Opportunity Information: Apply for SM 18 004

The Minority AIDS: Integration of HIV-related Mental Health and Primary Care grant (Funding Opportunity Number SM 18 004) is a discretionary grant offered by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA), specifically its Center for Mental Health Services (CMHS). Released on January 5, 2018 with an application deadline of March 5, 2018, this opportunity was designed to fund projects that bring together, in a coordinated and practical way, behavioral health treatment and HIV-related medical services. The core idea is service integration: instead of treating mental illness, substance use, HIV prevention, and HIV primary care in separate systems that do not communicate well, recipients are expected to connect these services so people can get comprehensive, continuous care.

The program focuses on people with serious mental illness (SMI) and people with co-occurring disorders (COD), meaning a combination of mental illness and substance use disorders. Within that broad group, SAMHSA emphasizes those who are living with HIV or hepatitis, or who are at risk for these infections, and it highlights at-risk populations that include racial and ethnic minority communities. The intent is not only clinical treatment, but treatment that is evidence-based and culturally competent, recognizing that services are more likely to be effective when they reflect the lived experiences, language, and cultural context of the communities most affected.

SAMHSA frames the need for this program around persistent disparities and gaps in care. Even though new HIV infections declined nationally in the period from 2008 to 2014, the burden of HIV has remained disproportionately high in racial and ethnic minority communities, with CDC data showing substantially higher rates compared to the general population. At the same time, people with serious mental illness have experienced higher rates of HIV and other blood-borne infections throughout the epidemic. The opportunity points to a practical barrier that providers often see: when mental disorders are untreated, people are less likely to access HIV testing, start HIV care, or stay engaged in ongoing treatment. The notice cites research indicating lower rates of HIV testing in some public mental health settings, which signals unmet prevention and early-detection needs in systems that routinely serve people at elevated risk.

In terms of outcomes, SAMHSA expects funded projects to reduce HIV incidence and improve overall health outcomes for people with SMI or COD by tightening the connection between behavioral health and medical care. That can include strengthening prevention and testing pathways, improving linkage to HIV primary care after diagnosis, supporting retention in care, and ensuring mental health and substance use treatment are delivered in ways that support medication adherence and long-term stability. The program is also positioned as part of larger federal priorities, with objectives aligned to the National HIV/AIDS Strategy and the National Viral Hepatitis Action Plan, signaling that awardees should be working toward measurable improvements that fit within national goals for prevention, treatment access, and health equity.

From a funding standpoint, the grant uses the CFDA listing 93.243, anticipates about 10 awards, and sets an award ceiling of $485,000. Eligibility is listed broadly as "Others" with additional eligibility details referenced in the full announcement. Overall, the opportunity targets organizations capable of building or expanding integrated care models that combine HIV prevention and primary care with high-quality mental health and substance use disorder treatment, specifically for populations that are both medically vulnerable and historically underserved.

  • The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Minority AIDS: Integration of HIV-related Mental Health and Primary Care" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243.
  • This funding opportunity was created on Jan 05, 2018.
  • Applicants must submit their applications by Mar 05, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $485,000.00 in funding.
  • The number of recipients for this funding is limited to 10 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 18 004

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Frequently Asked Questions (FAQs)

What is the Minority AIDS: Integration of HIV-related Mental Health and Primary Care grant?

This is a discretionary federal grant opportunity from the U.S. Department of Health and Human Services (HHS), administered through the Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS). It was created to fund projects that integrate behavioral health treatment with HIV-related medical services in a coordinated, practical way.

What is the Funding Opportunity Number (FON) for this grant?

The Funding Opportunity Number is SM 18 004.

Which federal agency and SAMHSA office administer this opportunity?

The opportunity is offered by HHS through SAMHSA, specifically SAMHSA's Center for Mental Health Services (CMHS).

When was this funding opportunity released, and what was the application deadline?

The opportunity was released on January 5, 2018, and the application deadline was March 5, 2018.

What is the core purpose of the program?

The core purpose is service integration. Rather than treating mental illness, substance use, HIV prevention, and HIV primary care in separate systems that do not communicate well, funded projects are expected to connect these services so people can receive comprehensive and continuous care.

What does "service integration" mean in the context of this grant?

In this context, service integration means coordinating behavioral health services (mental health and substance use disorder treatment) with HIV-related services (prevention, testing, and HIV primary care) so that care is connected across providers and settings, improving continuity and follow-through.

Who is the primary target population for services supported by this grant?

The primary focus is on people with serious mental illness (SMI) and people with co-occurring disorders (COD), meaning individuals who have both mental illness and substance use disorders.

What does SAMHSA mean by "co-occurring disorders (COD)"?

Co-occurring disorders refers to the combination of mental illness and substance use disorders occurring in the same person.

Does the program focus only on people already living with HIV?

No. While SAMHSA emphasizes people living with HIV (and hepatitis), the program also highlights people who are at risk for these infections, reflecting an emphasis on prevention, testing, and early detection as part of integrated care.

Which communities are specifically emphasized as at-risk populations?

The opportunity highlights racial and ethnic minority communities as at-risk populations and frames the program around addressing disparities that have kept the burden of HIV disproportionately high in these communities.

Why is integrating mental health/substance use treatment with HIV services considered important?

The opportunity points to a practical barrier seen in care systems: when mental disorders are untreated, people are less likely to access HIV testing, start HIV care, or stay engaged in ongoing treatment. Integration is intended to reduce these gaps by making services easier to access and better coordinated.

What problem or evidence does the announcement cite to justify the need for this program?

SAMHSA describes persistent disparities and gaps in care. It notes that even with national declines in new HIV infections from 2008 to 2014, HIV rates remained disproportionately high in racial and ethnic minority communities. It also notes that people with serious mental illness have had higher rates of HIV and other blood-borne infections throughout the epidemic, and it cites research indicating lower rates of HIV testing in some public mental health settings.

What kinds of outcomes does SAMHSA expect from funded projects?

SAMHSA expects projects to reduce HIV incidence and improve overall health outcomes for people with SMI or COD by strengthening the connection between behavioral health and medical care. Outcomes may relate to prevention and testing pathways, linkage to HIV primary care after diagnosis, retention in care, and delivery of mental health and substance use disorder treatment in ways that support medication adherence and long-term stability.

How might a funded project improve HIV prevention and testing?

Based on the opportunity description, projects may improve prevention and testing by tightening referral and service pathways between behavioral health settings and HIV-related services, addressing unmet prevention and early-detection needs in systems that serve people at elevated risk.

How might a funded project improve linkage to HIV primary care and retention in care?

The opportunity indicates that projects can strengthen linkage to HIV primary care after diagnosis and support retention in ongoing care by coordinating behavioral health treatment with medical services, reducing barriers that often arise when systems are separate and do not communicate well.

What is meant by "evidence-based and culturally competent" services in this program?

The program intends not only clinical treatment, but treatment that is evidence-based and culturally competent. That means services should be grounded in evidence and designed and delivered in ways that reflect the lived experiences, language, and cultural context of the communities most affected, improving relevance and effectiveness.

How does this grant connect to national federal strategies or plans?

The opportunity is positioned as part of larger federal priorities, with objectives aligned to the National HIV/AIDS Strategy and the National Viral Hepatitis Action Plan. This signals that awardees should aim for measurable improvements that fit within national goals for prevention, treatment access, and health equity.

What is the CFDA number associated with this grant?

The CFDA listing is 93.243.

How many awards were anticipated under this opportunity?

The opportunity anticipated about 10 awards.

What is the maximum award amount (award ceiling)?

The award ceiling is $485,000.

What type of grant is this (discretionary vs. formula)?

This is a discretionary grant.

Who is eligible to apply?

Eligibility is listed broadly as "Others," with additional eligibility details referenced in the full announcement.

What types of organizations are this opportunity looking to support?

Overall, the opportunity targets organizations capable of building or expanding integrated care models that combine HIV prevention and primary care with high-quality mental health and substance use disorder treatment, particularly for populations that are medically vulnerable and historically underserved.

Is hepatitis part of the program focus?

Yes. SAMHSA emphasizes people living with HIV or hepatitis, or those at risk for these infections, and also aligns the work with the National Viral Hepatitis Action Plan.

What is the overall long-term goal for people served by these projects?

The overall goal is to improve comprehensive, continuous care for people with SMI or COD who are living with or at risk for HIV or hepatitis, including supporting medication adherence and long-term stability by integrating behavioral health and medical services.

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