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Rural Health Information Hub

Harm Reduction Program Grant

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.243
Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
Feb 7, 2022

For program and eligibility questions:
Cara Alexander

For fiscal and budget questions:

For grant review process and application status questions contact:
Sherresa Bailey-Jones


This program will provide grants to support community-based, trauma-informed overdose prevention programs, syringe services programs, and other harm reduction services. Priority populations include rural communities, LGBTQ+, and/or racial and ethnic minorities.

Required activities include:

  • Assess organizational readiness and create a strategic action plan based upon identified strengths, gaps (including those related to social determinants of health), and opportunities for capacity development required to implement an evidence-based harm reduction program at the service delivery and organizational levels
  • Develop a sustainability plan to ensure that harm reduction program elements are continued after the grant period ends
  • Develop policies and procedures to implement evidence-based trauma-informed practices throughout each level of the organizational structure
  • Distribute opioid overdose reversal medication and deliver overdose prevention education to target populations regarding the consumption of substances, including but not limited to opioids and their synthetic analogs
  • Establish processes, protocols, and mechanisms for referral to treatment and recovery support services and referral to treatment for infectious diseases such as HIV, STIs, and viral hepatitis
  • Assemble a harm reduction advisory council that meets regularly to guide program activities and project implementation. Group members should include people who use drugs (PWUD), individuals in recovery, harm reduction service providers and other key community members such as public safety officers, mental health providers and treatment providers.
  • Designate staff to provide program design, implementation, and evaluation to meet grant program and reporting requirements
  • Purchase equipment and supplies to enhance harm reduction efforts, such as:
    • Harm reduction vending machine(s), including stock for machines
    • Infectious diseases testing kits
    • Medication lock boxes
    • Naloxone kits
    • Safe sex kits, including PrEP resources and condoms
    • Safe smoking kits/supplies
    • Screening for infectious diseases
    • Sharps disposal and medication disposal kits
    • Substance test kits, including test strips for fentanyl and other synthetic drugs
    • Syringes to prevent and control the spread of infectious diseases
    • Vaccination services (hepatitis A, hepatitis B vaccination)
    • Wound care management supplies

Eligible applicants include:

  • States
  • Local, tribal, and territorial governments
  • Tribal organizations
  • Nonprofit community-based organizations
  • Primary and behavioral health organizations
Geographic coverage
Nationwide and U.S. Territories
Amount of funding

Award ceiling: $400,000 per year
Project period: Up to 3 years
Estimated number of awards: 25
Estimated total program funding: $9,750,000

Application process

Links to the full announcement, application instructions, and the online application process are available through

Tagged as
Behavioral health · Community and faith-based initiatives · HIV and AIDS · Health screening · Human services · Illicit drug use · Infectious diseases · LGBTQI+ · Needs assessment methods and resources · Networking and collaboration · Planning and strategy methods and resources · Prescription drug misuse · Primary care · Public health · Racial and ethnic groups · Sexual and reproductive health · Social determinants of health · Stigma · Substance use and misuse · Sustainability of programs · Trauma-informed care · Vaccination · Wellness, health promotion, and disease prevention

Organizations (2)

  • U.S. Department of Health and Human Services, view details
  • Substance Abuse and Mental Health Services Administration, view details

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.