Indian Health Service Behavioral Health Programs

 

The Indian Health Service Behavioral Health Programs consists of several funding programs designed to help Tribes, Tribal Organizations, and Urban Indian Organizations (UIO) assist American Indian and Alaska Native (AI/AN) populations achieve and realize the highest possible level of physical, mental, social and spiritual health through addressing health concerns and delivery systems with behavioral components. The Substance Abuse and Suicide Prevention (SASP) Programs objectives are to reduce the prevalence of suicide and substance use and decrease the overall use of addicting and illicit substances among AI/AN populations, by improving care coordination; expanding behavioral health care services through the use of culturally appropriate evidence-based and practice-based models to address these issues; develop or expand on activities for the Generation Indigenous Initiative (Gen-I) by implementing early intervention strategies for AI/AN youth at risk for suicidal behavior. The objective of the Behavioral Health Integration Initiative (BH2I) program is to improve the physical and mental health status of people with behavioral health issues by developing an integrative, coordinated system of care. Awardees of this program will increase capacity among Tribal and Urban Indian organization (UIO) health facilities to implement an integrative approach in the delivery of behavioral health services, including trauma-informed care, nutrition, exercise, social, spiritual, cultural, and primary care services to improve morbidity and mortality outcomes among the AI/AN population. In addition, this effort will support activities that address improving the quality of life for individuals suffering from mental illness, substance use disorders, and adverse childhood experiences. The objective of the Community Overdose Intervention Prevention Program is to address the opioid crisis in AI/AN communities by the following three things: first, developing and expanding community education and awareness of prevention, treatment and recovery activities for opioid misuse and opioid use disorder; second, increase knowledge and use of culturally appropriate interventions and to encourage an increased use of medication-assisted treatment/medications for opioid use disorder (MAT/MOUD); and third, support Tribal and Urban Indian communities in their effort to provide prevention, treatment, and recovery services to address the impact of the opioid crisis within their communities. The objective of the Preventing Alcohol-Related Deaths (PARD) through Social Detoxification Program is to increase access to community-based prevention strategies to provide social detoxification, evaluation, stabilization, fostering patient readiness for and entry into treatment for alcohol use disorders and when appropriate, other substance use disorders. The objective of the Zero Suicide Initiative (ZSI) is a key concept of the National Strategy for Suicide Prevention (NSSP) and is a priority of the National Action Alliance for Suicide Prevention. The Zero Suicide model focuses on developing a system-wide approach to improving care for individuals at risk of suicide who are currently utilizing health and behavioral health systems. The objective of the Youth Regional Treatment Center (YRTC) Aftercare Program is to address gaps in services that occur when youth transition from an YRTC treatment program and return home or to their designated caregiver. There may be limited, if any, aftercare support services available in a youths home community. Limited access to an aftercare support system significantly decreases the likelihood of successful recovery and increases the probability of relapse and other poor outcomes. The objective of the NUIBH program is to increase the awareness, visibility, advocacy, and education for behavioral health issues on a national scare and in the interest of improving Urban Indian health care.

General information about this opportunity
Last Known Status
Active
Program Number
93.654
Federal Agency/Office
Indian Health Service, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Authorization
Public Law 110-161
25 U.S.C. 13
25 U.S.C. 1601-1683
Public Law 115-31
Public Law 116-94
Public Law 116-6
All of the Indian Health Service (IHS) Behavioral Health programs are authorized by the Snyder Act, 25 U.S.C. 13, and the Indian Health Care Improvement Act (IHCIA), 25 U.S.C. 1601-1683. The Suicide and Substance Abuse Prevention (SASP) program was initiated by Pub. L. 110-161, 121 Stat. 1844, 2135. The Prevention of Alcohol-Related Deaths (PARD), Zero Suicide Initiative (ZSI), and Youth Regional Treatment Center Aftercare (YRTC) projects were initiated by Pub. L. 115-31, 131 Stat. 135 (2017). The Community Overdose Intervention Prevention Program was initially authorized by Public Law 116-6. The National Urban Indian Behavioral Health Awareness (NUIBH) program was initiated by Public Law 116-94, 133 Stat. 2534 (2020).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Federally recognized Indian tribes; tribal organizations; nonprofit inter-tribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.
Beneficiary Eligibility
American Indians/Alaska Natives will be the ultimate beneficiaries of the funding projects either directly or indirectly depending upon the nature of the program. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.
Credentials/Documentation
Credentials and documentation required depend on the program. These are described in the published notice of funding opportunity on the Federal Register during the competition for award. Links to the Federal Register announcements can be found at the IHS Division of Grants Management web site, at www.ihs.gov/dgm/funding/.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. These programs are subject to the provisions of 45 CFR part 75. The application package may be found in Grants.gov. You may not e-mail an electronic copy of a grant application to IHS.
Award Procedure
After review and approval, a Notice of Award is prepared an processed, along with appropriate notification to the public.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 60 to 90 days.
Appeals
Not applicable.
Renewals
Renewals at the end of the project period are handled through a competitive process involving a new Notice of Funding Opportunity published in the Federal Register, and a new application submitted under the same guidelines and requirements as the original award.
How are proposals selected?
The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service.
How may assistance be used?
Federal assistance is to be used for projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people. All IHS Grant funds are for discretionary grant activities.
What are the requirements after being awarded this opportunity?
Reporting
Performance Reports: All IHS grant awards are monitored for Financial compliance by the Division of Grants Management and for Programmatic Compliance by the IHS Program Staff. NIHA - other reports as required and specified in the program announcement.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Records
DHHS and the Comptroller General of the United States or any of their authorized representatives shall have the right of access to any books, documents, paper, or other records of the grantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. In accordance with 45 CFR 75.361 grantees are required to maintain grant records 3 years after they submit their final expenditure report. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the end of the 3-year period, the records must be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
The project period is limited to 5 years or less, with specific lengths listed in the initial notice of funding opportunity on the Federal Register. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each year of support. Method of awarding/releasing assistance: Quarterly.
Who do I contact about this opportunity?
Regional or Local Office
Program Contacts: For Behavioral Health Integration, contact: Barbara Roland, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Community Overdose Intervention Prevention Program, contact: Cassandra Allen, 5600 Fishers Lane, Mail Stop: 08N34B, Rockville, MD 20857. For National Urban Indian Behavioral Health Awareness, contact: Sarah Tillman, 5600 Fishers Lane, Mail Stop: 08E65C, Rockville, MD 20857. Telephone: (301) 605-3504. For Prevention of Alcohol-Related Deaths, and Youth Regional Treatment Center, contact: JB Kinlacheeny, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Suicide Prevention, Intervention, and Postventon, contact: Audrey Solimon, SASP National Program Coordinator, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Suicide and Substance Abuse Prevention, contact: Audrey Solimon, SASP National Program Coordinator, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Youth Regional Treatment Center Aftercare, contact: JB Kinlacheeny, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Zero Suicide Initiative, contact: Pamela End of Horn, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Zero Suicide Initiative Coordinating Center, contact: Barbara Roland, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. Grants Management Contact: Marsha Brookins, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-5204.
Headquarters Office
Division of Grants Management
5600 Fishers Lane, Mail Stop: 09E70
Rockville, MD 20857 USA
DGM@ihs.gov
Phone: 301-443-5204
Website Address
https://www.ihs.gov/dgm/
Financial Information
Account Identification
75-0390-0-1-551
Obligations
(Project Grants) FY 22$13,772,887.00; FY 23 est $13,772,887.00; FY 24 est $13,772,887.00; FY 21$0.00; FY 20$0.00; FY 19$0.00; - Obligations for Substance Abuse and Suicide Prevention (SASP) Program: Suicide Prevention, Intervention, and Postvention (SPIP)(Project Grants) FY 22$13,698,772.00; FY 23 est $13,698,772.00; FY 24 est $13,698,772.00; FY 21$0.00; FY 20$0.00; FY 19$0.00; - Obligation for Substance Abuse and Suicide Prevention Program; Substance Abuse Prevention, Treatment, and Aftercare (SAPTA).(Cooperative Agreements) FY 22$0.00; FY 23 est $2,000,000.00; FY 24 est $2,000,000.00; FY 21$0.00; FY 20$0.00; FY 19$2,000,000.00; - Obligation for Preventing Alcohol-Related Deaths (PARD).(Project Grants) FY 22$5,520,928.00; FY 23 est $5,520,928.00; FY 24 est $5,520,928.00; FY 21$0.00; FY 20$0.00; FY 19$5,500,000.00; - Obligations for Behavioral Health Integration Initiative.(Cooperative Agreements) FY 22$2,000,000.00; FY 23 est $2,000,000.00; FY 24 est $2,000,000.00; FY 21$0.00; FY 20$0.00; FY 19$2,000,000.00; - Obligations for Zero-Suicide Initiative.(Cooperative Agreements) FY 22$0.00; FY 23 est $600,000.00; FY 24 est $600,000.00; FY 21$0.00; FY 20$0.00; FY 19$810,000.00; - Obligation for Youth Regional Treatment Center Aftercare Project.(Project Grants) FY 22$0.00; FY 23 est $0.00; FY 24 est $9,500,000.00; - Obligations for Community Overdose Intervention Prevention Program (COIPP)(Cooperative Agreements) FY 22$0.00; FY 23 est $0.00; FY 24 est $75,000.00; - Obligations for National Urban Indian Behavioral Health Awareness (NUIBH)(Cooperative Agreements) FY 22$0.00; FY 23 est $850,000.00; FY 24 est $850,000.00; - Obligations for the Zero Suicide Initiative Coordinating Center
Range and Average of Financial Assistance
Not applicable/available.
Regulations, Guidelines and Literature
45 CFR 75, and Health and Human Services Grants Policy Statement, January 2007.
Examples of Funded Projects
Not applicable.

 



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