Funding: Substance Use Disorder

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.

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 for patients in rural and underserved areas.

Offers grant funding to organizations to provide support services to low-income veterans and their families who are homeless or are currently residing in or transitioning to permanent housing. Aims to prevent homelessness and increase housing stability by offering case management and other services designed to prevent the imminent loss of home, identify new and better housing situations, or provide rapid re-housing. Includes healthcare navigator services to increase access to and continued engagement with mental health and substance use disorder services.

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 address immediate and short-term needs for substance use disorder (SUD) services in rural communities. Aims to establish or expand SUD prevention, harm reduction, treatment, and recovery services, with the goal of reducing and preventing overdoses in rural areas.

Offers grant funds and resources to assist in the planning and development of family-driven, community-based, and culturally and linguistically competent systems of care for American Indian and Alaska Native youth with or at risk for mental health issues. Promotes collaboration among different stakeholders in tribal communities to design a system of mental health services and supports that address issues related to mental health challenges, substance use, and suicide among tribal children and help them thrive at home, in school, and other areas of their lives.

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 enhanced evidence-informed, evidence-based community-based projects that deliver preventive clinical and public health services to the target population. Program focus areas include increasing behavioral health screenings and referrals for children.

Offers funds and technical assistance to tribes seeking to develop, implement and enhance adult treatment courts, including healing to wellness courts (HTWC), veteran's treatment courts (VTC), driving while intoxicated (DWI) courts, and other treatment focused courts or court dockets. Aims to reduce recidivism, increase access to treatment and recovery supports, and prevent overdose for people involved in the criminal justice system through utilization of the treatment court model.

Provides funding to increase the number of internships, field placements, and other experiential training opportunities for individuals working to become mental health workers, 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 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.

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).

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 other substances. 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 services that strengthen protective factors, reduce risk factors, build resilience, and promote well-being. Supports states in building the capacity of local providers to identify prevention priorities in their communities, including underage drinking, cannabis use, tobacco, vaping, opioid, methamphetamine, and other substances. Supports the implementation of evidence-based strategies, evidence-informed, and community defined evidence-based prevention strategies and programs to address their prevention needs. Includes a focus on delivering prevention services to underserved communities.

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 tribal youth 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).

Provides funding to accredited organizations to enhance primary care residency training programs in street medicine. Seeks to expand access to primary care and behavioral health services outside of traditional clinical settings to people experiencing homelessness by increasing the number of primary care physicians prepared to practice street medicine. Training programs located in rural areas are a priority.

Offers funds to states, local governments, and federally recognized Indian tribes to support cross-system collaboration initiatives between law enforcement and behavioral health providers to improve public safety responses to and outcomes for individuals behavioral health with conditions, intellectual disabilities, developmental disabilities, post-traumatic stress disorder (PTSD), and/or traumatic brain injuries (TBIs) who interact with the criminal justice system.

Offers grant funding to enhance behavioral health workforce capacity within the Northern Border Regional Commission's service area. Utilizes a network-based approach to provide training and job placement for behavioral health professionals in rural communities.

Offers grant funds to create new youth-focused, peer-driven behavioral healthcare support programs and provide career pathway opportunities in rural communities. Seeks to establish local networks to develop and implement behavioral health programming for rural youth.

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 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 funding to support rural health outreach programs to strengthen the delivery of healthcare services to include new and enhanced services for rural and underserved populations. Promotes community engagement and collaboration through a consortium of providers to expand services using innovative, evidence-based models, with the goal of improving health outcomes and population health for rural areas.

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.

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.

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.

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 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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 American Indian and Alaska Native (AI/AN) youth by successfully integrating culture, resources, and readiness to address suicide and substance misuse among the target population.

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 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.

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.

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.

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.

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).

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.

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.

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.

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.

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.