Rural Health
Funding by Sponsor: Substance Abuse and Mental Health Services Administration

Tribal Opioid Response Grants
Grants to address the overdose crisis in Tribal communities by increasing access to FDA-approved medications for the treatment of opioid use disorder (MOUD), and supporting the continuum of prevention, treatment, and recovery support services for opioid use disorder (OUD) and co-occurring substance use disorders, and stimulant misuse and use disorders, including those involving cocaine and methamphetamine.

Support for 988 Tribal Response Cooperative Agreements
Resources to improve response to 988 crisis contacts (including calls, chats, and texts) originating in tribal communities and/or activated by American Indians/Alaskan Natives.

Emergency Department Alternatives to Opioids
Funding to expand the use of non-opioid pain management protocols for patients presenting with pain in emergency care settings. The program supports early identification of opioid use disorder (OUD) and timely intervention and referral to OUD care. Rural Emergency Hospitals are listed as eligible applicants.

First Responders - Comprehensive Addiction and Recovery Act Grants (FR-CARA)
Funding to train first responders and communities in administering and distributing opioid overdose reversal medications. Funding is set aside for recipients serving rural and tribal communities.

Garrett Lee Smith (GLS) Campus Suicide Prevention Grant Program
Funding to identify college students who are at risk for suicide and suicide attempts, increase protective factors that promote mental health, reduce risk factors for substance use disorders and suicide, and ultimately reduce suicides and suicide attempts.

Medication-Assisted Treatment - Prescription Drug and Opioid Addiction (MAT-PDOA)
Grants to expand and enhance access to medications for opioid use disorder (MOUD); increase access to treatment and recovery for individuals with opioid use disorder (OUD); and decrease illicit opioid use, prescription opioid misuse, and overdose. Working with rural and resource-limited communities is listed as a required activity.

Mental Health Awareness Training Grants
Grants to prepare and train school personnel, emergency first responders, law enforcement, and community-based agency staff on how to appropriately and safely recognize and respond to individuals with mental disorders. Rural applicants have been awarded grants in the past, and up to 3 awards will be made to tribes/tribal organizations pending sufficient application volume.

Promoting the Integration of Primary and Behavioral Health Care: States
Funding to improve the health outcomes for people with behavioral health conditions by supporting the adoption and improvement of integrated care models for behavioral and primary physical health at the state level. Tribal, rural, and other medically underserved communities are a program priority. Program eligibility is limited to states and state agencies; however, states must partner at least 1 qualified community program, community mental health center, Rural Health Clinic, or Federally Qualified Health Center.

Crisis Counseling Assistance and Training Program
Grants and technical assistance to help individuals and communities recover from natural and human-caused disasters through community outreach and access to mental health services.

Medications for Opioid Use Disorder (MOUD) Training and Mentoring
Training to provide medications for opioid use disorder (MOUD) for clinicians in high-need communities. Clinicians who complete the training may be priority applicants for some NHSC loan repayment programs.