Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis

Short Title: 
Modified Announcement
Funding Opportunity Announcement (FOA) Information
FOA Number: 
Posted on 
Tuesday, April 10, 2018
Application Due Date: 
Monday, June 11, 2018
Catalog of Federal Domestic Assistance (CFDA) Number: 
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 (SAMHSA), Center for Mental Health Services (CMHS), is accepting applications for fiscal year (FY) 2018 Community Programs for Outreach and Intervention with Youth and Young Adults[1] at Clinical High Risk for Psychosis[2] Grant Program (Short Title: CHR-P).  The purpose of this program is to identify youth and young adults, not more than 25 years old, at clinical high risk for psychosis and provide evidence-based interventions to prevent the onset of psychosis or lessen the severity of psychotic disorder.  It is expected that this program will: (1) improve symptomatic and behavioral functioning; (2) enable youth and young adults to resume age-appropriate social, academic, and/or vocational activities; (3) delay or prevent the onset of psychosis; and (4) minimize the duration of untreated psychosis for those who develop psychotic symptoms. SAMHSA and the National Institute of Mental Health (NIMH) encourage partnerships between service grant applicants and mental health researchers to evaluate the effectiveness of stepped-care[3] intervention strategies for youth and young adults at clinical high risk for psychosis. Research studies conducted within the context of the CHR-P program should be proposed through separate NIH research project grant applications. NIMH plans to issue a Notice directing research grant applicants to appropriate funding mechanisms.


[1] For the purpose of this FOA, youth and young adults refers to individuals up to the age of 25 years.

[2] Clinical high risk for psychosis refers to individuals who exhibit noticeable changes in perception, thinking, and functioning which typically precedes a first episode of psychosis (FEP).  During this pre-psychosis phase, individuals exhibit one or more of the following: attenuated psychotic symptoms, brief intermittent psychotic episodes, or trait vulnerability coupled with marked functional deterioration.

[3] Stepped care refers to an approach in which patients start with the least intensive evidence-based treatment.  Patients who do not respond adequately to the first–line treatment are offered an evidence-based treatment of higher intensity, as clinically indicated. 


Eligibility is statutorily limited to the following public entities:

  • State governments and territories (the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, Guam, American Samoa, the Republic of Palau, the Federated States of Micronesia, and the Republic of the Marshall Islands).
  • Governmental units within political subdivisions of a state (e.g., county, city, town).
  • Federally recognized American Indian/Alaska Native (AI/AN) tribes and tribal organizations (as defined in Section 5304(b) and Section 5304(c) of the Indian Self-Determination and Education Assistance Act).
Award Information
Funding Mechanism: 
Anticipated Total Available Funding: 
Anticipated Number of Awards: 
Up to 28
Anticipated Award Amount: 
Up to $400,000 per year
Length of Project: 
Up to 4 years
Cost Sharing/Match Required?: 

Proposed budgets cannot exceed $400,000 in total costs (direct and indirect) in any year of the proposed project.  Funding estimates for this announcement are based on the Consolidated Appropriations Act, 2018.  Annual continuation awards will depend on the availability of funds, recipient progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.

Contact Information
Program Issues

Emily Lichvar
Child, Adolescent and Family Branch
Center for Mental Health Services

Tanvi Ajmera
Child, Adolescent and Family Branch
Center for Mental Health Services


Grants Management and Budget Issues

Gwendolyn Simpson
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration 
(240) 276-1408


Last Updated: 05/09/2018