Opportunity Information: Apply for HRSA 23 041

The Rural Communities Opioid Response Program - Child and Adolescent Behavioral Health (RCORP-CABH) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. It sits under HRSA's broader, multi-year Rural Communities Opioid Response Program (RCORP), which focuses on reducing illness and deaths tied to substance use disorder (SUD), including opioid use disorder (OUD), in rural communities that are considered high-risk. RCORP-CABH narrows that mission to children and adolescents, with the central aim of building out and expanding behavioral health services in rural areas in ways that last beyond the grant period.

The core purpose of RCORP-CABH is to establish and expand sustainable behavioral health care services for rural youth ages 5 through 17 and to prevent substance misuse before it escalates into more serious disorder and harm. In this program, "behavioral health" is defined broadly and includes both mental health services and substance use disorder services, reflecting the reality that mental health challenges and substance misuse often overlap and can reinforce each other. HRSA is looking for approaches that not only increase access to care, but also improve coordination, quality, and long-term viability of services in rural settings where the workforce and service infrastructure can be limited.

Projects are expected to run over a four-year period of performance and to operate through a consortium-based approach, meaning applicants are expected to bring together multiple partners to plan and deliver services rather than working in isolation. HRSA lays out three main program goals for funded recipients. First is Service Delivery, which focuses on creating new prevention, treatment, and recovery supports specifically for children and adolescents in the target rural service area. Second is Training and Peer Mentorship, centered on strengthening the ability of rural health care providers and the broader local support network to respond to youth behavioral health needs. This includes not only clinicians, but also paraprofessionals, non-clinical staff, and community members, with an emphasis on training and structured peer mentorship opportunities to build practical capacity. Third is Community Partnerships, which aims to connect youth and their families to the wider set of community resources and human services that support prevention, treatment engagement, and recovery, recognizing that stable housing, school supports, family services, transportation, and other wraparound resources can be critical in rural communities.

HRSA's expected outcomes reflect these goals. The agency anticipates that more rural children and adolescents will receive evidence-based, coordinated behavioral health care and supportive services as a result of the funded work. Just as importantly, HRSA expects the activities and service models developed with RCORP-CABH support to be sustainable by the end of the four-year grant period, so that improvements in local systems of care continue after federal funding ends.

The target population includes children and adolescents ages 5 to 17 who live in HRSA-designated rural counties and rural census tracts and who are at risk for, currently experiencing, or recovering from a behavioral health disorder. The program also explicitly includes the families and caretakers of these youth, acknowledging that effective prevention and treatment for children and adolescents often depends on caregiver involvement, family support, and improved access to community-based assistance. HRSA also encourages applicants to prioritize inclusion of populations that have historically experienced worse health outcomes, persistent disparities, and inequities. Examples listed include racial and ethnic minority groups, LGBTQ individuals, people with low incomes, new immigrants, individuals experiencing homelessness, and people with disabilities. Alongside this equity focus, applicants are expected to ensure that program activities are culturally and linguistically appropriate for the rural communities served.

From an administrative standpoint, this opportunity is listed as HRSA-23-041 under Assistance Listing (CFDA) 93.912. The funding instrument is a grant, and the activity area is health. Eligible applicants include federally recognized Native American tribal governments and other Native American tribal organizations, with additional eligibility details referenced in the full notice. HRSA anticipated making about 9 awards, with an award ceiling of $1,000,000. The original opportunity was posted March 22, 2023, with an original closing date of May 12, 2023.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Communities Opioid Response Program – Child and Adolescent Behavioral Health" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
  • This funding opportunity was created on Mar 22, 2023.
  • Applicants must submit their applications by May 12, 2023. (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 $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 9 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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