Opportunity Information: Apply for SM 23 014

The funding opportunity titled Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis (Funding Opportunity Number SM 23 014) is a discretionary grant program offered by the U.S. Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA). It falls under the Health funding activity category and is listed under CFDA number 93.104. The program was created on January 13, 2023, with an original application closing date of March 14, 2023. SAMHSA anticipated making about 12 awards, with a maximum award amount (ceiling) of $400,000 per award.

The central goal of the program is to support community-based efforts that identify and serve youth and young adults who are at clinical high risk for developing psychosis, with an explicit age limit of not more than 25 years old. The focus is not only on treatment, but also on outreach and early intervention in real-world community settings, using approaches that are both trauma-informed and evidence-based. Trauma-informed care is emphasized because many young people at elevated risk may also have histories of stress, adversity, or trauma, and poorly matched services can increase disengagement or worsen symptoms. By requiring trauma-informed, evidence-based interventions, the program signals that applicants should use proven models and practices and deliver them in ways that prioritize safety, trust, choice, collaboration, and empowerment.

Award recipients are expected to implement interventions designed to achieve four main outcomes. First, the services should improve symptomatic and behavioral functioning, meaning programs should be able to reduce or better manage early warning signs and related difficulties (for example, attenuated psychotic symptoms, anxiety, depression, sleep disruption, functional decline, or behavioral changes that interfere with daily life). Second, the program aims to help young participants return to or maintain age-appropriate functioning in core life areas, specifically social relationships, education, and employment or vocational activities. In practice, this points to services that go beyond symptom management and actively support school attendance and performance, workplace readiness, social skills and connection, and overall functional recovery.

Third, grantees are expected to delay or prevent the onset of psychosis for those who are at elevated risk. This reflects the broader early psychosis field, which prioritizes identifying risk states earlier and intervening before a first episode occurs, when possible. The fourth expected outcome addresses what happens when psychosis does emerge: programs should minimize the duration of untreated psychosis, which is widely understood as a key factor influencing longer-term outcomes. In other words, if a young person begins developing clear psychotic symptoms, the program is designed to shorten the time between symptom onset and effective treatment by ensuring rapid identification, timely clinical response, and strong pathways to appropriate levels of care.

Eligibility is noted as "Others (see text field entitled Additional Information on Eligibility for clarification)," which indicates that the applicant pool may include nontraditional or specifically defined organizations beyond standard categories, depending on the detailed eligibility language in the full announcement. Overall, the opportunity is structured to build or strengthen community programs that can find young people early, engage them in appropriate evidence-based and trauma-informed care, improve day-to-day functioning, and either avert psychosis or ensure rapid treatment when psychosis occurs.

  • 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" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.104.
  • This funding opportunity was created on Jan 13, 2023.
  • Applicants must submit their applications by Mar 14, 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 $400,000.00 in funding.
  • The number of recipients for this funding is limited to 12 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for SM 23 014

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Frequently Asked Questions (FAQ)

What is the name of this funding opportunity?

The funding opportunity is titled Community Programs for Outreach and Intervention with Youth and Young Adults at Clinical High Risk for Psychosis.

What is the Funding Opportunity Number?

The Funding Opportunity Number is SM 23 014.

Which federal agency is offering this grant?

This is a discretionary grant program offered by the U.S. Department of Health and Human Services (HHS) through the Substance Abuse and Mental Health Services Administration (SAMHSA).

What type of grant program is this?

It is a discretionary grant, meaning SAMHSA makes awards based on program priorities and application review rather than a formula-based distribution.

What is the funding activity category?

The funding activity category is Health.

What is the CFDA number for this opportunity?

The opportunity is listed under CFDA 93.104.

When was this program created?

The program was created on January 13, 2023.

What was the original application closing date?

The original application closing date was March 14, 2023.

How many awards did SAMHSA expect to make?

SAMHSA anticipated making about 12 awards.

What is the maximum award amount?

The maximum award amount (ceiling) is $400,000 per award.

What is the central goal of the program?

The central goal is to support community-based efforts that identify and serve youth and young adults who are at clinical high risk for developing psychosis, with a strong emphasis on outreach and early intervention in real-world community settings.

Who is the program intended to serve (age range)?

The program is intended for youth and young adults not more than 25 years old.

Is the focus only on treatment?

No. The program emphasizes outreach and early intervention in community settings, not treatment alone.

What kinds of approaches does the program require or prioritize?

The program emphasizes approaches that are both trauma-informed and evidence-based.

Why does the opportunity emphasize trauma-informed care?

Trauma-informed care is emphasized because many young people at elevated risk may have histories of stress, adversity, or trauma, and services that are poorly matched can increase disengagement or worsen symptoms. The opportunity signals that services should be delivered in ways that prioritize safety, trust, choice, collaboration, and empowerment.

What does "evidence-based" mean in the context of this opportunity?

Based on the language provided, "evidence-based" indicates that applicants should use proven models and practices for outreach and early intervention, rather than untested approaches.

What outcomes are award recipients expected to work toward?

Award recipients are expected to implement interventions designed to achieve four main outcomes: (1) improve symptomatic and behavioral functioning, (2) help participants return to or maintain age-appropriate functioning in social, education, and employment/vocational areas, (3) delay or prevent the onset of psychosis, and (4) minimize the duration of untreated psychosis if psychosis emerges.

What does "improve symptomatic and behavioral functioning" refer to?

This refers to reducing or better managing early warning signs and related difficulties, such as attenuated psychotic symptoms, as well as issues like anxiety, depression, sleep disruption, functional decline, or behavioral changes that interfere with day-to-day life.

What does "age-appropriate functioning" mean for this program?

It points to helping young participants return to or maintain typical functioning for their age in core life areas, specifically social relationships, education, and employment or vocational activities.

Does the program support services related to school, work, and social connection?

Yes. The stated outcomes include supporting education, employment/vocational participation, and social relationships, indicating a focus beyond symptom management alone.

What does it mean to "delay or prevent the onset of psychosis"?

This reflects an early-psychosis priority of identifying risk states early and intervening before a first episode occurs, when possible, so that the progression to full psychosis may be delayed or avoided.

What is "duration of untreated psychosis," and why does it matter here?

In this opportunity, the duration of untreated psychosis refers to the time between the onset of clear psychotic symptoms and effective treatment. The program expects grantees to minimize this duration through rapid identification, timely clinical response, and strong pathways to appropriate care, because it is widely understood to be an important factor influencing longer-term outcomes.

What does the program imply about how services should be delivered?

Services are expected to be delivered in real-world community settings with a strong emphasis on finding and engaging young people early, and providing trauma-informed, evidence-based interventions aligned with the stated outcomes.

Who is eligible to apply?

Eligibility is listed as "Others (see text field entitled Additional Information on Eligibility for clarification)". Based on the information provided here, that suggests the eligible applicant pool may include nontraditional or specifically defined organizations, depending on the detailed eligibility language in the full announcement.

Where can applicants find the precise eligibility details?

The information provided indicates that applicants would need to consult the "Additional Information on Eligibility" text field in the full announcement for clarification.

What is the overall purpose of the opportunity in practical terms?

Overall, the opportunity is structured to build or strengthen community programs that can find young people early, engage them in appropriate evidence-based and trauma-informed care, improve day-to-day functioning, and either avert psychosis or ensure rapid treatment when psychosis occurs.

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