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FY 2010 RFA Grant Application Information (RFA)

Application InformationCenter for Mental Health Services (CMHS)

Request for Applications (RFA)

Training and Technical Assistance Center for Primary and Behavioral Health Care Integration
(Short Title: TTA-PBHCI)

(Initial Announcement)

 

Request for Applications (RFA) No. SM-10-011
Posting on Grants.gov: May 14, 2010
Original Receipt date: June 17, 2010
Announcement Type: Initial

Catalogue of Federal Domestic Assistance (CFDA) No
.: 93.243

Key Dates:

Application Deadline

Applications are due by June 17, 2010

Intergovernmental Review
(E.O. 12372)

Applicants must comply with E.O. 12372 if their State(s) participates.  Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.

Public Health System Impact Statement (PHSIS)
/Single State Agency Coordination
Applicants must send the PHSIS to appropriate State and local health agencies by application deadline. Comments from Single State Agency are due no later than 60 days after application deadline.

The Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, in collaboration with the Health Resources and Services Administration (HRSA), is accepting applications for fiscal year (FY) 2010 for the Training and Technical Assistance Center for Primary and Behavioral Health Care Integration (TTA-PBHCI) cooperative agreement. The purpose of this program, which is jointly funded by SAMHSA and HRSA, is to serve as a national training and technical assistance center on the bidirectional integration of primary and behavioral health care and related workforce development. SAMHSA is collaborating with HRSA on the TTA-PBHCI to support the mutual goal of promoting integrated primary and behavioral health care services across the health care delivery system. For the purposes of this announcement, "behavioral health care" includes mental health, substance use, and co-occurring disorders treatment and recovery support services. The TTA-PBHCI will provide an array of training and technical assistance services to improve the effectiveness, efficiency, and sustainability of work to achieve the bidirectional integration of primary and behavioral health care. As a national resource, the TTA-PBHCI will provide technical assistance to grantees in SAMHSA's Primary and Behavioral Health Care Integration (PBHCI) program and entities funded through HRSA to address the health care needs of individuals with mental illnesses, substance use and co-occurring disorders, including individuals seen in Health Centers funded under Section 330 of the Public Health Service Act.

Through this coordinated effort, the TTA-PBHCI will:

  • Increase the number of individuals trained in specific behavioral health related practices;
  • Increase the number of organizations using integrated health care service delivery approaches;
  • Increase the number of consumers credentialed to provide behavioral health related practices;
  • Increase the number of model curriculums developed for bidirectional primary and behavioral health integrated practice; and,
  • Increase the number of health providers trained in the concepts of wellness and behavioral health recovery.

The TTA-PBHCI's overall goal is to promote the planning and development of integrated primary and behavioral health care for those with serious mental illness (SMI), addiction disorders and/or individuals with SMI and a co-occurring substance use disorder, whether seen in specialty mental health or primary care safety net provider settings across the country. It will address primary care-behavioral health care through a "no-wrong door" approach because individuals with mental health and/or substance abuse treatment needs, including individuals with SMI, often seek care in primary care settings to address their health care needs. The "No-wrong door" approach recognizes that access to physical health/behavioral health care services and effective referral arrangements for those living with a mental illnesses and/or addictions must happen in all health care settings, including primary care.

The TTA-PBHCI will support grantees funded through the PBHCI grant program in the coordination and integration of primary care services into publicly funded community mental health and other community-based behavioral health settings. The training and technical assistance will help grantees address the disproportionate rates of early mortality among people with serious mental illnesses by making available routine primary care in community mental health and other community-based behavioral health settings. SAMHSA expects that people with serious mental disorders will show improvement in their physical health status as a result of this program and that others with mental health and substance abuse service needs will be properly screened, provided appropriate brief interventions and/or referred to more extensive treatment/services if needed. The TTA-PBHCI will support SAMHSA's Pledge for Wellness 10 by 10 Campaign to promote wellness for people with mental illnesses and reduce early mortality by 10 years over the next 10 year time period. The TTA-PBHCI will also serve the crucial function of supporting grantees and the field in understanding how health reform legislation and regulations will impact the scope, delivery and financing of integrated primary and behavioral healthcare programs. It is likely these reforms will require provider agencies to have better infrastructure and be prepared to collect and report data that substantiates that appropriate integrated care is being delivered and that it is producing high quality and cost effective outcomes.

Much of the work in the workforce development field focuses on integration of behavioral health into primary care settings, but there is less known about integration of primary care into behavioral health settings or ways to promote peer support as a valuable component of behavioral health service delivery. In addition to the support for the grantees funded by SAMHSA and HRSA, the TTA-PBHCI grant will be a training resource for those in the behavioral health and primary care service fields involved with organizing, delivering and sustaining effective integrated primary care screening, assessment, treatment, and referral services.

SAMHSA has demonstrated that prevention works, treatment is effective, and people recover from mental and substance use disorders. Behavioral health services improve health status and reduce health care and other costs to society. Continued improvement in the delivery and financing of prevention, treatment and recovery support services provides a cost effective opportunity to advance and protect the Nation's health. To continue to improve the delivery and financing of prevention, treatment and recovery support services, SAMHSA has identified ten Strategic Initiatives to focus the Agency's work on people and emerging opportunities. More information is available at the SAMHSA website: http://www.samhsa.gov/About/strategy.aspx.

Applications responsive to this Request for Application must implement evidence-based or best practices that will create or expand capacity to address the following Strategic Initiative:

Behavioral Health Workforce - In Primary and Specialty Care Settings

Provide a coordinated approach to address workforce development issues affecting the behavioral health and general health service delivery community to promote the integration of services and the training and use of behavioral health screening, brief intervention and referral for treatment in primary care settings.

As of February 2009, approximately 1.89 million men and women have been deployed to serve in support of overseas contingency operations, including Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Individuals returning from Iraq and Afghanistan are at increased risk for suffering post-traumatic stress and other related disorders. Experts estimate that up to one-third of returning veterans will need mental health and/or substance abuse treatment and related services. In addition, the family members of returning veterans have an increased need for related support services. To address these concerns, SAMHSA strongly encourages all applicants to consider the unique needs of military personnel including active duty, veterans, National Guard, and their families in developing their proposed project.

SAMHSA anticipates that supplemental funds may be available periodically to support and enhance grant activities. Bidirectional integration of primary and behavioral health care is a key priority of SAMHSA. To address this issue SAMHSA may provide supplemental awards in FY 2010 to the TTA-PBHCI grantee that applies for a supplement not to exceed $3,600,000 per year for up to 4 years to support a coordinated approach that addresses workforce development issues affecting the behavioral health service delivery community and promote the training and use of behavioral health screening, brief intervention and referral for treatment in primary care settings.

Under this program, the grantee will receive two separate awards: HRSA will fund training and technical assistance for their community health centers and SAMHSA will fund training and technical assistance for the PBHCI grantees and a national technical assistance resource for the general public. The grantee will be required to submit separate documentation to HRSA for their Grants Management System and adhere to their statutory authority requirements.

The TTA-PBHCI cooperative agreement is authorized under Section 520A (SAMHSA) and 330(1) (HRSA) of the Public Health Service Act, as amended. This announcement addresses Healthy People 2010 focus areas 18 (Mental Health and Mental Disorders) and 26 (Substance Abuse).

Eligibility

Eligible Applicants

Eligible applicants are domestic public and private nonprofit entities. For example, State and local governments, federally recognized American Indian/Alaska Native Tribes and tribal organizations, urban Indian organizations, public or private universities and colleges; and community- and faith-based organizations may apply. Tribal organization means the recognized body of any AI/AN Tribe; any legally established organization of American Indians/Alaska Natives which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of American Indians/Alaska Natives in all phases of its activities. Consortia of tribal organizations are eligible to apply, but each participating entity must indicate its approval.

Applications are encouraged from national entities with experience in the provision of training and technical assistance in the area of primary care and behavioral health integration for those with serious mental illness (SMI) and those with SMI and co-occurring substance use disorders, particularly with regards to involvement at the community level across the 50 states. Joint applications from behavioral health and primary care training and technical assistance entities are strongly encouraged.

Under this program, the grantee will receive two separate awards: HRSA will fund training and technical assistance for their community health centers and SAMHSA will fund training and technical assistance for the PBHCI grantees and a national technical assistance resource for the general public. The grantee will be required to submit separate documentation to HRSA for their Grants Management System and adhere to their statutory authority requirements.

The statutory authority for this program prohibits grants to for-profit agencies.

Award Information

Funding Mechanism: Cooperative Agreement
Anticipated Total Available Funding: $1,750,000
Anticipated Number of Awards: 1 (the award will be made as 2 cooperative agreements - 1 for SAMHSA; 1 for HRSA)
Anticipated Award Amount: Up to $1,750,000 per year
$1,400,000 (SAMHSA funds)
$350,000 (HRSA)
Length of Project Period: Up to 4 years

Proposed budgets cannot exceed $1,750,000 in total costs (direct and indirect) in any year of the proposed project. Applicants are required to submit three separate budgets to indicate how funds from SAMHSA ($1,400,000), funds from HRSA ($350,000), and funds from the Supplement - Expansion and Enhancement of the TTA-PBHCI Program (up to $3,600,000) will be used in the project's implementation. Annual continuation awards will depend on the availability of funds, grantee progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.


Contact Information

For questions on program issues, contact:

For SAMHSA:

Trina Dutta, MPP, MPH
Public Health Analyst
Center for Mental Health Services/SAMHSA
1 Choke Cherry Road
Room 6-1076
Rockville, MD 20857
(240)276-1944
Trina.dutta@samhsa.hhs.gov

For HRSA:

Alexander F. Ross, Sc.D.
Office of Special Health Affairs, HRSA
Room 12B-17, 5600 Fishers Lane
Rockville, MD 20857
(301) 443-1512
Alexander.Ross@hrsa.hhs.gov

For questions on grants management issues, contact:

Gwendolyn Simpson
Office of Program Services, Division of Grants Management     
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 7-1085
Rockville, Maryland 20857
(240) 276-1408
gwendolyn.simpson@samhsa.hhs.gov

Documents needed to complete a grant application:

1. REQUEST FOR APPLICATIONS (RFA)

YOU MUST RESPOND TO THE REQUIREMENTS IN THE RFA IN PREPARING YOUR APPLICATION.

2. GRANT APPLICATION KIT

YOU MUST USE THE FORMS IN THE APPLICATION KIT TO COMPLETE YOUR APPLICATION.

Additional Materials

For further information on the forms and the application process, see Useful Information for Applicants

Additional materials available on this website include:

 

Last updated: 05/14/2010