Deadline: 14-Mar-23
The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), is accepting applications for the fiscal year (FY) 2023 Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis (“CHR-P”) program.
Purpose
- The purpose of this program is to provide trauma-informed, evidence-based interventions to youth and young adults (not more than 25 years of age) who are at clinical high risk for psychosis. Award recipients are expected to use evidence-based intervention to: (1) improve symptomatic and behavioral functioning; (2) enable youth and young adults to resume age-appropriate social, academic, and/or vocational activities; (3) delay or prevent the onset of psychosis; and (4) minimize the duration of untreated psychosis for those who develop psychotic symptoms. With this program, SAMHSA aims to prevent the onset of psychosis or lessen the severity of psychotic disorders among youth and youth adults.
- SAMHSA and the National Institute of Mental Health (NIMH) encourage partnerships between recipients delivering services and mental health researchers to evaluate the effectiveness of stepped-care intervention strategies for youth and young adults at clinical high risk for psychosis. Research studies conducted within the context of the CHR-P program should be proposed through separate NIH research project applications.
- first episode of psychosis (FEP) every year and over one million individuals may experience problems in perception, thinking, mood, and social functioning suggestive of clinical high risk for psychosis. Individuals experiencing these early, subthreshold symptoms are said to be at clinical high risk for psychosis.
- At least a dozen randomized controlled trials (RCTs) have evaluated interventions to improve outcomes for youth and young adults at clinical high risk for psychosis. Meta analyses of completed RCTs support the efficacy of cognitive and behavioral approaches for reducing risk factors and delaying or preventing the onset of psychosis, as compared to routine monitoring or non-specific treatment. This body of research supports the importance of early identification and connection to evidence-based services at the earliest stages of psychotic illness.
Funding Information
- Estimated Total Available Funding: $4,768,015
- Estimated Number of Awards: 12
- Estimated Award Amount: Up to $400,000 per year per award
- Length of Project Period: Up to 4 years
- Anticipated Start Date: September 30, 2023
Eligible Activities
Allowable activities are an allowable use of funds but are not required. Allowable activities may include:
- Co-locate CHR-P services with existing FEP services
- Engage in universal screening procedures for CHR-P in settings that serve youth/young adults to identify youth/young adults who may be at clinical high risk for psychosis
- Use validated brief screening tools that precede the SIPS assessment
- Collaborate with child and young adult serving agencies (e.g., substance use, child welfare, criminal and juvenile justice, primary care, education, housing, welfare) to build bridges between partners
- Implement and provide training on the Behavioral Health Guide for Implementing the National CLAS Standards to service providers to increase awareness and acknowledgment of differences in language, age, culture, racial and ethnic disparities, socio-economic status, religious beliefs, sexual orientation and gender identity, and life experiences in order to improve the inclusiveness of the service delivery environment and ultimately improve behavioral health outcomes
Eligibility Criteria
- Eligibility is statutorily limited to public entities:
- State governments and territories (the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, Guam, American Samoa, the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands).
- Governmental units within political subdivisions of a state (e.g., county, city, town).
- Federally recognized American Indian/Alaska Native tribes and tribal organizations
- Tribal organization means the recognized body of any AI/AN tribe; any legally established organization of AI/ANs 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 AI/ANs in all phases of its activities.
- Consortia of tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval. A single tribe in the consortium must be the legal applicant, the recipient of the award, and the entity legally responsible for satisfying the award requirements.
- Recipients who received their initial funding in FY 2022 from CHR-P NOFO are not eligible to apply.
For more information, visit Grants.gov.