues that lead to crime, social disorder, and fear of crime. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds tribal efforts to reduce and prevent juvenile delinquency through prevention, intervention, and treatment services to children under the age of 21. Aims to promote public safety and positive outcomes by helping the juvenile justice system respond more fairly to American Indian and Alaska Native youth. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds to develop new or expand existing youth healing to wellness courts to enhance the capacity of tribal courts to respond to the alcohol and substance use related issues of youth. Helps tribal youth involved with the justice system to access substance use disorder (SUD) treatment, maintain recovery, and reduce the risk of re-offending. Funds may support planning activities, court operations, workforce development, training, data collection, and the implementation of new programs and services. Part of the U.S. Department of Justice (DOJ) Coordinated Tribal Assistance Solicitation (CTAS).

Funds economic revitalization projects in the Appalachian region focused on building businesses, workforce ecosystems, infrastructure, culture and tourism, and leadership capacity to meet Appalachian Regional Commission's strategic investment goals. Gives priority to investments for building a competitive workforce, fostering entrepreneurial activities, developing industry clusters, and broadband initiatives.

Awards fellowships to master's and doctoral students in marriage and family therapy (MFT) programs. Offers financial support, training, and professional development opportunities designed to build cultural competency in mental health treatment for ethnic and racial minorities. Seeks to increase the number of marriage and family therapists providing mental health and substance use services to underserved populations. Fellowships are administered by the Foundation for the Advancement of Human Systems (FAHS) through the Minority Fellowship Program (MFP) grant from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Aims to reduce the development and progression of substance use disorder (SUD) by improving local capacity to deliver community-based SUD prevention and mental health services. Promotes building strategic partnerships among key stakeholders to expand prevention infrastructure and implement strategies to identify and address the primary prevention concerns in the community, including the use of opioids, methamphetamine, and heroin. Provides evidence-based services to prevent SUD and support the mental health and well-being of youth and adults, especially those from underserved communities.

Provides funding to enhance states' ability to develop, implement, and promote substance use prevention and mental health promotion services for individuals and families in their state. Supports states in building the capacity of local providers to identify prevention priorities in their communities, including the use of opioids, methamphetamine, and heroin, and to implement evidence-based strategies to address their prevention needs. Focuses on delivering prevention services to rural, tribal, and other underserved communities.

Supports projects to address the crisis of substance and opioid use in Appalachian counties through programs that help people in recovery obtain and maintain employment. Promotes the development of recovery ecosystems that support individuals as they transition from substance use disorder (SUD) treatment programs into recovery and seek to enter or re-enter the workforce. Brings together multiple sectors, including recovery communities, peer support, healthcare, human services, law enforcement, and others, to deliver job training, skill development, and comprehensive support services that enable individuals to find stable employment and sustain their recovery from SUD.

Supports efforts to address the opioid crisis in American Indian and Alaska Native (AI/AN) communities through locally designed prevention, treatment, recovery, and aftercare services for mental health and substance use disorder (SUD). Aims to raise awareness and education of opioid interventions that are family-centered and culturally appropriate, create comprehensive community opioid support teams, and increase the use of medication-assisted treatment (MAT)/medications for opioid use disorder (MOUD) to meet treatment needs and reduce opioid overdose in AI/AN communities. COIPP is an initiative of IHS's Alcohol and Substance Abuse Branch (ASAB).

Offers funding to state and local health departments to work with HIV clinical providers in developing approaches that utilize culturally competent community health worker (CHW) services to conduct outreach and re-engage people with HIV in care who are living in rural areas. Services include connecting individuals to mental health and substance use disorder (SUD) services, and other supports necessary to help participants enter, re-engage, and remain in HIV care and treatment.

Offers flexible block grant funding to states, territories and freely associated states, and one tribe to design and implement activities and services to address the complex needs of individuals, families, and communities affected by substance use disorder (SUD). Funds can be used to establish statewide programs and services or to make sub-awards to local organizations to provide SUD services in their region. All activities and services must address core SUBG program purposes. Supports SUD treatment, programs, and services for the following populations and services areas: pregnant women, women with dependent children, IV drug users, tuberculosis services, HIV/AIDS early intervention services, and primary prevention services.

Offers flexible block grant funding to states, territories, and freely associated states to provide comprehensive, community-based mental health services to adults with serious mental illness (SMI) and children and adolescents with serious emotional disturbances (SED). Supports collaboration by encouraging various individuals and groups to be involved in the mental health planning process, including adults participating in mental health services, family members of children with SED, and representatives from education, mental health, rehabilitation, criminal justice, and other state agencies.

Provides funding to develop internships, field placements, and other experiential training opportunities for individuals training in behavioral health professions focused on serving children and youth ages 16-25 in rural and underserved communities. Aims to expand access to behavioral healthcare for rural and underserved children and youth with mental health and substance use disorders (SUD) by increasing the supply and distribution of behavioral health providers. Assists in recruiting and training behavioral health professionals by increasing the number of clinical supervisors, providing stipend support for trainees, and connecting graduates to employment opportunities.

Funds to develop, improve, and/or enhance statewide or regional networks to expand the capacity of healthcare providers' to screen, assess, treat, and refer pregnant and postpartum people for maternal mental health and substance use disorder (SUD), especially for rural and medically underserved areas.

Provides peer recovery support services to individuals with or in recovery from substance use disorder (SUD) or co-occurring substance use and mental disorders (COD). Promotes long-term recovery supports, in coordination with clinical SUD treatment, that are led by peers in recovery who reflect the communities they serve. Increases access to recovery support services through training and support for current and new peer recovery specialists and supervisors, especially those from historically underserved communities.

Strengthens the relationship between recovery organizations, their statewide networks of recovery stakeholders, and healthcare systems to improve recovery services for individuals with substance use disorder (SUD). Aims to promote and integrate recovery organizations and peer recovery support services (PRSS) across coordinated state and local networks through increased collaboration, training, and participation in multilevel planning, policy, and program development activities.

Provides funding to support services, training, and collaboration with partners focused on helping individuals in treatment or recovery with substance use disorder (SUD) or co-occurring disorder (COD) live independently and participate in the workforce.

Provides funding to prevent substance misuse and address mental health issues by establishing and expanding behavioral healthcare services in rural communities for children and adolescents aged 5-17 who are at risk for, have, or are recovering from a behavioral health disorder.

Focuses on increasing access to and involvement with care and services for individuals from racial and ethnic minority populations with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) who are HIV positive or at risk for HIV. Helps connect these individuals to SUD/COD treatments, HIV care and treatment, HIV/AIDS and Hepatitis C (HCV) testing and vaccinations, as well as recovery and community support services to help retain clients in care with the overall goal of reducing health disparities among the target populations.

Provides funding to enhance the ability of state health departments to track and prevent nonfatal and fatal overdoses and identify emerging drug threats by supporting surveillance and prevention strategies designed to reduce overdose morbidity and mortality. Emphasizes activities focused on opioid, stimulants, and polysubstance use and works to address health inequities and increase access to care and services for populations at high-risk for overdose, including rural communities and tribal populations.

Provides funding for local health departments, special district health departments, and territorial governments to implement data-based surveillance and prevention strategies to reduce overdose morbidity and mortality in communities. Emphasizes activities focused on opioids and stimulants. Seeks to address health inequities and increase access to care for populations at high-risk for overdose, including rural communities and tribal populations.

Provides comprehensive, coordinated, evidence-based services for individuals, youth, and families currently experiencing or at risk of homelessness who are diagnosed with serious mental illness (SMI), serious emotional disturbance (SED), and/or a co-occurring disorder (COD). Aims to engage and connect the target population to behavioral health treatment, case management, and recovery support services and help them secure sustainable permanent housing. Assists participants in identifying and obtaining resources for health insurance that help individuals maintain their treatment, recovery, and housing status.

Provides funding to eligible entities to establish, expand and/or enhance existing community-based nurse practitioner (NP) residency and fellowship training programs to increase the number of advanced practice registered nurses (APRNs) prepared to provide primary care in community-based settings for rural, urban, and tribal underserved populations. Supports efforts to integrate behavioral and maternal health into primary care through the training of qualified NPs in these fields.

Funding to support the training and graduation of advanced practice registered nursing (APRN) students and trainees in the areas of primary care, mental health, substance use, and maternal healthcare, with preference given to programs that train students to practice in underserved and rural communities.

Funds primary healthcare and support services in an outpatient setting for low-income, uninsured, and underserved populations living with HIV in new geographic service areas. Helps provide HIV testing, diagnostic services, referral to healthcare and support services, mental health and substance use disorder treatment, and other services to enable people with HIV to live healthy lives.

Expands access to social detoxification services for American Indian and Alaska Native (AI/NA) populations impacted by alcohol use disorder (AUD) or substance use disorder (SUD) in McKinley County, New Mexico. Supports programs that include the 3 critical components of community-based social detoxification: evaluation, stabilization, and fostering patient readiness for and entry into treatment. PARD is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds treatment, recovery, case management, and harm reduction services and programs in residential treatment facilities for pregnant and postpartum women with substance use disorder (SUD) to support and sustain recovery. Aims to reduce infant and maternal mortality; improve family dynamics through access to treatment; and increase access to evidence-based SUD residential services.

Expands access at the community level to naloxone and other medications approved by the Food and Drug Administration (FDA) for emergency treatment of opioid overdose by establishing best practices for prescribing overdose reversal drugs. Provides training and resources to prescribers and providers and ensures protocols are in place to connect people who have experienced overdose to appropriate follow-up care and substance use treatment, including medications for opioid use disorder (MOUD) and behavioral therapies. Focuses on specific urban and rural populations to address the needs and expand workforce capacity in communities highly impacted by overdose and reduce overdose deaths.

Funds the implementation and expansion of local efforts to enhance community infrastructure to address behavioral health treatment and other services for substance use disorder (SUD) and other co-occurring disorders (CODs) for individuals and families experiencing homelessness. Provides comprehensive, coordinated services such as behavioral health outreach, treatment, peer support, recovery support services (RSS), case management, and connections to sustainable permanent housing.

Funding to plan, develop, and operate a 12 month full-time, or 24 month half-time, training program for nurse practitioners, physician assistants, health service psychologists, counselors, nurses, and/or social workers focused on training practitioners to provide mental health and substance use disorder (SUD), including opioid use disorder (OUD), services. Seeks to expand the workforce trained to provide care for individuals in need of mental health and SUD/OUD prevention, treatment, and recovery services in an integrated primary care underserved community-based setting.

Assists rural communities working to reduce the incidence and impact of neonatal abstinence syndrome (NAS) among pregnant, postpartum, and persons of childbearing age who are diagnosed with or at risk for opioid use disorder (OUD) and/or other substance use disorders (SUDs). Supports the implementation of evidence-based OUD/SUD prevention, treatment, and recovery strategies designed to improve systems of care, family supports, and social determinants of health (SDOH) in rural areas.

Aims to increase access to medications for opioid use disorder (MOUD) along with comprehensive opioid use disorder (OUD) psychosocial and recovery support services (RSS) for individuals with OUD seeking MOUD. Provides funds to states, nonprofits, American Indian and Alaska Native tribes, and tribal organizations to support MOUD programs and related program activities.

Provides funds to expand access to treatment, recovery, and reentry services for sentenced adults in the criminal justice system with a substance use disorder (SUD) and possible co-occurring mental illness. Seeks to reduce substance use and involvement with the criminal justice system by helping individuals successfully reintegrate into the community upon release from prisons, jails, or detention centers.

Provides funding to address immediate responses to the opioid crisis in rural areas by improving access to, capacity for, and sustainability of prevention, treatment, and recovery services for substance use disorder (SUD).

Provides funding to support community-based partnerships and collaborations aimed at promoting access to healthcare for under-resourced and underserved children and their families in rural and underserved areas through the implementation and evaluation of new or improved evidence-informed, evidence-based strategies, or innovative community-based projects and models of care. Includes substance use services for children and adolescents at risk for substance use disorders (SUD).

Funds to develop and implement community- and school-based strategies to prevent and mitigate the harm of community violence. Strengthens school's capacity to prevent violence and address trauma, anxiety, depression, delinquency, and other physical, psychological, and emotional harms related to students' exposure to violence. Helps schools provide training, staff, and resources to increase students' access to culturally adapted, trauma-informed mental health services and other supports.

Supports American Indian and Alaska Native (AI/AN) youth in successfully transitioning back into the community after completing treatment at an Indian Health Services (IHS) Youth Regional Treatment Center (YRTC). Provides culturally adapted aftercare and case management services focused on whole-person wellness and community engagement to help youth achieve and sustain safety and sobriety, with an emphasis on employability as a means of achieving program goals. YRTC is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Aims to increase the affordability, accessibility, acceptability, and availability of medication-assisted treatment (MAT) by establishing new MAT access points in rural communities. Enhances the capacity to provide MAT treatment services for people in rural areas with or at risk of opioid use disorder (OUD), with focus on underserved populations. Promotes the use of Food and Drug Administration (FDA)-approved medications for the treatment of OUD along with supportive services, including counseling and behavioral therapies. Supports the use MAT to treat alcohol use disorder, if the need exists.

Supports community-driven efforts to deliver evidence-based, culturally appropriate substance use prevention, treatment, and aftercare services for American Indian and Alaska Native (AI/AN) communities. Works to expand access to behavioral health services; improve care coordination and cross-system collaboration; and engage family, youth, and community resources to reduce substance use disorder (SUD) and overall substance misuse in tribal communities. SASP is an initiative of the IHS Alcohol and Substance Abuse Branch (ASAB).

Funds for states to develop and implement programs to address the oral health workforce needs in Dental Health Professional Shortage Areas (HPSAs), including those in rural communities. Supports new ideas, methods, and/or approaches to increase access to oral health services. Allows states to design programs to address opioid use disorder (OUD) by improving pain management practices, treatments, and recovery support services. Helps states become better prepared for future public health emergencies by evaluating and responding to the impact of COVID-19 on oral health workforce.

Provides funds to implement evidence-based or promising prevention, treatment, and recovery activities for substance use disorder (SUD), including opioid use disorder (OUD), in rural communities. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of OUD/SUD, their families, and others in the community.

Offers funding for education and job training services for young adults ages 18 to 24 who are involved in the criminal justice system or those who left high school before graduation. Establishes partnerships between community colleges, the criminal justice system, employers, and other stakeholders to improve workforce outcomes for the target population. Builds capacity in community colleges to provide occupational training and helps young adults reentering society from the criminal justice system gain skills and education to meet the needs of the local labor market and find stable employment in high-demand occupations.

Provides funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become peer support specialists and other behavioral health paraprofessionals. Promotes collaboration with community-based health partners to meet workforce demand in high need and high demand areas and expand access to quality behavioral health services, including services for the treatment of substance use disorder (SUD). Promotes interdisciplinary collaboration through team-based care and emphasizes training oriented toward the behavioral health needs of children, adolescents, and transitional-aged youth.

Provides funds to implement evidence-based prevention, treatment, and recovery activities in rural communities to address psychostimulant use disorders and the misuse of psychostimulants, including methamphetamine, cocaine, ecstasy, and prescription stimulants. Expands access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of psychostimulant use disorder, their families, and others in the community.

Provides funding to enhance established community-based coalitions working to address the use and misuse of opioids, methamphetamines, and prescription medications among youth ages 12-18. Strengthens cooperation between leaders, groups, organizations, and agencies across the community to implement strategies and services that help identify at-risk youth, reduce substance use, and create safer and healthier communities.

Serves adolescents, aged 12-18, and transitional youth, aged 16-25, with substance use disorder (SUD) and/or co-occurring substance use and mental disorders (COD) by expanding access to evidence-based early intervention, treatment, and recovery support services. Involves family members/primary caregivers in the treatment and recovery process, and focuses on reducing health disparities among underserved female and racial/ethnic minority populations.

Provides funding to implement community-based outreach programs to enhance the delivery of healthcare to underserved rural populations. Promotes community engagement and collaboration between local healthcare and social service providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas at the local or regional level. Offers 2 funding tracks, including the Healthy Rural Hometown Initiative (HRHI), which is designed to reduce rural health disparities related to the 5 leading causes of avoidable death by addressing the underlying factors and social determinants of health that can impact health and wellness.

Strengthens rural communities' ability to conduct planning to engage high risk populations and expand capacity for effective prevention, treatment, and recovery responses to substance use disorder (SUD) and opioid use disorder (OUD) in rural counties.

Offers funds to community coalitions to continue grant activities under a previously awarded Drug-Free Communities Support Program grant. Coalitions utilize a wide-range of evidence-based prevention strategies to address local environmental factors related to substance use among youth age 18 or younger and seek to promote positive, sustainable, community-level change.

Expands and enhances existing 12-month nurse practitioner (NP) residency programs with the goal of increasing the number of new, qualified primary care or behavioral health NPs prepared to work in integrated, community-based settings, especially in rural or underserved areas.

Provides funding to existing USDA Cooperative Extension grantees to develop and offer training and technical assistance for rural communities to help combat the effects of the opioid crisis and/or stimulant issues. Supports education and training on prevention, treatment, and recovery activities related to opioid use disorder (OUD) and stimulant use disorder and works to share successful model programs.

Provides funding, technical assistance, and training to support direct services for children and youth who are crime victims and have been impacted the current crisis of addiction and substance use, including the use of opioids, methamphetamines, other substance misuse, and polysubstance use. Supports services for children and youth ages 0-18 and includes direct service activities such as information about and referral to trauma-informed victim services, personal advocacy, medical services, on-scene emotional support at drug/crime related incidents, and follow-up care, including counseling, support groups, and other types of mental health treatment.

Provides funding to expand clinical training at accredited addiction medicine fellowship (AMF) and addiction psychiatry fellowship (APF) programs. Seeks to increase the number of physicians and psychiatrists working in underserved, community-based settings that integrate primary care with mental health and substance use disorder (SUD) prevention and treatment services. Seeks to improve access to addiction prevention, treatment, and recovery services at various points of care and across healthcare sectors.

Aims to increase the number of primary care physicians capable and willing to provide care to rural and/or underserved communities by funding accredited residency training program improvements in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics. Works to reduce healthcare expenses, improve care quality, and increase access to healthcare by preparing and encouraging residency graduates to serve in rural and/or underserved areas.

Provides funding to state workforce agencies and tribal organizations to make subgrants to local workforce development boards to address the economic, workforce, and health impacts of the opioid crisis in communities with high rates of substance use disorder (SUD). Supports collaboration between key community stakeholders to provide career, job training, and employment services to help individuals find and retain employment. Funds comprehensive screening services, outpatient recovery care, and other services for individuals with SUD that can also support their efforts to obtain and/or maintain employment.

Provides funding for the development of partnerships and pilot projects to support and improve the coordination and efficiency of transportation services and nonemergency medical transportation services, including improving public transit services to disadvantaged and rural communities. Aims to make healthcare and other essential community services more accessible to older adults, people with disabilities, and individuals with low income.

Enhances school climate, creating safer, healthier, more engaging and supportive environments for students. Supports the development and implementation of programs using evidence-based multi-tiered frameworks to improve learning conditions and behavioral outcomes and provides training and technical assistance to schools. Prioritizes local educational agencies (LEAs) in rural and tribal areas and gives competitive preference to projects that address the prevention and the impacts of opioid misuse.

Provides funding to strengthen experiential training for behavioral health paraprofessional students focused on prevention, treatment, and recovery services for substance use disorder (SUD), including opioid use disorder (OUD). Emphasizes training that addresses the specific challenges of children, adolescents, and transitional-age youth at risk for behavioral health disorders. Seeks to expand access to quality SUD/OUD treatment and services in high need, high demand areas by increasing the number of qualified behavioral health paraprofessionals working in community-based settings.

Funds to expand community-based training for the treatment of opioid use disorder (OUD) and substance use disorder (SUD), especially among affected rural youth, for students pursuing advanced degrees in behavioral health.

Funds to establish 3 demonstration projects to implement evidence-based 2-generational strategies addressing issues facing rural at-risk children, prenatal to age 3, and their parents, such as adverse childhood experiences (ACEs), maternal depression, mental health disorders, substance use disorder (SUD), opioid use, and related neonatal abstinence syndrome (NAS). Offers technical assistance, training, and support to demonstration sites to coordinate programs and services that support healthy childhood development and increase family economic opportunity.

Supports recovery community organizations (RCOs) in expanding peer recovery support services (PRSS) to people with substance use disorder (SUD) and their family members. PRSS utilizes peer leaders, individuals who have experienced addiction and recovery, to help people with SUD stay in recovery by offering support in the areas of housing, employment, education, social connection, and abstinence from substance use. Peer leaders are involved at all levels of designing, developing, and implementing programs.