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FY 2011 Grant Request for Applications (RFA)

Grants to Enhance Older Adult Behavioral Health Services (Short Title: Older Adult TCE)

Initial Announcement

Request for Applications (RFA) No. SM-11-009
Posting on Grants.gov: April 8, 2011
Original Receipt date: June 7, 2011
Announcement Type: Initial

Catalogue of Federal Domestic Assistance (CFDA) No.: 93.243

Key Dates

Application Deadline Applications are due by June 7, 2011
Intergovernmental Review (E.O. 12372) Applicants must comply with E.O. 12372 if their State(s) participates.  Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.
Public Health System Impact Statement(PHSIS) / Single State Agency Coordination Applicants must send the PHSIS to appropriate State and local health agencies by application deadline. Comments from Single State Agency are due no later than 60 days after application deadline.

The Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, is accepting applications for fiscal year (FY) 2011 for Grants to Enhance Older Adult Behavioral Health Services. The purpose of this funding opportunity is to expand existing Older Adult Targeted Capacity Expansion (TCE) programs to include a focus on the prevention of suicide and prescription drug misuse and abuse among the older adult population. For the purpose of this program, the target population is defined as persons 60 years and older who are at risk for or are experiencing behavioral health problems. SAMHSA is collaborating with the U.S. Administration on Aging on this initiative.

To date, Older Adult TCE programs have implemented services based on a variety of Evidence-Based Practice (EBP) models, for older adults, resulting in expanded effective service delivery and positive individual outcomes. For the purpose of this program, the target population is defined as persons 60 years and older who are at risk for or are experiencing behavioral health problems.

SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities. In support of the Agency's work with older Americans, including helping grantees prevent suicide and prescription drug misuse and abuse, SAMHSA is collaborating with the U.S. Administration on Aging (AoA) on this initiative. SAMHSA and AoA partnership will provide learning opportunities and support planning for states and communities so that behavioral health services for older adults can be coordinated and planned through aging, mental health and substance abuse prevention networks for states/communities.

The new millennium brings the challenge of caring for an increasingly large population of older adults who have significant healthcare needs. The vast majority of these individuals will have at least one chronic health condition. Mental illnesses will account for a significant number of those conditions, existing as a single condition or as co-morbidities. Further compounding the issue is the continued growth of substance abuse and the rate of suicide among older adults.

Suicide is a serious public health problem that affects people of all ages. Among the older adult population, it is a growing concern. The elderly comprise approximately 12 percent of the population, but account for almost 16 percent of all suicides in the U.S. In 2007, the rate of suicide among older adults was approximately 14.3 per 100,000. Studies have shown that older adults die by suicide at a higher rate than the national average, and that the rates increase after age 64, primarily among white men1. When older adults attempt suicide, they are more likely to die: 1 out of every 4 older adults who attempt suicide dies compared to 1 out of every 100-200 younger adults who attempt suicide2. Studies show that many older adults who die by suicide – up to 75 percent- visited a physician within a month before death3. These findings underscore the urgent need to improve the detection and prevention of suicide risks among older adults.

As older adults continue to age, they are likely to use more prescription drugs as well as over-the-counter (OTC) medications. Approximately 80 percent of all seniors have at least one chronic health condition, and 50 percent have at least two. Nine out of every ten persons between the ages of 57 to 85 use OTC medication, dietary supplements and nearly three in ten use at least five prescriptions4. Between 1997 and 2008, the rate of hospital admissions for medication and illicit drug use related conditions for persons between the ages of 65 and 84, grew by 96 percent, and for persons 85 and older it grew 87 percent. Medication misuse and abuse can cause a range of harmful side effects such as drug-induced delirium and dementia, and other problems common in older adults. These findings elucidate the complex relationship between substance abuse and behavioral health conditions and further highlight the need to address the prevention of prescription misuse/abuse among the older adult population.

The Older Adult TCE program is one of SAMHSA's services grant programs. This funding opportunity is a one-time, 18-month award to increase and expand behavioral health service delivery to address the prevention of suicide and prescription drug misuse/abuse among older adults.

SAMHSA has identified eight Strategic Initiatives to focus the Agency's work on improving lives and capitalizing on emerging opportunities. More information is available at the SAMHSA website: http://www.samhsa.gov/About/strategy.aspx. This program is aligned with both the Prevention of Substance Abuse and Mental Illness and the Recovery Support Strategic Initiatives. Specifically, the program will address the behavioral health and recovery support needs of older adults.

SAMHSA intends that its services grants result in the delivery of services as soon as possible after award. Service delivery should begin by the 3rd month of the project at the latest.

Definitions

For the purpose of this RFA, the term "behavioral health" refers to a state of mental/emotional health and/or choices and actions that affect wellness. Behavioral health problems include substance abuse or misuse, alcohol and drug addiction, serious psychological distress, suicide, and mental and substance use disorders. The term is also used to describe the service systems encompassing the promotion of emotional health, the prevention of mental and substance use disorders and related problems, treatments and services for mental and substance use disorders, and recovery support.

The Older Adult TCE program is authorized under Section 520A of the Public Health Service Act, as amended. This grant announcement addresses Healthy People 2020 (Mental Health and Mental Disorders Topic Area HP 2020-28 and/or Substance Abuse Topic Area HP 2020-40)

Footnotes:

  1. The Centers for Disease Control and Prevention (CDC) - National Center for Injury Prevention and Control. Retrieved from http://www.cdc.gov/injury/wisqars/facts.html.
  2. American Association of Suicidology (2009). Elderly Suicide Fact Sheet. Retrieved from http://www.suicidology.org/c/document_library/get_file?folderId=232&name=DLFE-242.pdf
  3. National Institute of Mental Health (2010). Retrieved from http://www.nimh.nih.gov/health/publications/older-adults-depression-and-suicide-facts-fact-sheet/index.shtml
  4. SAMHSA, CBHSQ

Eligibility

Eligible applicants are domestic public and private non profit entities. For example: State and local governments, Federal recognized American Indian/Alaska Native (AI/AN) Tribes and tribal organizations, Urban Indian organizations, Public or private universities and colleges and Community- and faith-based organizations. However eligibility is being restricted to current and previous Older Adult Targeted Capacity Expansion (TCE) grantees from cohorts FY 2002 – 2008. SAMHSA believes that the most effective and efficient way to accomplish the goals and objectives of this 18-month project is to limit the eligibility to the current and previous grantees since they have the expertise and infrastructure already in place to implement the project without any delays. Applicants must also comply with the requirement to address the target population of persons 60 years of age and older who are at risk for or are experiencing behavioral health problems.

The statutory authority for this program prohibits grants to for-profit agencies.

Award Information

Funding Mechanism: Grant
Anticipated Total Available Funding: $3.56 million
Anticipated Number of Awards: 10
Anticipated Award Amount: Up to $356,344 for a 18 month project period
Length of Project Period: Up to 18 months

Contact Information

For questions about program issues contact:

Marian Scheinholtz
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 7-1085
Rockville, Maryland 20857
(240) 276-1911
Marian.scheinholtz@samhsa.hhs.gov

For questions on grants management and budget issues contact:

Gwendolyn Simpson
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road
Room 7-1085
Rockville, Maryland 20857
(240) 276-1408
gwendolyn.simpson@samhsa.hhs.gov

Documents Needed to Complete a Grant Application

1. REQUEST FOR APPLICATIONS (RFA)

YOU MUST RESPOND TO THE REQUIREMENTS IN THE RFA IN PREPARING YOUR APPLICATION.

2. GRANT Application Package

YOU MUST USE THE FORMS IN THE APPLICATION PACKAGE TO COMPLETE YOUR APPLICATION.

Additional Materials

For further information on the forms and the application process, see Useful Information for Applicants

Additional materials available on this website include:

Last updated: 04/11/2011