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Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS

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Short Title: TCE-HIV: High Risk Populations
Initial Announcement Back to the Grants Dashboard

Notice of Funding Opportunity (NOFO)

NOFO Number: TI-17-011

Posted on Grants.gov: Friday, March 03, 2017

Application Due Date: Wednesday, May 03, 2017

Catalog of Federal Domestic Assistance (CFDA) Number: 93.243

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.

Description

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) is accepting applications for fiscal year (FY) 2017 Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High-Risk for HIV/AIDS (Short Title: TCE-HIV: High Risk Populations) cooperative agreements. The purpose of this program is to increase engagement in care for racial and ethnic minority individuals with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (COD) who are at risk for HIV or HIV positive that receive HIV services/treatment. The program also aims to contribute to the nation’s achievement of the 90-90-90 goals regarding HIV status and treatment.

This program will focus on high risk populations including racial/ethnic minority populations, such as black young men who have sex with men (YMSM) (ages 18-29), and other high-risk populations such as Latino YMSM and men who have sex with men (MSM) (ages 30 years and older), and gay, bisexual, and transgender individuals who have a SUD or COD who are HIV positive or at risk for HIV/AIDS. This cooperative agreement will support the following activities: linkage to care for racial and ethnic minority individuals with SUD and/or COD treatment needs who are HIV positive or at high risk for HIV, including SUD and/or COD treatment and recovery support services; HIV/AIDS testing and case management services, including linkage and provision of HIV care and treatment; Hepatitis testing, vaccination, and referral/linkage for treatment and case management; housing support services; outreach; and enhancement and expansion of infrastructure and capacity to retain clients in SUD/COD and HIV/AIDS care.

The expected outcomes for the program include increasing the number of individuals with SUD/COD who are HIV positive that are on antiretroviral therapy (ART) and linked to HIV care, reducing the impact of behavioral health problems, reducing HIV risk and incidence, reducing trauma related conditions, and increasing access to and retention in treatment for individuals with co-existing behavioral health, HIV, and hepatitis conditions. This program will ensure that individuals who have been diagnosed with a SUD and/or COD and who are HIV positive or most at risk for HIV/AIDS have access to and receive appropriate behavioral health services. Cooperative agreement funds must be used to serve people diagnosed with a SUD as their primary condition.

Eligibility

Eligibility is restricted to local-level public and private nonprofit entities that provide substance use and co-occurring services, and have established linkages to primary HIV services including:

  • Local governments,
  • Federally recognized American Indian/Alaska Native (AI/AN) tribes and tribal organizations,
  • Urban Indian organizations (UIOs),
  • Public or private universities and colleges, and
  • Community- and faith-based organizations.

Tribal organization means the recognized body of any AI/AN tribe; any legally established organization of AI/ANs which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of AIs/ANs in all phases of its activities. Consortia of tribes or tribal organizations are eligible to apply, but each participating entity must indicate its approval. A single tribe in the consortium must be the legal applicant, the recipient of the award, and the entity legally responsible for satisfying the grant requirements.

UIO (as identified by the Office of Indian Health Service Urban Indian Health Programs through active Title V grants/contracts) means a non-profit corporate body situated in an urban center governed by an urban Indian-controlled board of directors, and providing for the maximum participation of all interested individuals and groups, which body is capable of legally cooperating with other public and private entities for the purpose of performing the activities described in 25 U.S.C. 1653(a). UIOs are not tribes or tribal governments and do not have the same consultation rights or trust relationship with the federal government.

Applicants must demonstrate partnership with primary HIV treatment and care providers. Applicants must document this partnership, which can be demonstrated by letters of commitment and MOAs from partnering organizations in Attachment 1 of the application.

Given the focus on local service provision, SAMHSA is limiting these awards to direct treatment service providers and local governments. Therefore, states are not eligible to apply. Also, in an effort to impact the second prong of the 90-90-90 goal by allowing for expansion to a number of new organizations and additional communities receiving TCE-HIV grant awards, grantees that received an award under the following FOAs are not eligible to apply: TI-15-006 Targeted Capacity Expansion: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High-Risk for HIV/AIDS and TI-16-011 Targeted Capacity Expansion HIV: Substance Use Disorder Treatment for Racial/Ethnic Minority Women at High Risk for HIV/AIDS.

Award Information

Funding Mechanism: Grant

Anticipated Total Available Funding: $28,594,750

Anticipated Number of Awards: Up to 57

Anticipated Award Amount: Up to $500,000 per year

Length of Project: Up to five years

Cost Sharing/Match Required?: No

Proposed budgets cannot exceed $500,000 in total costs (direct and indirect) in any year of the proposed project. Annual continuation awards will depend on the availability of funds, grantee progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.

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