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Get the latest announcements on SAMHSA’s efforts to address substance use among Native people. Access the latest news, upcoming events and more.

Tribal Funding Opportunities

SAMHSA announces Grants to Expand Substance Abuse Treatment Capacity in Adult and Family Treatment Drug Courts (and Tribal Healing to Wellness Courts).

SAMHSA will fund up to 61 grant awards. The grant awards are for up to 5 years and the award amount is up to $400,000 per year.

The application due date is April 1, 2024.

A pre-application webinar and conference call for prospective applicants interested in applying for fiscal year 2024 will be held Wednesday, February 14, 2024, from 2:30 – 4:30 p.m. ET.

Pre-application webinar details are available.

Applicants with programmatic questions should contact SAMHSA Treatment Drug Court staff via e-mail at and for budget or grants management questions contact

The purpose of the Native American Research Centers for Health (NARCH) Planning Grants program is to support federally recognized American Indian/Alaska Native (AI/AN) Tribes, Tribal colleges and universities, Tribal health programs, or Tribal organizations (collectively, eligible AI/AN Tribal entities) to plan and conduct preparatory work for developing competitive NARCH applications.

Native American Research Centers for Health (NARCH) Planning Grants (R34 - Clinical Trial Not Allowed)

The purpose of this program is to implement the screening, brief intervention, and referral to treatment public health model for children, adolescents, and/or adults in primary care and community health settings (e.g., health centers, hospital systems, health maintenance organizations (HMOs), preferred-provider organizations (PPOs) health plans, Federally Qualified Health Centers (FQHC), behavioral health centers, pediatric health care providers, children’s hospitals, etc.) and schools with a focus on screening for underage drinking, opioid use, and other substance use.

Application is due Friday, April 12, 2024.

Screening, Brief Intervention, and Referral to Treatment

The purpose of this program is to prevent and reduce suicidal behavior and substance use/misuse, reduce the impact of trauma, and promote mental health among American Indian/Alaska Native (AI/AN) youth, up to and including age 24, by building a healthy network of systems, services, and partnerships that impact youth. SAMHSA expects this program will be a model for community change that integrates a community’s culture, resources, and readiness to address suicide prevention and substance use/misuse among AI/AN youth.

Application is due Wednesday, March 6, 2024.

Native Connections - Tribal Behavioral Health

The purpose of this program is to provide resources to support first responders and members of other key community sectors on training, administering, and distributing naloxone and other Food and Drug Administration (FDA)-approved overdose reversal medications or devices. Recipients will be expected to establish processes, protocols, and mechanisms for warm hand-off referrals to appropriate treatment, recovery, harm reduction, and other psychosocial resource support services. Recipients will also provide safety education around fentanyl, synthetic opioids, and other drug trends associated with overdoses.

Application is due Monday, April 15, 2024.

First Responders-Comprehensive Addiction and Recovery Act

Upcoming Events

Time: 8 a.m. - 5 p.m. ET


Information about the SAMHSA TTAC and the agenda for this meeting can be found on the SAMHSA website. During the meeting, SAMHSA TTAC delegates and SAMHSA leadership will discuss SAMHSA programs/initiatives and tribal behavioral health priorities.

Review the TTAC Charter for more information on TTAC function, activities, and structure.

Dear Tribal Leader Letter - TTAC Meeting (PDF | 185 KB)

Listening Session Dates:

  • Thursday, February 29, 2024, at 3:30 p.m. - 4:30 p.m. ET
  • Tuesday, March 5, 2024, at 3 - 4 p.m. ET


SAMHSA is committed to reducing burden related to grant performance data collection and reporting. To achieve this goal, SAMHSA is working to significantly redesign client-level performance management tools currently in use. SAMHSA specifically plans to develop a single, brief, client-level tool for use in all client-level grant programs. SAMHSA is also committed to incorporating partner input as much as possible and recognizes that some changes might take longer to implement.

SAMHSA therefore seeks to hear from Tribes, Tribal organizations, and evaluators to better understand areas for burden reduction while ensuring equity and accuracy in the final tool.

Some questions to consider in preparing for these listening sessions:

  • What should SAMHSA consider as we prioritize decreased burden and high-quality data?
    • How can collecting and reporting client-level data be streamlined to enhance efficiency?
  • Which questions are most valuable for meeting your data collection requirements?
  • In what ways are you leveraging the data acquired from your SAMHSA grants to enhance and evaluate your programs? If not, what are the constraints preventing its utilization?

We would greatly appreciate your participation in these listening sessions. Your valuable input will help us obtain high quality information while reducing burden on those who participate in SAMHSA grant programs. The summarized results of the listening sessions will be shared with Tribes. Thank you in advance for your consideration of this request!

Written responses and questions: Respondents may also submit written comments or questions to the SAMHSA Office of Tribal Affairs and Policy (OTAP) email mailbox through March 15, 2024 at

Past Events

January 4, 2024 | Tribal Listening Session: The 2024 National Strategy for Suicide Prevention (NSSP)

This listening session provided an opportunity for SAMHSA to share information about the National Strategy for Suicide Prevention and engage with Tribal Leaders and Tribal Behavioral Health professionals on critical issues related to suicide prevention among American Indian and Alaska Natives they would like to see represented in the new strategy.

November 13, 2023 | Tribal Listening Session: Use of High Dose Buprenorphine for the Treatment of Opioid Use Disorder

The session provided an opportunity for SAMHSA to hear from providers treating opioid use disorder in Tribal clinical settings about the need for practical experience with higher dose (24mg+) buprenorphine. This information helps inform federal guidance and activities on buprenorphine dosing in the context of fentanyl.

November 9, 2023 | Tribal Listening Session Part 2: Behavioral Health and Substance Use Disorder Resources Native Americans Grant Program

The listening session provided an additional opportunity for SAMHSA to share information about the statutory requirements and engage with Tribal Leaders and Tribal Behavioral Health professionals on the development of this program.

August 29, 2023 | Tribal Listening Session Part 1: Behavioral Health and Substance Use Disorder Resources for Native Americans

The listening session provided an opportunity for SAMHSA to share information about the statutory requirements and engage with Tribal Leaders and Tribal Behavioral Health professionals on the development of this program.

March 23, 2023 | Tribal Listening Session: Updating the National Tribal Behavioral Health Agenda (TBHA)

SAMHSA has heard from Tribal Leaders that an update to the TBHA, including lessons learned from the COVID-19 pandemic, is needed to ensure its priorities and strategies continue to be reflective of tribal behavioral health.

March 27, 2023 | SAMHSA Medication Access and Training Expansion (MATE) Act Listening Session with Tribal Educators

SAMHSA and DEA seek views and perspectives from tribal educators on key opioid use disorder and other substance use disorder training elements to inform guidance related to the implementation of the MATE Act.

November 9, 2023 | Tribal Consultation: Tribal Opioid Response (TOR) Grant Program

Before any action is taken that will significantly affect Indian Tribes, it is the SAMHSA policy that consultation with Indian Tribes will occur to the extent practicable and permitted by law. The Tribal Consultation session provided an opportunity for government-to-government dialogue.

March 10, 2022 | Tribal Consultation: Proposed Changes to 42 CFR Part 2

Written comments were accepted until April 6, 2022. There were 201 registered participants, including Tribal leaders, OCR and SAMHSA senior leaders, other HHS and government staff and other Tribal partners. Six written comments were received.

August 15, 2023 | Tribal Recovery Summit

The purpose of the summit was to share best practices and experiences related to expanding recovery related programs and opportunities within American Indian and Alaska Native (AIAN) communities. The ultimate goal of the Summit was to provide all attendees with valuable insight and information that can help improve recovery related outcomes. This included opportunities to discuss strategies that provide evidence of successful service to the community, identify emerging and innovative areas that require focus to guide the further progress, and increase shared knowledge about approaches that may transform the future of recovery in AIAN communities nationwide. Over 200 people attended either in person or virtually.

October 26, 2022 | Region 7 Tribal Behavioral Health Summit

The Summit brought together Tribes, Urban Indian Health Programs, and Tribal-serving organizations from across Region 7 to discuss behavioral health issues among Native communities.

September 12, 2023 | SAMHSA Office of Recovery Equity Week American Indian/Alaska Native Communities Defining their own Principles of Recovery Webinar

This event highlighted federal partner efforts that support rural communities to advance health equity and recovery support services for healthy outcomes with particular focus on American Indian and Alaska Native communities.

May 11, 2023 | Promising Practices in Tribal Communities for Children’s Behavioral Health Webinar

This webinar highlighted promising practices and outcomes of behavioral health prevention and services developed and implemented by and for children, youth, and families in Tribal communities; shared information about Federal programs and resources to support the behavioral health and well-being of children, youth, and families in Tribal communities; created a forum to discuss and learn about opportunities to strengthen the integration of relevant behavioral health services in human services and health care programs in Tribal communities; and provided the opportunity for participants to ask questions and share information about what they are observing in their communities and where they see gaps and opportunities for resources and partnerships to support children, youth, and families.

March 8, 2023 | Future Tribal Technical Advisory Committee Delegates Informational Event

On March 8, 2023, SAMHSA TTAC delegates and staff from the Office of Tribal Affairs and Policy met to learn about the vital work this group is doing regarding behavioral wellness. TTAC delegates are leaders in their tribes and regions and keep SAMHSA informed of behavioral health needs and concerns in Indian Country.

December 8, 2022 | Introduction to the Opioid Response Network for TOR Grantees Webinar

In this webinar, presenters from the Opioid Response Network discussed technical assistance needs and processes for TOR grantees.

Last Updated

Last Updated: 02/09/2024

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