Opportunity Information: Apply for SM 18 012
The FY 2018 Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis (CHR-P) grant opportunity (Funding Opportunity Number SM 18 012) is a SAMHSA Center for Mental Health Services discretionary grant focused on early identification and early intervention for young people who may be on the path toward a first episode of psychosis. The program targets youth and young adults up to age 25 and is built around the idea that timely outreach, careful screening, and delivery of evidence-based supports can reduce symptom progression, improve day-to-day functioning, and in some cases delay or prevent the onset of full psychosis.
At the center of the CHR-P program is service delivery for individuals considered at clinical high risk for psychosis, meaning they are showing noticeable and concerning changes in perception, thinking, and functioning that often come before a first episode of psychosis. The opportunity defines this risk state as including one or more of the following: attenuated (weakened or subthreshold) psychotic symptoms, brief intermittent psychotic episodes, or a combination of trait vulnerability (for example, known risk factors) along with a clear decline in functioning. These are the kinds of early warning patterns that, if recognized and addressed quickly, may allow communities to intervene earlier than traditional systems typically do.
The grant emphasizes outcomes that are practical and measurable. SAMHSA expects funded programs to improve symptomatic and behavioral functioning, help participants return to or sustain age-appropriate social roles and developmental activities (such as school attendance, academic progress, job training, employment, and healthy peer relationships), and either delay or prevent progression to a psychotic disorder. Another major goal is minimizing the duration of untreated psychosis among participants who do go on to develop psychotic symptoms, since shorter durations of untreated psychosis are commonly associated with better longer-term clinical and functional outcomes.
A key service approach highlighted in the announcement is stepped care. In this model, participants begin with the least intensive evidence-based intervention that is appropriate to their needs, and services are adjusted upward in intensity if the initial approach does not produce adequate improvement. The intent is to match the level of care to the level of need over time, avoid unnecessary over-treatment, and still ensure that people who require more intensive supports receive them quickly when clinically indicated.
SAMHSA also signals a strong interest in connecting service programs with rigorous evaluation, while drawing a clear boundary between service grant activities and formal research funding. SAMHSA and the National Institute of Mental Health encourage partnerships between applicants delivering services and mental health researchers who can help evaluate how well stepped-care intervention strategies work for this population. However, any research studies proposed in connection with CHR-P services are expected to be submitted separately through NIH research project grant mechanisms rather than included as part of the SAMHSA service grant itself. NIMH indicated it planned to issue additional direction to help research applicants identify the appropriate NIH funding routes.
From an administrative and funding standpoint, the opportunity was posted April 10, 2018, with an original application closing date of June 11, 2018. It falls under CFDA 93.243, uses the grant instrument, and is categorized within the health activity area. The award ceiling listed is $400,000 per award, with an expected 28 awards. Eligibility is noted as "Others" with additional details referenced in the full eligibility section of the announcement, implying that applicants would need to consult the FOA text to confirm which specific organization types could apply.
Overall, CHR-P is designed to help communities build or expand coordinated pathways that find young people early, connect them to evidence-based interventions quickly, adjust care intensity based on response, and keep the focus on real-life recovery markers like staying in school, returning to work, and maintaining social functioning, while also creating opportunities for parallel, separately funded research partnerships that can strengthen the evidence base for early psychosis prevention and early intervention strategies.Apply for SM 18 012
- The Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis in the health sector is offering a public funding opportunity titled "Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis (Short Title: CHR-P)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243.
- This funding opportunity was created on Apr 10, 2018.
- Applicants must submit their applications by Jun 11, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- The number of recipients for this funding is limited to 28 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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