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Support for 988 Tribal Response Cooperative Agreements

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
Jul 18, 2023

For program and eligibility questions:

For fiscal and budget questions:

For grant review process and application status questions contact:
Angela Houde


The Substance Abuse and Mental Health Services Administration (SAMHSA) will provide resources to improve response to 988 Suicide and Crisis Lifeline contacts (including calls, chats, and texts) originating in tribal communities and/or activated by American Indians/Alaskan Natives.

Required activities:

  • Partner with local 988 crisis centers in a manner consistent with tribal preferences and beliefs on the development and implementation of a quality improvement plan focusing on procedures, policies, assessment, referral, and access to local care to ensure there is a comprehensive and coordinated response to tribal individuals at imminent risk for suicide
  • Establish collaborations with state, territorial, and/or local crisis centers to improve effective 988 response and linkage to tribal resources, including cases of emergency intervention
  • Provide or collaborate on the development of training for crisis call center staff that specifically addresses the needs of tribes and tribal citizens within the state or geographic catchment area
  • Develop a plan for sustainability beyond the project period
  • Partner with Lifeline 988 crisis centers through tribal staffing or tribal Liaison to identify and track referrals from and develop staff response, including peer support, to establish follow-up contact protocols for American Indians/Alaska Natives for and after all crisis encounters, including 988 contacts, 911 Centers, Public Safety Answering Points (PSAP), mobile crisis outreach, emergency department visits, and/or inpatient hospitalization

Other allowable activities:

  • Develop tribe-specific community resources that can link to Lifeline 988 crisis centers for seamless provision of care
  • Train peer support specialists and community health workers on suicide prevention and crisis services, to include recovery coaching, telephone recovery check-ups, warmlines, and other supports, following any existing guidelines required in each state or jurisdiction
  • Implement prevention and education and post-intervention services including development of culturally informed and responsive evidence-based community prevention efforts, school-based prevention programs, elder education, and/or outreach
  • Design and/or help implement workforce development activities beyond the Lifeline 988 crisis centers to ensure individuals working in tribal communities are well versed in strategies to prevent suicide and provide crisis intervention services
  • Incorporate culturally appropriate and traditional practices into the program design and implementation

Eligible applicants include:

  • Federally recognized tribes
  • Tribal organizations
  • Urban Indian organizations
  • Consortia of entities listed above
Geographic coverage
Amount of funding

Award ceiling: $2,000,000
Project period: 3 years
Estimated number of awards: 71
Estimated total program funding: $17,800,000

Application process

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

Tagged as
American Indian or Alaska Native · Culture and cultural competency · Health workforce education and training · Human services · Mental health · Substance use and misuse · Suicide and suicide prevention · Sustainability of programs · Trauma-informed care

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.