FY 2011 Grant Request for Applications (RFA)

Screening, Brief Intervention, and Referral to Treatment with a Trauma Module (Short Title: SBIRT-TM)



Initial Announcement

Request for Applications (RFA) No. TI-11-014
Posting on Grants.gov: May 3, 2011
Amendment Added: May 13, 2011
Original Receipt date: July 5, 2011
Cancelation Date:: June 2, 2011
Announcement Type: Initial

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

Key Dates

Application Deadline Applications are due by July 5, 2011
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 is accepting grant applications for fiscal year (FY) 2011 that build upon SAMHSA’s Screening Brief Intervention and Referral to Treatment (SBIRT) for alcohol and illicit drugs and that test the additive value of integrating a screening and brief intervention module for trauma.  The established SBIRT approach for substance use has been successful in identifying and intervening with asymptomatic, risky substance users in primary care. The purpose of the program is to implement SBIRT in primary care settings; and to develop and test new trauma modules for integration into SBIRT.  Findings from this program will determine the feasibility of integrating trauma screening and brief intervention with the established SBIRT and the additive value to individuals and primary care providers.

This initiative supports SAMHSA’s Strategic Initiatives for Trauma and Justice and Prevention of Mental Illness and Substance Abuse.  For more information about psychological trauma, see SAMHSA’s website at http://www.samhsa.gov/traumaJustice and http://www.samhsa.gov/prevention.

SBIRT has been defined and practiced at SAMHSA as a comprehensive, integrated, public health approach to the screening and identification of individuals who are practicing risky alcohol and drug use, and the timely delivery of early brief interventions to these people in order to reduce risky use which, if not successful, leads to their timely referral to more intensive substance abuse interventions.  In addition to these integral components to the program initiative, SAMHSA defines SBIRT as a model with the following objectives:

  • It is brief (typically about 5-10 minutes for brief intervention; about 5-12 minutes for brief treatment)
  • Screening is universal
  • One or more behaviors targeted to risky alcohol and drug use are targeted
  • The services are delivered in a public health non-substance abuse treatment setting
  • It is comprehensive (comprised of screening and referral to brief intervention and/or treatment)
  • Research, evaluation, or experiential evidence is gathered to assess the model’s effectiveness

The SAMHSA definition of SBIRT is based on methodology that was developed during the implementation of a comprehensive SBIRT grant program comprised of each of the model components cited above, and supported by research by the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse.
Similar to risky substance use, trauma exposure is found at a high rate of prevalence in primary care and, like risky substance use, often goes undetected and untreated. 

The Adverse Childhood Experiences study documented the relation between childhood exposure to trauma and prevalence of chronic physical and behavioral diseases in adulthood, and revealed a high prevalence of trauma exposure among people receiving treatment in primary care settings.  Trauma screening and interventions within primary care settings, therefore, may improve outcomes for these individuals and prevent long-term physical and behavioral consequences.  Past SAMHSA grant awards have been successful in implementing SBIRT for alcohol and substance use in primary care settings.  This RFA builds on SAMHSA’s existing SBIRT program by developing and testing the additive value of integrating trauma components with previously established traditional SBIRT implementations.

Trauma is a widespread, harmful, and costly public health problem. It occurs as a result of violence, abuse, neglect, loss, disaster, war, and other emotionally harmful experiences. Trauma has no boundaries with regard to age, gender, socioeconomic status, race, ethnicity, geography, or sexual orientation. It is an almost universal experience of people receiving treatment for mental and substance use disorders. The need to address trauma is increasingly viewed as an important component of effective behavioral health service delivery.

Although many people who experience traumatic events will go on with their lives without lasting negative effects, others will have more difficulty and experience traumatic stress reactions. Emerging research has documented the relationship among traumatic events, impaired neurodevelopmental and immune system responses, and subsequent health risk behaviors resulting in chronic physical and behavioral disorders. With appropriate supports and intervention, people can overcome traumatic experiences. However, most people go without these services and supports. Unaddressed trauma significantly increases the risk of mental and substance use disorders, chronic physical diseases, and early death.  The intent of the current grant program is to use SBIRT as a platform to identify trauma exposures and the potential for traumatic responses before they occur and interfere with health and behavioral health.

SBIRT-TM grants are authorized under Section 509 of the Public Health Service Act, as amended.  This announcement addresses Healthy People 2020 Mental Health and Mental Disorders Topic Area HP 2020-MHMD and Substance Abuse Topic Area HP 2020-SA.

Eligibility

Eligible applicants are domestic and private nonprofit entities.  For example, State and local governments; federally recognized American Indian/Alaska Native tribes and tribal organizations, State recognized tribes, urban Indian organizations (as defined in P.L. 94-437, as amended); public or private universities and colleges; community- and faith-based organizations; research organizations; and primary or behavioral health care organizations may apply.  The statutory authority for this program prohibits grants to for-profit agencies. 

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 Tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval.

Applications are especially encouraged from primary care units that have an established research unit and primary care units collaborating with university-based research units.

Award Information

Funding Mechanism: Grant
Anticipated Total Available Funding: $5 million
Anticipated Number of Awards: 3-5
Anticipated Award Amount: Up to $1 million per year
Length of Project Period: Up to 5 year

Proposed budgets cannot exceed $1 million in total costs (direct and indirect) in any year of the proposed project. 

Funding for this program is thru the Affordable Care Act, Prevention Fund.  Funding is dependent on the availability of resources.

These awards are being made as cooperative agreements because they require substantial post-award Federal programmatic participation in the conduct of the project. 

Contact Information

For questions about program issues contact:

Walker Reed Forman
Public Health Advisor
Center for Substance Abuse Treatment
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 5-1103
Rockville, MD, 20857
240-276-2416
Fax: 240-276-2970
reed.forman@samhsa.hhs.gov

For questions on grants management and budget issues contact:

Love Foster-Horton
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 7-1095
Rockville, Maryland 20857
(240) 276-1653
love.foster-horton@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 Package

YOU MUST USE THE FORMS IN THE APPLICATION PACKAGE 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: 05/2/2011